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Case Study: Bartonella and Sudden-Onset Adolescent Schizophrenia

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According to a press release from North Carolina State University, researchers share a case study describing an adolescent human patient diagnosed with rapid onset schizophrenia who was found instead to have a Bartonella henselae infection. This study adds to the growing body of evidence that Bartonella infection can mimic a host of chronic illnesses, including mental illness, and could open up new avenues of research into bacterial or microbial causes of mental disorders.

Bartonella is a bacteria most commonly associated with cat scratch disease, which until recently was thought to be a short-lived (or self-limiting) infection. There are at least 30 different known species of Bartonella, and 13 of those have been found to infect human beings. The ability to find and diagnose Bartonella infection in animals and humans – it is notorious for “hiding” in the linings of blood vessels – has led to its identification in patients with a host of chronic illnesses ranging from migraines to seizures to rheumatoid illnesses that the medical community previously hadn’t been able to attribute to a specific cause.

In the case study published in the Journal of Central Nervous Disease, an adolescent with sudden onset psychotic behavior – diagnosed as schizophrenia – was seen and treated by numerous specialists and therapists over an 18-month period. All conventional treatments for both psychosis and autoimmune disorders failed. Finally, a physician recognized lesions on the patient’s skin that are often associated with Bartonella, and the patient tested positive for the infection. Combination antimicrobial chemotherapy led to full recovery.

According to the case report above, Bartonella henselae Bloodstream Infection in a Boy With Pediatric Acute-Onset Neuropsychiatric Syndrome, these are some of the many symptoms he experienced over the 18-month period:

  • He reported feeling overwhelmed, confused, depressed, and agitated.
  • He said that he was an “evil, damned son of the devil” and wanted to kill himself because he was afraid of his new-onset homicidal thoughts toward those he cared about
  • Weeks after initial hospitalization in October, he became more dysfunctional; school was not possible; he developed progressively severe psychiatric symptoms including obsessional intrusive thoughts, phobias, irrational fears, emotional lability, unpredictable rage outbursts, and increased psychotic thinking. He believed that he had special powers and that a family cat wanted to kill him.
  • By December 2015, his illness had progressed in severity, causing his mother to quit her job to provide full-time supervision. In addition to persecutory delusions related to his pets, he developed auditory, visual, and tactile hallucinations and began refusing to leave the house.
  • In January 2016, following discharge after a week-long hospitalization, he developed non-specific somatic symptoms, including excessive fatigue, daily headaches, chest pains, shortness of breath (possible panic anxiety), and urinary frequency

I suspect some of his later symptoms were related to side-effects from many of the medications he was prescribed over the course of his treatment. Some symptoms may also be attributed to withdrawal from some of these medications. One example mentioned in the case study was “abrupt withdrawal of clozapine and tramadol” where “he experienced severe anorexia, nausea, and vomiting, which resulted in hospitalization and a 20.5-kg weight loss over 40 days.” It’s well- documented that withdrawal signs and symptoms of antipsychotic medications such as clozapine “may include insomnia, nausea, vomiting, anxiety, and agitation.”

This figure lists the medications he was prescribed during his treatment. The pink area was during his psychotic 18-month period and the yellow area was during his antimicrobial treatment of the Bartonella.

Figure 2. Drug administration timeline for the boy, reprinted from the study

The skin lesions or “stretch mark-like” lesions on his thigh (A) and armpit (B) are tell-tale signs of a Bartonella bacterial infection or neurobartonellosis. Here are photographs taken by his parents.

Also from the study

A successful outcome for this young boy came about as a result of antimicrobial treatment in the way of antibiotics and antifungals. His skin lesions healed, his psychosis and other symptoms resolved, he was able to quit his psychiatric medications and go back to being a typical young boy. How wonderful for this young boy!  And this gives me so much hope for others who may be in a similar situation and looking for solutions.

Other than the hope I felt, these are my other thoughts that came to my mind as I read this case study:

  • How many people are being prescribed psychiatric medications when they actually have an infection or physiological condition? The authors state: “Beyond suggesting that Bartonella infection itself could contribute to progressive neuropsychiatric disorders like schizophrenia, it raises the question of how often infection may be involved with psychiatric disorders generally.”
  • How can a young boy of this age be prescribed this many psychiatric medications over an 18-month period? I’m sure his doctors were doing their best but what is it going to take for doctors to look for infectious (and/or physiological or biological or nutritional or environmental) causes for psychiatric symptoms as the first approach or certainly at the same time in a situation like this where psychosis was a factor?
  • What will it take for mainstream practitioners to get up to speed with this epidemic of Lyme disease? And when will testing for Lyme disease and co-infections be used by all doctors and not just Lyme-literate doctors and functional medicine doctors like Dr. Darin Ingels. the author of “The Lyme Solution.” (Here is my review of his excellent book.) It is worth noting that Dr. Ingels uses very successful treatments that are purely herbal, dietary and immune-supportive, and don’t require antibiotics.

We already know there is a huge psychiatric connection with Lyme disease and co-infections: anxiety, depression, panic attacks, and OCD too. This case adds to the evidence. Even though neuropsychiatric Lyme disease is well-recognized in the world of functional medicine, keep in mind that Lyme disease bacteria such as Borrelia and co-infections such as Bartonella are only one of many possible trigger/root cause of symptoms like this young boy experienced.

Other infectious causes of psychiatric conditions include chronic strep (in the case of PANDAS/PANS) and toxoplasma gondii.

Other physiological root causes of psychiatric conditions like schizophrenia, anxiety, bipolar disorder and depression could include a thyroid condition, heavy metal toxicity from say lead or mercury, mycotoxins, and even gluten.

We need to be shouting case studies like this from the rooftops so more doctors, more psychologists, more functional medicine practitioners, and more parents are aware and start to look for infectious/physiological/biological/nutritional/environmental root causes.

We appreciate those involved in publishing this case and the family for giving permission.  Hopefully, case studies like these will drive future research and treatment approaches.

What do you think and what came to your mind when you read this case study?

Feel free to post your questions here too.

Perimenopause and menopause: low GABA, pyroluria and the adrenals

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As you go into perimenopause and menopause you don’t have to settle for increased anxiety, dull moods, depression, a foggy brain, a flabby belly, night sweats, insomnia, fatigue, low libido, weight gain and the bone loss that so “common” and “accepted” with getting older.

There are natural, effective and easy-to-implement solutions to balance your hormones at any age!

My perimenopausal symptoms hit with a vengeance in my late 30s. The stress that I was experiencing at work, together with all the hormone changes and what I call my “perfect storm” of gluten issues, heavy metals, low GABA, low serotonin, low zinc, adrenal issues, vegetarian diet, candida, pyroluria and leaky gut, all worked together to cause my anxiety and panic attacks.

I didn’t settle and as soon as I used GABA and tryptophan the anxiety and panic attacks stopped and I could take a step back and work on all the other underlying issues, without all the overwhelm.

I share my story in my interview on the Perimenopause Summit with summit host Dr. Michelle Sands, and go into great detail about how to use the amino acids in the most effective way to ease anxiety, worry, fear, negative self-talk, ruminations and overwhelm.

I also share a study about tryptophan easing PMS symptoms in just 3 cycles, as well as some of my other tips for PMS symptom relief (think liver support).

I also talk about a topic that no-one is addressing and yet there is such a simple solution for this excruciatingly painful condition called proctalgia fugax. You may not have heard this term but if you have you know it! In the medical literature it is described as “a condition that leads to rectal spasms and sharp fleeting pain in the lower rectum or anus.” Sublingual GABA works miracles in a few minutes).

My interview – Amino Acid Therapy for Anxiety

  • Problems with commonly prescribed anti-anxiety meds
  • How food affects mood
  • Right and wrong way to use amino acid therapy

Unfortunately, hormone and women’s health issues are incredibly misdiagnosed and misunderstood, leaving many women feeling hopeless, broken and stuck.

Dr. Michelle gets all this because she was also there, in her 20s with irregular and absent periods, mood swings, joint pain, infertility, low libido, digestive issues and insomnia. She was told her ovaries had failed and to manage her symptoms for the rest of her life with birth control pills, antidepressants and other medications. So, she found a better way — a natural way to help her body heal itself — and she’s here to teach you how to do the very same, no matter whether you’re in your 20s or decades older!

The pyroluria perimenopause connection

There are little known connections between pyroluria (a social anxiety condition) and perimenopause.

The nutrients, zinc, vitamin B6 and evening primrose oil, eliminate the social anxiety symptoms and have a direct tie in to perimenopause because these same nutrients:

  • are needed to make neurotransmitters like GABA and serotonin
  • are also are needed to make our sex hormones (and help so much with PMS and perimenopausal hormone imbalance)

In my interview with Dr. Michelle I also share how I discovered I had pyroluria before I even knew what pyroluria was. I was in perimenopause and had terrible PMS. I read Ann Louise Gittleman’s wonderful book Before the Change: Taking Charge of Your Perimenopause (my Amazon link), and she recommended zinc, vitamin B6, and evening primrose oil for PMS symptoms. Once I started taking these nutrients I had fewer hormonal issues and they helped so much with my social anxiety.

A few years later when I was working with clients with pyroluria and I looked at the pyroluria questionnaire I thought: “that looks like me, maybe I’ve got this too!” I did the urine test and I discovered that I have pyroluria.

In my interview I talk about :

  • the pyroluria-introvert connection and why I believe there is a nutritional aspect to introversion and it’s not purely a personality trait
  • the pyroluria-Lyme connection and how Klinghardt feels that Lyme Disease cannot be treated until the underlying pyroluria is addressed

Be sure to also tune in to Ann Louise Gittleman’s interview. Her discussion about zinc and copper is a perfect complement to my interview.

Ann Louise Gittleman, PhD, CNS: Is Perimenopause a Mineral Imbalance?

  • Do you have toxic levels of this mineral (copper)?
  • Best way to test mineral imbalance
  • Overcoming nutrient and mineral imbalance

Adrenal health is so important during perimenopause

Adrenal health is so important during perimenopause. This is covered in this interview – Adrenals are a Perimenopausal Gal’s Bestie with Marcelle Pick MSN, OB-GYN, NP. She covers the following:

  • Role of the adrenal glands in hormone balance
  • Causes and consequences of adrenal burnout
  • Caring for your adrenals.

And shares these gems:

  • Prior to menopause about 15% of our sex hormones are produced by our adrenals and after menopause it’s 30% – this is why adrenal health is so important!
  • When you are stressed the adrenals will make cortisol at the expense of estrogen and progesterone

She also talks about how we handle stress impact the adrenals and why it’s so important to work on lifestyle changes. One great example she shares is this: “are we a perfectionist and do we expect too much of ourselves?”

I’d like to add to this and say that the first step is recognizing that you are a perfectionist and reminding you that perfectionism is a classic sign of low serotonin. That way you can consider using the amino acids tryptophan or 5-HTP to say goodbye to perfectionism and ease some of your stress.

I talk all about low serotonin in my interview but want to help you make this connection as you listen to Dr. Marcelle’s and my interviews.

Dr. Marcelle also discusses what to eat, some of her favorite adaptogenic herbs for the adrenals, exercise advice (and why to do less when you are healing your adrenals) and the effects of childhood trauma.

REGISTER HERE

Do let us know if any of this resonates with you and feel free to post questions in the comments below.

Mindd 2019: The cell danger response and microbiome; and microchimerism and pregnancy

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Today’s blog highlights two interesting and very different topics that can impact both your mental and physical health: The cell danger response: inflammation, the microbiome and digestion; and microchimerism and how pregnancy can change the health of a mother in unintended ways.

I love to share resources after I’ve attended a conference but today I’m switching it up and sharing resources before the conference for three reasons: 1) to get you fired up and excited about attending in person (or on the Livestream) 2) to share in case you can’t attend in person (or via Livestream) and 3) to highlight the amazing work that the Mindd Foundation is doing via the Mindd Forum 2019, which will be in Sydney, Australia, March 23-24, 2019.

There’s also a giveaway of 2 free tickets to the Public stream (in-person or livestream) so read on below to see how to enter.

The cell danger response: inflammation, the microbiome and digestion

The cell danger response can cause increased inflammation and have direct impacts on the microbiome and digestion. The Cell Danger Response (also known as CDR)

is the intracellular response to stressors, viruses, chemicals or toxins and any foreign particles that come into the human system that need to be expelled. If the cell danger response is constantly being activated and is defective, it may cause a heightened prevalence and severity of inflammation.

The above article highlights the effects on the cell danger response on the microbiome, digestion and nutrient absorption, with ramifications for anxiety, depression, ASD (autism spectrum disorder), ADHD (attention deficit hyperactivity disorder) and many other conditions. Here are some highlights of what the CDR can impact the lower part of the colon

  • alter disaccharide metabolism, causing the lower/distal bowel to receive a more significant number of simple sugars and change carbohydrate digestion
  • alter the cells that line the intestines leading to differences in how amino acids are processed, affecting production of neurotransmitters such as GABA, serotonin and dopamine, with consequences for both your brain and gut health

Dr. Robert Naviaux coined the term CDR and will address these links in detail and explain current research with regard to the CDR, cellular healing and how to incorporate these concepts into practice. He will address the role this plays in the healing cycle and treating chronic disease, and specifics on CDR as it applies to understanding Chronic Fatigue Syndrome. His masterclass series is titled: Cellular Pathways for Chronic Disease Recovery.

According to Mindd, three of Dr. Robert Naviaux’s research publications were the most frequently downloaded papers in the journal Mitochondrion in the last 90 days, so this gives you an idea on the relevance of this topic.

Dr Nancy O’Hara also has a helpful explanation of the CDR here cover Clinical Applications of Dr. Naviaux’s research, together with Dr. Elizabeth Mumper.

It’s a pretty complex topic and I’ve been trying to get my head around it for some time. I blogged about some of his early research on CDR and the dramatic effects of a single dose of suramin on “social communication and play, speech and language, calm and focus, repetitive behaviors and coping skills” in 10 boys, ages 5 to 14 years, all diagnosed with autism.

What does all this mean for you?

  • Could the CDR be a factor in your chronic unresolved SIBO (small intestinal bacterial overgrowth)?
  • Could there be applications for anxiety for you if you have tried ALL the nutritional/biochemical approaches and are still not seeing symptom resolution?
  • Could addressing the CDR help you if you’ve been harmed by benzodiazepines, SSRIs and/or fluoroquinolones and can’t take any supplements or can only tolerate very small doses?
  • Could addressing the CDR help when you have a combination of many stresses like past or recent trauma, genetic defects, heavy metals, mold and Lyme, as well as gut issues and nutritional imbalances?

We clearly have much to learn in this area and I’m excited to hear more from these practitioners.

Microchimerism and how pregnancy can change the health of a mother in unintended ways

Pregnancy can change the health of a mother in unintended ways, sometimes causing harm and in other instances saving the mother’s life. Microchimerism is the “two-way implantation of cells between a mother and fetus.”

Approximately 50-75% of women carry immune cells derived from their fetus after giving birth. Not only that, but the offspring can also hold onto maternal cells too. The fetal cells present in a mother can be apparent for years after giving birth, and their role in human health is currently being investigated. Research is also evaluating the likelihood of whether an older sibling/previous pregnancy can pass cells to a current fetus of a different pregnancy.

The majority of research on microchimerism has investigated its potential to cause harm. This is due to a 1996 paper hypothesizing the link between microchimerism and the cause of autoimmune conditions. However, the connection between microchimerism and positive health outcomes has been receiving attention in the last few years. This is partly due to detecting the capability of mammals to save their mother’s lives by providing cells that are repairing tissue, including bone marrow, to replace dysfunctional cells.

While the mechanism of action is currently unclear, it is understood that microchimeric fetal cells can provide repair processes within maternal tissue, via cellular differentiation.

Leah Hechtman will be speaking at the Mindd Forum 2019 on Microchimerism, mRNA and Parental Wisdom. She will review the understanding of how pregnancy can change the health of a mother in unintended ways and “how we can influence unique genetic pathways to improve the health of future generations.” Read about Leah and more about this fascinating topic in the MINDD article on microchimerism.

Ideally, attend the conference in person. These topics will all be presented as part of both the Public stream and the Practitioner stream, and will also be available via Livestream – at the Mindd Forum 2019 (links below).

Other topics of interest being presented at the Mindd forum

Alexx Stuart from Low Tox Life is presenting in the Food Is Medicine program – Foods that Support Detoxification: Brilliant Brassicas!

Are you looking for clever ways to bring delicious inspiration to your plate? Learn how to incorporate brassica vegetables (Broccoli, Cauliflower, Brussels sprouts, Cabbage, Kale and more) – this vital family of veggies – to inspire detoxification and disease-fighting, every single day. From breakfast to snacks to family meals and even dessert!

Naturopath, Nutritionist and Mindd Ambassador Helen Padarin is presenting – Nutrition & Lifestyle that Supports Mitochondria

Many symptoms can be due to your mitochondria needing support. These can include waking tired, energy slumps, fatigue, trouble concentrating, poor muscle tone, speech difficulties, learning disabilities, Autism Spectrum Disorder, vision or hearing problems, exercise intolerance or heart, liver or kidney disease. If you haven’t yet heard about your mitochondria – it’s time to get to know them and learn how to treat them well! Mitochondria are highly intelligent energy producing engines in every cell in your body.

Gillian Koziciki of Cultured Artisans is presenting – Fermenting the Rainbow for Health & Vitality

Bidirectional communication between your gut microbiota and cellular mitochondria show a link to your health and energy levels. Feeding your gut healthy, probiotic foods increases the good bacteria of your microbiome which assists your mitochondrial health. The full colour spectrum of foods can be fermented to provide guerilla nourishment.

Both Dr. Mumper and Dr. O’Hara are presenting – A Functional Approach to Conditions On-the-Rise

Clinical pearls and case histories, testing and treatment on Lyme disease, ADHD, PANDAS & PANS, Alopecia, Vitiligo and Cutaneous Mastocytosis, migraines, rhinitis, asthma, eczema, Cerebral folate deficiency, Chronic inflammatory response syndrome (i.e. toxic mold issues), POTS & Dysautonomia, Autism, Celiac & non-celiac gluten sensitivity, and ADHD without drugs.

Here are all the links

The cell danger response and the microbiome – what’s the link?

What is the Cell Danger Response? with Dr. Nancy O’Hara

A new outlook on Microchimerism

Practitioner stream link

Public stream link

You can find the Mindd Foundation on facebook here.

Drawing to win a ticket to the Public sessions (2 tickets to be won) and 10% discount

If you’d like to be entered into a drawing to enter a ticket to the Public Stream (in-person or livestream):

  1. Comment below and share why you’d like to attend/listen in and what interests you about any or all of these topics
  2. AND share this blog with a friend, colleague and/or on social media. Be sure to mention where you shared it when you comment.
  3. AND let me know if you’d like to attend the Public track in person or do the livestream Public track

I have 2 tickets to give away and I’ll announce the winners on the blog Monday March 18 at 10pm PDT (USA) which is Tuesday March 19 at 4pm AEDT (Australia), and will email you directly if you’re a winner.

As a Mindd Ambassador, I am also thrilled to be able to offer a 10% discount to my community. Use the promotional code TRUDY10 at checkout to receive this discount (this is for both the practitioner and public tracks and the livestream).

Can you see any applications of the above for your health personally or for someone in your family, or a client/patient?

Feel free to post your questions here too and I’ll do my best to try and address them.

And don’t forget to comment and share the blog for a chance to win a ticket to the Public stream!

I have issues with perimenopausal anxiety a couple of weeks per month and don’t want to turn to SSRIs.

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My challenges with anxiety have been hormonal. I’ve had issues with both postpartum anxiety and now perimenopausal anxiety a couple of weeks per month as I’m approaching menopause. I don’t want to turn to SSRIs but some days are pretty miserable and most other days I feel fine. Any info you have to share regarding this topic or any natural solutions would be of great interest.

When I’m working with a client who reports symptoms like this we start with serotonin and GABA support; determine if they have low zinc, low vitamin B6 and low iron. I also always ask the question: are you on the birth control pill (now or in even in the past).

I’ve blogged about much of this in the past so I’m going to share snippets and blogs for further reading.

Serotonin support with tryptophan for immediate worry-type anxiety relief

In a study published in 1999, A placebo-controlled clinical trial of L-tryptophan in premenstrual dysphoria, tryptophan was found to reduce symptoms of PMS when used in the luteal phase or second half of the cycle (i.e. after ovulation).

This is very typical when I’m working with someone with both PMS (premenstrual syndrome) and perimenopausal anxiety, depression, irritability and mood swings. It typically takes 2 to 3 cycles for an amino acid like tryptophan to have an impact on the cyclical nature of your perimenopausal symptoms.

However, tryptophan does typically start to work right away on the less severe anxiety and mood symptoms assuming you find the ideal dose for your needs. I use the trial method to help my clients figure this out.

When you boost serotonin you also reduce the worry-in-your-head and ruminating type of anxiety, and end to panic attacks and phobias, a boost of confidence, no more depression and negativity, imposter syndrome that is no more, an end to your anger issues and irritability, an improvement in sleep and no more afternoon/evening cravings for something sweet.

You can read more about tryptophan here: Tryptophan for the worry-in-your-head and ruminating type of anxiety

GABA support for relief from tension-type anxiety

During perimenopause progesterone is often low and when it is low, we can expect GABA to be low too. Research confirms low GABA and high glutamate-glutamine in premenstrual dysphoric disorder (PMDD) and that shifting hormones may lead to dysregulation of GABA which contributes to HPA axis dysfunction. The HPA (hypothalamic pituitary adrenal) axis is your stress response system and when it’s not functioning well you are more susceptible to the effects of stress and more likely to feel depressed and anxious.

If your GABA levels are low you will feel increased physical tension and insomnia. The amino acid GABA, opened on to the tongue, can provide calming results within minutes.

Dee likes the instant calm and compares how it worked as well as Xanax had worked for her in the past:

I have taken Xanax in the past for panic attacks. My functional medicine doctor suggested this product as I wanted a natural product. I was amazed how it works just like the Xanax did – instant calm feeling within 10 mins of taking 2 capsules. I use them as needed when I am having heightened stress and anxiety.

Low zinc, low vitamin B6 and/or low iron?

Low iron/ferritin is common if you’re still having a period and it’s one of the important -cofactors for making serotonin, thyroid hormones and the sex hormones. Low iron, together with low vitamin B6 plays a role in anxiety and panic attacks. In one study premenopausal women who had been admitted to the emergency room with panic attacks were found to have both low iron and low vitamin B6. I have an entire blog post on this topic here

The other key co-factor for making serotonin is zinc. You’ll want to look into and address pyroluria if you feel more anxious in social situations like family gatherings, going to church events or community picnics, or even while doing business networking or in work meetings. The key nutrients for pyroluria are zinc and vitamin B6 and both help with PMS and perimenopausal anxiety, and hormone balance.

Are you on the birth control pill?

I recently reviewed Beyond the Pill A 30-Day Program to Balance Your Hormones, Reclaim Your Body, and Reverse the Dangerous Side Effects of the Birth Control Pill by Dr. Jolene Brighten.

If you currently on the pill or have been in the recent past read the above review and get the book to give you an excellent understanding of what may be going on with your body.

Dr. Jolene shares that mood disruption is common and mentions a study in the Journal of the American Medical Association which reports the following:

women who began the pill were more likely to be prescribed an antidepressant – which means it contributes to a bit more than moodiness

She writes in great detail about Post–birth control syndrome (PBCS) which is “is a constellation of symptoms women experience when they discontinue hormonal birth control.” She has found the symptoms of PBCS typically occur in the first 4-6 months after stopping the pill. As well as mood swings and anxiety, you may also experience heavy bleeding or no period, acne, headaches, infertility, pill-induced PCOS (polycystic ovarian syndrome), hypothyroidism, gut issues and even autoimmune symptoms.

You also want to reduce your stress levels. Here are some ideas for you:

All the above is a great starting point. You also want to consider adrenal support if needed; and support liver health, together with dietary changes, addressing gut health and thyroid health, getting toxins out of your life and figuring out whatever your own root causes may be.

Here is the link to the amino acids and pyroluria supplements I use with my clients.

Have you found that any of the above has helped you with your PMS or perimenopausal anxiety?

Do you have any stress-relief tips to share with other women who find themselves so stressed out at this age?

Feel free to post questions here too.

Tulsi or holy basil: adaptogenic herb for adrenal support, anxiety and anti-stress effects

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One very effective approach for supporting the adrenals, reducing anxiety and providing general anti-stress support is using a herbal adaptogen. One of my favorite herbal adaptogens and one that I have found to be very effective and well tolerated by my clients is tulsi, also known as holy basil or the “Elixir of Life” in Ayurveda. I also really like rhodiola. ashwagandha and licorice root but we’ll cover these in another blog.

As stated in this 2017 paper, The Clinical Efficacy and Safety of Tulsi in Humans: A Systematic Review of the Literature

Tulsi, also known as holy basil, is indigenous to the Indian continent and highly revered for its medicinal uses within the Ayurvedic and Siddha medical systems. Many in vitro, animal and human studies attest to tulsi having multiple therapeutic actions including adaptogenic, antimicrobial, anti-inflammatory, cardioprotective, and immunomodulatory effects.

The above paper is a review of the literature and the 24 studies that were included, reported favorable therapeutic effects of tulsi for humans and no significant adverse effects. Only one clinical trial reported mild nausea that lasted a short while.

The authors conclude that the outcome of this review

reinforces traditional uses and suggests tulsi is an effective treatment for lifestyle-related chronic diseases including diabetes, metabolic syndrome, and psychological stress.

With regards to psychological stress, three of the clinical studies reviewed

reported significant reduction in anxiety and stress levels with higher doses of tulsi given over a longer time period.

The positive effect of tulsi on mood was demonstrated … with two studies reporting reductions of 31.6%–39% in overall stress-related symptoms in patients with psychosomatic problems compared to a control group.

In two of these stress studies the dosage ranged from 300mg to 400mg 3 x day and was taken either before or after a meal. In one stress study, 3g (3,000mg) twice a day was used. In all the stress/anxiety studies improvements were observed in 4-12 weeks.

The review also looked at studies on metabolic disorders i.e. type 2 diabetes with “measures of blood glucose, lipids, and blood pressure” and studies on immunity, all showing benefits. In one of the immunity studies, the participants were given 10g (10,000mg) /day for viral hepatitis and symptoms all improved within 2 weeks. I’m sharing this so you can see that the dosage varies depending on the condition and severity of symptoms.

Adrenal support, anxiety, depression and radiation-protection

Here are some additional animal studies that support the use of holy basil or tulsi for adrenal support, for easing anxiety and even depression, and for the anti-stress effect it offers:

found to be effective in the management of stress effects, and anti-stress activity could be due to inhibition of cortisol release

With all the WiFi we are exposed to and the fact that research is now showing that EMFs (electromagnetic frequencies) are likely playing a role in anxiety, depression and ADHD, I’m really pleased to see there are also some animal studies on tulsi being protective against radiation.

Consuming tulsi tea on a daily basis

The review paper above mentions

the Ayurvedic tradition of consuming tulsi on a daily basis

and an easy and delicious way to do this is to drink it as a herbal tea.

Next time you’re ordering your amino acids and pyroluria supplements from my online store with Fullscript, be sure to add a few boxes of Organic India tulsi tea to your shopping cart. This way you can enjoy the healing and anti-stress benefits of tulsi together with the many other herbs included in their teas.

The Lemon Ginger Tulsi has been a long-time favorite of mine and is wonderful when flying to counter motion sickness. Based on the radiation research I uncovered when writing this blog. I’m thrilled I’ll be getting those benefits when flying too. I also enjoy the Peppermint Tulsi early in the day and have recently found a new favorite, the Tumeric Ginger Tulsi (not pictured below). Just so you know, you can also find the herbal teas in most health shops and natural food markets.

The adaptogenic Tulsi-Holy Basil product

Organic India also carries the wonderful adaptogenic Tulsi-Holy Basil product which is taken as a supplement. This is an option if you’re not a herbal tea drinker and/or you need some additional support.

If you’re interested in purchasing the tea or Tulsi-Holy Basil product, you can go to my online store with Fullscript, and simply search for “tulsi”.

How do I use tulsi with my anxious clients?

Where does recommending the tulsi herbal teas and/or the Tulsi-Holy Basil supplements fit in with the dietary and nutritional protocols of my anxious clients?

  • If you have stress in your life (and who doesn’t?!), drinking the tulsi herbal tea on a daily basis is beneficial. You can mix-and-match with other naturally caffeine-free and healing herbal teas such as rooibos
  • If you have done adrenal testing and cortisol results are outside of the reference ranges (either high or low) drink the herbal tea and use an adaptogenic herbal supplement such as tulsi (or rhodiola, licorice or ashwagandha), together with a B-Complex, extra vitamin C and extra pantothenic acid
  • Assess for low serotonin and low GABA anxiety with the questionnaire and do trials of amino acids for the low GABA physical anxiety and/or tryptophan for the worry-in-the-head anxiety
  • If you are tapering from a benzodiazepine and are not able to initially tolerate high doses of GABA, tulsi is often gentle enough to provide some additional healing support. Research shows the immune modulating effects of tulsi may be mediated by GABAergic pathways).
  • Make all the dietary changes and address gut health, blood sugar control, low levels of various nutrients like low zinc, reduce stress etc.

Organic India’s ethic and mission

I really love that Organic India works “with thousands of small family farmers in India to cultivate tens of thousands of acres of sustainable organic farmland”, the fact that their “farmers and tribal wildcrafters are educated in organic and regenerative agricultural practices”, and that they have global wellness as part of their bigger mission.

I would like to disclose that Organic India has sponsored me on a number of occasions, providing samples of herbal tea for me to share at conferences such as IMMH. I’ve blogged about this in the past thanking Organic India and other companies.

I do also want to mention that the review paper discloses that one of the authors, Professor Marc M. Cohen, “receives remuneration as a consultant and advisor to Organic India Pty. Ltd., which is a company that manufactures and distributes tulsi products. This article is the independent work of the authors and Organic India did not have input into the article’s content or the decision to publish it.” I appreciate this disclosure.

Do you drink tulsi tea on a regular basis and have you seen the anti-stress and calming benefits? If you drink Organic India tea, which one is your favorite one?

Have you used tulsi or holy basil in supplement form as an adaptogenic herb and what benefits have you observed? Have you used it while tapering from a benzodiazepine?

If you’re a practitioner do you use tulsi with clients/patients or recommend tulsi tea?

Feel free to post questions here too.