everywomanover29

Food, Mood and Women's Health – Be your healthiest, look and feel great!

Green tree-lined streets reduce anxiety, making you feel more positive and calm, improving your attention and help with recovery from stressful situations.

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I’m a nature-lover and don’t need to be told that seeing trees or walking under them or driving along a tree-lined street has research supporting their benefits. I just feel the sense of wonderment, the calming effects and a heightened sense of joy and pleasure as soon as I’m in amongst trees in a street like the one above.

This is a quiet side street in the small town of Richmond in NSW, Australia. It runs perpendicular to a really busy road that heads up to North Richmond and beyond. Now the traffic doesn’t come close to comparing with Los Angeles traffic but for a small town it can be rather hectic from 4pm. If we happen to be heading towards North Richmond, we always take a detour along this wonderful tree-lined road and other similar tree-lined roads to get to where we’re going. As well as avoiding the bumper to bumper traffic we get this sense of ahhhhh!

I mentioned that I don’t need to be told there is research supporting the calming effects of tree lined-roads. But you know me: I’m always curious about the science so when I heard there was research I was of course intrigued about it and wanted to understand why they make us feel so good.

Here is some of the research I found: In Benefits of nature: what we are learning about why people respond to nature we discover that in general we respond in a positive way to nature and to trees in particular, especially “trees with spreading forms” reminiscent of trees on the African savanna. I was born in Africa and spent 32 years there so I find this so interesting! This paper also reports that

all colors were calming, but bright green trees were more calming than other tree colors, including less bright greens and oranges

and that

Adult responses to plants are also influenced by their childhood interactions with nature. We have shown that the more interaction people have with nature as children, the more positive are their attitudes towards nature as adults.

In this study: Stress recovery during exposure to natural and urban environments, the 120 participants were exposed to “color/sound videotapes of one of six different natural and urban settings” after watching a stressful movie. Watching the natural settings had a measurable impact on parasympathetic measures such as heart rate and muscle tension and they felt more positive, experienced improved attention and had better stress recovery.

In another study The View From the Road: Implications for Stress Recovery and Immunization, drivers were presented with a stress-causing stimulus and their reactions measured as they recovered from the stress. The Safe Streets report from the University of Washington summarizes the outcome:

Those viewing built-up, strip-mall-style roadside environments in a simulated drive after the stressful experience showed a slower and physiologically incomplete recovery and reported more negative feelings. Study participants seeing more natural roadside scenes (forests or golf courses) returned to normal baseline measures faster. An “immunization effect” was also detected, as initial exposure to a natural roadside setting decreased the magnitude of response to a subsequent stressful task.

And finally, the research about forest-bathing (known as Shinrin-yoku), although not directly related to stress-reduction from driving along tree-lined streets is worth mentioning. Just the word “forest-bathing” makes me smile.

Research on forest-bathing shows how spending time in forests can lower high blood pressure, and help ease modern-day “stress-state” and “technostress”. In one study, Effects of Short Forest Bathing Program on Autonomic Nervous System Activity and Mood States in Middle-Aged and Elderly Individuals:

The Profile of Mood States negative mood subscale scores of “tension-anxiety”, “anger-hostility”, “fatigue-inertia”, “depression-dejection”, and “confusion-bewilderment” were significantly lower, whereas the positive mood subscale score of “vigor-activity” was higher.

In summary, in this study, the 128 middle-aged and elderly individuals spent only 2 hours in a forest setting and felt less tense, had reduced anxiety, experienced less anger and hostility, felt less fatigued, were not depressed or dejected, felt less confused/bewildered and had more vigor and energy. This was after only 2 hours of forest-bathing!

Here are some ways you can get the most out of this information for your own sense of calm:

  • Take a detour like we do if at all possible and enjoy the calming effects of driving along a tree-lined street. Better yet, take a moment to get out the car and soak in the beauty while walking down the road. And best of all, take a full-day hike on a weekend or go camping for 2 days.
  • Plant a tree (or more than one) outside your home or get involved with a tree-planting committee at your child’s or your grand-child’s school or place of work to do the same
  • Talk to your local mayor and council members to make tree planting in your community a priority
  • If you live in a built-up city and can’t do any of the above, make an effort to spend quiet time in a nearby park
  • Find a tree-planting charity that is a good fit and make a donation in the name of a loved one in lieu of a gift or just do it for yourself
  • If you’re housebound (with agoraphobia for some other reason), find some pictures or a poster of green trees or dig out some old photos. Just looking at pictures of nature and greenery have a stress reducing effect.

On that note here is the bigger version of my Richmond tree-lined street image so you can enjoy looking at it while reading this blog AND get some of the stress-reducing benefits…until you’re in your own tree-lined street or out in nature.

Tree-lined street stress-reducing

 

I hope this motivates and inspires you to drive down more tree-lined streets and to do something tree-related in your life in addition to all the nutritional changes you’re making to eliminate your anxiety!

We’d love to hear how much you love trees and the outdoors. Do you have a favorite tree-planting charity? Feel free to share your feedback and questions too.

Fasting for hormone balance, improved mood, mental clarity and gut repair

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Fasting can improve hormone balance and mood, lead to mental clarity and play a role in gut repair – and much more. Dr Jocker’s shares this about fasting:

It is an ancient healing practice that dates back to the beginning of mankind, when our bodies were forced to adapt to times of famine and food scarcity on a regular basis — it STILL costs nothing to practice and could transform the health of every cell in your body!

Our ancestors once lived in a way that created robust health to help them survive the rigorous wear and tear of life. We’ve lost those life skills. Today, more and more people are struggling with their weight, chronic pain, memory loss, digestive problems, cancer, poor mental health and autoimmune diseases.

If you’re not familiar with the many benefits of fasting (and the many types of fasting) then be sure to grab a copy of The Fasting Transformation Quickstart Guide that Dr. David Jockers is giving away when you register for The Fasting Transformation Summit.

I snagged this image from The Fasting Transformation Quickstart Guide so you can see all the benefits!

Here are a few quotes from some of my favorite interviews on The Fasting Transformation Summit (which airs Jan 14 – 20)

Dr. Michelle Sands shares how fasting CAN work well in women and dispels the belief that fasting doesn’t work as well for women as it does for men. Here is one example she gives:

Intermittent fasting or a longer fast during this time period (2 weeks before menstruation) can really improve menstrual-related issues

In her interview,“Fasting for Younger Women” she covers exactly how fasting impacts female hormones – in both perimenopause and menopause – as well as precautions to consider before fasting. They also discuss why fasting is so key for gut repair (I love her pothole road analogy) and how fasting boosts the anti-aging hormone HGH (human growth hormone).

Dr. Marcelle Pick, MSN, OB-GYN, NP discusses menopause and how to reduce symptoms and optimize hormones in her interview “Intermittent Fasting for Menopausal Women.” She shares that premenopausal women and menopausal women who are

under chronic stress produce more cortisol and less DHEA and this causes imbalances in our sex hormones

Dr. Gez Agolli discusses leptin resistance and hunger, cravings and overeating in his interview “Using Fasting Strategies in the Clinical Setting” (leptin is the hormone that regulates satiety or your feeling of fullness)

If you are leptin resistant then you’ll have trouble with hunger, cravings and overeating

Interestingly leptin resistance also impacts cognitive function and increases your risk for depression. Leptin resistance also increases anxiety/depression in menopausal women.

Cheryl Burdette, ND covers inflammation and how it impacts you and the “Impact of Fasting on Chronic Inflammation.” She shares that

Eating too often and eating the wrong types of foods damages the tight junctions in the gut, and that tips the inflammatory potential.

Dr. Jockers shares this about improved mental health in his talk:

As ketones elevate in the body, most people experience improved mood, mental clarity and creativity. Many people observe that they feel the most productive at the peak of their intermittent fast or after 3-4 days of extended fasting.

I’ve personally adjusted my eating to do regular intermittent fasting and am surprised at how much it helps my mental clarity and energy levels. It also leads to much more restful sleep. I’m still recovering from the harms of EMFs and fasting helps so much!

I remember feeling a bit overwhelmed by it all and thinking it was a daunting venture (especially when I wasn’t feeling great) but I learned a lot during Dr. Jocker’s Ketogenic Summit and then did his keto program. It’s really quite easy to do once you understand how to do it well.

In case you’re curious, I’m doing what he calls a Strong Fast and consume all food (2 meals) in a 6-8 hour eating window each day and fast through breakfast. Dr. Jockers describes 16 different types of fasts in The Fasting Transformation Quickstart Guide which you get access to when you register.

Join Dr. David Jockers as he interviews fasting experts, so you can learn everything you need to know about this transformational health tactic!

Register here to learn more: Fasting Transformation Summit (it airs online from Jan 14-20, 2019)

Have you found health benefits from fasting? And have you felt challenged when fasting? Feel free to share your insights and questions in the comments below.

Why does chewable GABA make me run to the bathroom and what GABA do I use instead?

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The amino acid GABA (gamma-amino butyric acid) helps to raise GABA neurotransmitter levels and ease the physical symptoms of anxiety: stiff and tense muscles as well as feelings of stress, overwhelm and often panic attacks and overthinking/unwanted thoughts too. It can also help with the visceral pain of IBS/SIBO and insomnia. GABA eases symptoms very quickly, often within 5 minutes but is most effective when taken sublingually, is chewed or is opened on to the tongue.

I often get feedback from individuals in my community saying GABA doesn’t work for them for one reason or another. Digestive issues are a common problem and one question I often hear is the one about chewable GABA and gas, bloating and/or diarrhea.

Rav asks this question on the blog:

What about individuals with IBS (irritable bowel syndrome) or Colitis who cannot take chewable tablets? I used to take the GABA-Pro by Bioclinic Naturals and it just made me run to the bathroom. Should those with digestive trouble steer clear from chewable forms of GABA?

This is an excellent question and something you always need to consider when having digestive upset: is it due to a new supplement I’ve recently added? You have to find a product that works for you and we’re all different. Just like we need to read labels with food we need to read and understand the labels of supplements too.

There are a number of factors to consider: sugar alcohols, natural flavors and plant-based cellulose ingredients.

Let’s look at sugar alcohols first

Many of the chewable or sublingual forms of GABA contain sugar alcohols which can be problematic and cause digestive upset and often explosive diarrhea. Sugar alcohols include xylitol, sorbitol, mannitol and erythritol. Your reaction will depend on the amount of sugar alcohols used, how many chewable tablets you use and how accustomed you are to sugar alcohols. You may get used to them and eventually be fine with consuming small amounts and yet for others the tiniest amount is an issue.

Many of the chewable forms also contain natural flavors which could potentially be problematic for you.

Let’s now look at cellulose and rice flour

I’m also starting to see more and more folks have digestive distress and gas from products with plant-based cellulose ingredients, especially when someone has IBS or SIBO (small intestinal bacterial overgrowth). For example, you may see hydroxypropylcellulose on the label. This helps the chewable keep its shape and stay intact longer when in the mouth.

With capsules you may see cellulose, methylcellulose or hypromellose on the “Other Ingredients” section on the label, with these vegetable-based ingredients replacing the gelatin capsule. This also often causes bloating and gas when IBS/SIBO is an issue.

The rice flour filler in many products can also be problematic for some folks with IBS/SIBO.

Reading the label

The product Rav mentions – GABA-Pro by Bioclinic Naturals – is not one I’m familiar with but a quick check shows these ingredients in addition to the GABA:

Xylitol, stearic acid, hydroxypropylcellulose, silica, natural tropical fruit flavour (banana, pomegranate, pineapple, mango, passionfruit, orange, tangerine, mandarin), citric acid, vegetable grade magnesium stearate (lubricant).

The xylitol is a sugar alcohol, the hydroxypropylcellulose is plant-based cellulose and there are many natural flavors in this product. Any one or all could be the issue.

Magnesium stearate, a bulking agent and lubricant, is often reported as being problematic but since it’s in so many products, it’s unlikely to be causing digestive distress in this case. If you’d like to learn more, Dr Josh Axe has a great blog addressing some of the hype around magnesium stearate concluding it’s safe to consume.

Interestingly, the product label says GABA (gamma-amino butyric acid) when in actual fact it contains pharma GABA (a fermented form of GABA). It’s unlikely that this is the issue for Rav but I do find it a strange way to label a product.

Finally, it’s always important to check quality and make sure there are no artificial colors, preservatives, or sweeteners, no dairy, no gluten and no GMO ingredients in the supplement. This product passes this test.

What GABA do I use instead?

One option is to switch to another chewable such as GABA Calm. This is one of my favorite GABA products because  it works so well, is a nice low dose of GABA, is convenient when you’re out and about and actually tastes good. This one does contain the sugar alcohols sorbitol and mannitol, as well as a natural flavor which may well also be an issue, although I’ve had few complaints from clients and those in my community.

The other option is to use a GABA-only product or a combination GABA and theanine product (such as NFH GABA-T SAP) opened onto the tongue. It’s not as convenient but if it gets you the calming results you’re looking for then it’s a non-issue.

And finally, you could do a trial of using the chewable during the day and the opened GABA capsule at night so you’re consuming less sugar alcohols overall (if that’s your issue).

You can find the GABA Calm, NFH GABA-T SAP and Enzymatic Therapy GABA on the supplements blog here. To be clear, I’m not saying the GABA-Pro product isn’t a good choice in general, rather that it may not be ideal for you, based on your unique needs and what is going on with your gut at any one time.

How do you do with these chewable GABA products (or others like this). Do you do well on them or do you end up running to the toilet or battle with gas and/or bloating?

Or do you prefer a GABA-only or GABA/theanine combination product (opened onto the tongue)?

Gut bacteria, pain and anxiety connections: Klebsiella and ankylosing spondylitis

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We know about the gut-brain connection where the health of our microbiome impacts how anxious or depressed we feel, but we often forget that there is a gut-pain connection too and how addressing dysbiosis and bad bacteria in the gut can have far-reaching benefits.

An old work friend recently reached out asking for help for her husband who had been diagnosed with ankylosing spondylitis, ulcerative colitis and gluten sensitivity, and was not seeing results with conventional treatment. I did some digging for them and a colleague mentioned that they had addressed Klebsiella when they discovered that her husband had genes predisposing him to ankylosing spondylitis. Read on to see what I’ve learned.

Klebsiella as a precursor to ankylosing spondylitis

The paper shared with me: The relationship between Klebsiella infection and ankylosing spondylitis, discusses the HLA-B27 gene and the Klebsiella connection:

Klebsiella-reactive arthritis is the precursor stage occurring in the early and active phases of ankylosing spondylitis.

Let’s learn more about Klebsiella, ankylosing spondylitis, the anxiety connection and prevalence, the role of neuro-inflammation and genes, the problems of a high carb diet and the role the amino acids GABA, tryptophan and DPA play in pain and anxiety relief and being able to quit the carbs easily, plus provide sleep support.

In case you’re not familiar with Klebsiella, this excellent FX Medicine article describes it as follows:

Klebsiella pneumoniae (KP) is a type of gram-negative rod-shaped bacteria that can cause different types of infections ranging from pneumonia (lung), blood infections (septicaemia), wound or surgical infections, urinary tract infections, small intestinal bowel overgrowth (SIBO), ankylosing spondylitis, Crohn’s disease, ulcerative colitis and meningitis (brain).

Ankylosing spondylitis is an inflammatory disease of the spine

In case you’re not familiar with the condition ankylosing spondylitis (pronounced like this) the Mayo Clinic site provides this summary:

Ankylosing spondylitis is an inflammatory disease that, over time, can cause some of the vertebrae in your spine to fuse. This fusing makes the spine less flexible and can result in a hunched-forward posture. If ribs are affected, it can be difficult to breathe deeply.

Ankylosing spondylitis affects men more often than women. Signs and symptoms typically begin in early adulthood. Inflammation also can occur in other parts of your body – most commonly, your eyes.

They say there is no cure and the treatments include pain medications and physical therapy to ease symptoms (and surgery in some cases).

I’m all for physical therapy but you’ll notice there is no mention of gut health or Klebsiella. This is why we have to keep searching for root causes – and work with a functional medicine practitioner – no matter what the health condition, be it ankylosing spondylitis or anything else.

Prevalence of anxiety in ankylosing spondylitis

As with most physical conditions there is a connection with anxiety. This paper: Prevalence of psychological disorders, sleep disturbance and stressful life events and their relationships with disease parameters in Chinese patients with ankylosing spondylitis reports that

AS [ankylosing spondylitis] patients had more severe psychological disorders, sleep disturbance, and stressful life events.

Prevalence of anxiety, depression, and sleep disturbance was 31.6%, 59.3%, and 31.0% respectively.

We have to ask ourselves if we have anxiety, depression and insomnia because of the pain being experienced or because of one or more of the root causes that contribute to both pain and anxiety.

Microbiota disturbance, neuro-inflammation, and anxiety

Often the research focuses on the former but we know that there is Evidence for interplay among antibacterial-induced gut microbiota disturbance, neuro-inflammation, and anxiety in mice. In this 2018 animal study treatment with lactobacilli suppresses this neuro-inflammation.

Ankylosing spondylitis, Crohn’s disease, genes and a high carb diet

The above FX Medicine article shares the connection between ankylosing spondylitis, Crohn’s disease and ulcerative colitis, as well as the genetic susceptibility, together with the problems of a high carb diet:

Genetically susceptible people, such as those who have the HLA-B27 allelotypes and consume a high starch/carbohydrate diet, can trigger a growth in Klebsiella in the bowel, the starch becoming a main food supply for the Klebsiella.

The amino acids for pain, carb addition, anxiety and insomnia

The amino acids come into the picture again, helping to ease the pain, provide precursors for neurotransmitter production until the microbiome is balanced, and eliminate carbohydrate cravings so they can be given up without willpower.

As always figuring out your own imbalance and doing an amino acid trial is key. Here is a summary of how they may help in this instance, assuming you have low levels of GABA, serotonin and/or endorphins:

  • GABA helps with stress eating of carbs, eases physical anxiety, eases some pain.
  • Tryptophan helps with afternoon and evening carb cravings, eases mental worry-type anxiety and depression, and also eases some pain. Both GABA and tryptophan help with insomnia.
  • DPA boosts endorphins providing acupuncture-like pain relief and provides the emotional comfort that starchy treats often do.

The FX Medicine article has treatment and prevention tips for you to share with your functional medicine doctor, who will be able to run a functional stool test such as the GI-MAP offered by Diagnostic Solutions Lab.

Just because there are these gut bacteria, pain, anxiety, Klebsiella and ankylosing spondylitis connections, it doesn’t necessarily mean everyone with ankylosing spondylitis has Klebsiella or that everyone who has Klebsiella will go on to develop ankylosing spondylitis (as stated above) or even that everyone with ankylosing spondylitis will have anxiety. I’m simply connecting some dots so you can start to think outside the box.

I’d love to hear what has worked for you or a loved one with ankylosing spondylitis and/or if you’ve seen elevated Klebsiella on your stool test or have the genetic predisposition?

Have the amino acids and a low-carb diet helped the healing process and eased some of your anxiety while addressing the underlying Klebsiella infection?

The amino acids GABA and tryptophan can help to relieve anxiety in children: an interview with Dr. Nicole Beurkens

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Using individual amino acids such as GABA and tryptophan can have an incredible impact on children with anxiety, easing anxiety very quickly. I don’t often write or talk about using amino acids with children and since many of you have asked for more resources for children, today I’m sharing an interview I recently did on this topic on The Better Behavior Show. This is a podcast hosted by my colleague and good friend Dr. Nicole Beurkens.

I share specifics on how Amino acids can help to relieve anxiety in children, together with some case studies.

Dr. Nicole sums up the power of the amino acids beautifully – and this is exactly why my clients love them so much – they take the edge off quickly, provide results and help with overwhelm:

I think that the fact that these [amino acids] can work quickly is really helpful. And as you said, it helps to take the edge off, it helps to reduce the symptoms so then we can more effectively address all of the underlying things. Because often, I’ll have parents say, “Oh, you want me to change the diet and do all these things, I just feel so overwhelmed, my kid is having so many issues, I don’t know how we’re going to do any of that.” And then when you can use things like targeted aminos to help take the edge off the symptoms for the parent and the child, it makes all of that other stuff more doable, I think.

Here are some snippets from one of the stories I share – the wonderful results I had with a 11-year old girl who had been adopted, was diagnosed with reactive attachment disorder and had explosive anger issues. This young girl:

….also had insomnia, so she was not sleeping well at all. She was very fatigued in the day, had really bad anxiety about going to school and loved colored candies and she was a big bread eater.

This family didn’t have much money to spend so I really had to find an affordable solution with the biggest benefits. She was anemic so we addressed that with iron supplements and getting her eating quality grass-fed red meat again and we figured out that gluten was an issue so she went gluten-free and this made a big difference with the outbursts.

The other factor was to figure out if low serotonin was a factor and address this. The big clues were the anger, the insomnia, the anxiety and the sugary cravings:

I was talking to her about the fact that she loved candies and she loved bread, and I said — how would you feel about giving it up? She was fuming with me. She was in a swivel chair and she turned her back to me and she didn’t want to talk about it.

I offered her a 100mg chewable tryptophan to see if it would help with her sugar cravings and the fact that she was furious with me:

“How about trying this amino acid, it’s called tryptophan and it’s chewable and it doesn’t taste bad… and then we’ll talk a little bit later. Don’t worry about what I said earlier.” So I gave her 100mg of chewable tryptophan.

She chewed the tryptophan and within 5 minutes, she turned around, smiled at me and said, “I think I can do it, I’m ready to do it.”

She was calm and smiling, and ready to give up the candies and bread and other gluten-containing products. These 3 interventions – addressing her low iron levels, having her go gluten-free and supplementing with tryptophan – completely turned this little girl’s life around.

Here is the link to the entire transcript of our interview: Amino acids can help to relieve anxiety in children. You can also find the audio interview at this same link or by going directly to iTunes – simply search for “The Better Behavior Show.”

Do listen in and/or read the transcript and learn more about:

  • how I do a trial of the amino acids (this allows for quick results in 5-10 minutes)
  • how I’ve worked with non-verbal children
  • a simple trick for using the unpleasant tasting tryptophan sublingually
  • what low GABA anxiety looks like in a child
  • why ADHD symptoms in children may actually be anxiety (I share another success story in this section)
  • why I use GABA Calm with children and adults (Dr. Nicole uses this GABA product too and loves that it’s sublingual and tastes great)
  • times you may consider using tyrosine or DPA
  • and much more

It was a pleasure to be on the show of someone whose work I deeply respect. Dr. Nicole is a unique combination of clinical psychologist, nutritionist, and special education teacher, and shares these resources for help with improving your child’s behavior naturally: her book Life Will Get Better, blog, and the Better Behavior Naturally Parent Program.  and tune in to my interview and some of the other excellent interviews.

If you’d like to learn more about these supplements, look at my supplements blog here

There is also a “Liquid and powder options for children” section on this blog – with other products you may find useful for children.

I’d also like offer a caution about the 100mg chewable tryptophan This chewable form is both good and bad. It’s good because it’s a nice 100mg of tryptophan per tablet, is chewable, tastes good and is suitable for children and “pixie dust” individuals who need a very small amount and for when doing the initial trial. The bad aspect is that it does contain sugar and is quite sweet. Because you are continually consuming something sweet you may end up over-consuming them if sugar addiction is your issue. I’ve seen the same with children who want to eat them like candy. So, what I do most of the time is use the chewable tryptophan for the trial and then switch to the 500mg tryptophan after that. We did that with the 11-year old with anger issues, anxiety and candy cravings.

One more thing: Lidtke is the only brand of tryptophan I use and recommend because of its quality. I forgot to mention that in our interview.

Have you benefited from using any of the amino acids and then found they also help your child/children?

The role of low serotonin, low vitamin B6 and low iron in anxiety and panic attacks

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Low serotonin can cause anxiety and panic attacks. Because vitamin B6 and iron are required raw materials for making serotonin, we know that low levels of these two nutrients often contribute to anxiety and panic attacks.

We have some pretty recent research supporting all this: Low serum concentrations of vitamin B6 and iron are related to panic attack and hyperventilation attack

Reduced serotonin level is known as one of the causes of panic attacks and hyperventilation attacks ….

In the serotonin synthesis system of the brain, vitamin B6 is a coenzyme for tryptophan hydroxylase, which is involved in the conversion of tryptophan into 5-hydroxytryptophan and iron serves as a cofactor for aromatic L-amino acid decarboxylase involved in the formation of serotonin from 5-hydroxytryptophan. Therefore, a reduction in vitamin B6 and iron levels can suppress the progression of the serotonin synthesis.

The study authors measured serum levels of vitamins B2, B6, and B12 and iron in 21 premenopausal women who had been admitted to the emergency room with panic attacks.

The results were compared with lab values from 20 volunteers, also premenopausal women, and this is what they reported:

We found that both vitamin B6 and iron levels were significantly lower in the panic attack/hyperventilation attack group than in the volunteer group. There was no significant difference in the serum levels of vitamins B2 or B12.

These results suggest that low serum concentrations of vitamin B6 and iron are involved in panic attacks and hyperventilation attacks.

This certainly confirms what I see with my clients. When I’m working with someone with anxiety, we always assess for low serotonin, low iron and low vitamin B6 levels, and when we address low levels we almost always see improvements – both in the reduction of anxiety and panic attacks. We’ll often see a mood boost too, sleep improvements and a reduction in carb cravings.

Here are some additional factors to consider:

  • Vitamin B6 can be challenging to measure in serum so I like to also use the pyroluria questionnaire and poor dream recall as a clue. The authors mention that serum pyridoxal 5-phosphate (PLP) is often used as an indication of B6 status, however they opted to use pyridoxal (PAL) after conversion from PLP.
  • Supplementing with vitamin B6 can often lead to some improvements in a few weeks with many folks who have pyroluria reporting feeling less anxious and more social within a week.
  • There is the potential for vitamin B6 toxicity. I have yet to see any signs of toxicity in my clients, but I have also not ever recommended more than 500mg/day. However, there are some individuals who have issues with very small amounts of vitamin B6. Unfortunately, I do not know why this happens.
  • Testing ferritin levels are an excellent way to assess iron levels and iron should never be supplemented unless iron is low. Dr. Izabella Wentz, shares in her book Hashimoto’s Protocol and blog that the optimal ferritin level for thyroid function is between 90-110 ng/m. Addressing low iron levels can take awhile to see a shift in labs.
  • Because zinc and magnesium are also cofactors for making serotonin, low levels may also need to be addressed. I would have loved to see these included in this study,
  • As always, we assess for low serotonin levels using the amino acid questionnaire and start on tryptophan or 5-HTP right away, based on doing trials – so we can see anxiety reduction and relief from panic attacks right away, while the other changes are starting to provide the raw materials for serotonin production.

Keep in mind that low serotonin and low iron and/or low vitamin B6 – although very common with anxiety and panic attacks – are not the only root cause and many other factors may also need to be addressed.

We’d love to hear if addressing low iron and/or low vitamin B6 levels have helped you? Did you use tryptophan and/or 5-HTP at the same time?

If you’re a practitioner, are often do you see low iron and/or low vitamin B6 in your anxious clients/patients?