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5-HTP for anxiety, depression and insomnia: a clinically-effective serotonin precursor

October 16, 2015 By Trudy Scott 43 Comments

5-htp

5-Hydroxytryptophan or 5-HTP is an amino acid that increases production of serotonin in the brain alleviating anxiety, depression, insomnia, pain, carbohydrate cravings and more.

Here are some excerpts from an excellent paper published in Alternative Medicine Review in 1998 titled 5-Hydroxytryptophan: a clinically-effective serotonin precursor:

5-Hydroxytryptophan (5-HTP) is an aromatic amino acid naturally produced by the body from the essential amino acid L-tryptophan. Produced commercially by extraction from the seeds of the African plant, Griffonia simplicifolia, 5-HTP has been used clinically for over 30 years. The clinical efficacy of 5-HTP is due to its ability to increase production of serotonin in the brain.

In the central nervous system (CNS), serotonin has been implicated in regulation of sleep, depression, anxiety, aggression, appetite, temperature, sexual behavior, and pain sensation.

Therapeutic administration of 5-HTP has been shown to be effective in treating a wide variety of conditions, including depression, fibromyalgia, binge eating associated with obesity, chronic headaches, and insomnia.

I advise my clients to take all the amino acids between meals and away from protein containing food so they are no getting competition from other amino acids, thereby affecting absorption of the targeted individual amino acid they are taking. I typically make the same recommendation for taking 5-HTP however I simply do this to make things less complicated. In actual fact, 5-HTP can be taken with meals:

Intestinal absorption of 5-HTP does not require the presence of a transport molecule, and is not affected by the presence of other amino acids; therefore it may be taken with meals without reducing its effectiveness.

The recommended starting dose for 5-HTP is 50mg two or three times a day and it is well absorbed:

Initial dosage for 5-HTP is usually 50 mg three times per day with meals. If the clinical response is inadequate after two weeks, dosage may be increased to 100 mg three times per day. For insomnia, the dosage is usually 100-300 mg before bedtime. Because some patients may experience mild nausea when initiating treatment with 5-HTP, it is advisable to begin with 50 mg doses and titrate upwards.

5-HTP is well absorbed from an oral dose, with about 70 percent ending up in the bloodstream. It easily crosses the blood-brain barrier and effectively increases central nervous system synthesis of serotonin.

It’s well recognized that 5-HTP (and tryptophan) can impact both serotonin and melatonin levels but is often less recognized that other neurotransmitters can be increased too:

Other neurotransmitters and CNS chemicals, such as melatonin, dopamine, norepinephrine, and beta-endorphin have also been shown to increase following oral administration of 5-HTP.

You can read the complete paper here at altmedrev.com, a publication of Thorne Research Inc.

The author does seem to favor 5-HTP over tryptophan but I have found that many of my clients do better on one versus the other. I typically start my clients on tryptophan unless they have benefited from 5-HTP in the past. I would also recommend tryptophan at night if someone is wired-tired and adrenal testing shows high cortisol levels as 5-HTP can raise cortisol levels.

It really all comes down to our own biochemical individuality. I recommend doing a trial to see which amino acid is going to work for your symptoms. I write about this in this blog: How to do an amino acid trial for anxiety

Low serotonin MAY be a factor in anxiety and/or depression (and research shows this to be a fact). Anxiety and/or depression could have one of many possible causes – low serotonin, blood sugar instability, poor diet, not eating enough protein, sugar, caffeine, gluten, low dopamine (for depression), pyroluria, inflammation etc.

If low serotonin is a factor then 5-HTP (or tryptophan) is one way to start to raise serotonin levels so you can feel calm, confident, happy, pain-free again, as well as sleep through the night and end the afternoon and evening cravings.

Have you found 5-HTP to be effective? Please share how much you take/took and when, and how it made you feel. Did you also try tryptophan and do you prefer 5-HTP? We’d love to hear in the comments below.

Have you got questions? Feel free to ask in the comments below.

If this information sounds intriguing and you’d like practical help to figure out if you could possibly benefit from 5-HTP or one of the other amino acids, I invite you to join us in one of The Amazing Aminos for Anxiety homestudy group programs. This homestudy group program will provide guidance with using each of the targeted individual amino acids.

 

Filed Under: Amino Acids Tagged With: 5-HTP, serotonin

How to do an amino acid trial for anxiety

October 9, 2015 By Trudy Scott 184 Comments

amino acids for anxiety

The best way to figure out if you have a particular brain chemical imbalance and if you’ll benefit from a certain amino acid, is to do a trial.   This is something I do with all my clients with anxiety, when we’re working one-one-one and with those in group programs, and it works really well.

Because the effects of amino acids can be felt within a few minutes to a few days, it’s easy to confirm whether you do in fact have a deficiency in a certain area and whether you’ll benefit from supplementing with the associated amino acid.

How does doing a trial work?

  • I have my clients complete the Amino Acids Mood Questionnaire from The Antianxiety Food Solution  and check off their symptoms on the low serotonin, low GABA, low catecholamines, low endorphins, and low blood sugar sections.  The rating uses scale of 1-10 with 10 being worst.
  • I also have my clients review the Amino Acids Precautions  and we figure out which amino acids they can and can’t use
  • I have them do a trial of the amino acid that resonates the most with them. For example if they have really bad obsessive thoughts, anxiety in the head, negative self-talk we’ll start with trying to address low serotonin with tryptophan or 5-HTP. If they resonate more with physical tension and overwhelm, we’ll start with trying to address low GABA with GABA.
  • We trial one amino acid at a time and use them opened onto the tongue or chewed (and held there for 1 to 2 minutes) for getting immediate feedback.
  • I have my client rate themselves before the trial and then afterwards (10 is worst), looking for benefits and how many notches they improved. This helps us figure out how much to start with.
    • If it’s a big improvement (like 4 or 5 notches) they may start on 1 of the lowest dose (for example 1 x 500mg tryptophan or 1 x 125 mg GABA).
    • If they see a small improvement (like 1 or 2 notches) we may start with the lowest dose and give them a range to try over the next week (for example 1-2 x 500mg tryptophan or 1-2 x 125 mg GABA)
  • During the trial and over the next week we also look for possible negative effects, such as a headache or feeling light-headed. If the adverse effects of supplemental amino acids are uncomfortable, taking 1,000 mg of vitamin C is an effective short-term antidote.
  • If someone is very sensitive to small amount of supplements, we may have them do a trial with a dab or two rather than a whole capsule and start really low during the next week.
  • We typically allow a week to see how the selected amino acid is working and adjust up or down during that week until we find the optimal amount.

What are the advantages of doing a trial?

  • You are able to target the amino acid for your specific needs – I write more about this here: Targeted individual amino acids: what do we really mean?
  • You get feedback immediately – the amino acid works or doesn’t
  • You are able to figure out what your starting dose of the amino should be and are able to adjust upwards accordingly
  • You get more in tune with your symptoms and how certain amino acids affect you
  • You can use the results (provided you log them – this is something I recommend and encourage) if you ever need a tune up in the future

Which amino acids have you found to be effective? Did you do a trial to figure out which one to try and how did that work for you? We’d love to hear in the comments below?

Have you got questions about doing a trial? Feel free to ask in the comments below.

If this information is useful but also sounds a little overwhelming, check out the The Amazing Aminos for Anxiety homestudy program. This homestudy group program provides guidance with using each of the targeted individual amino acids and how to do a trial.

Filed Under: Amino Acids, Antianxiety, Anxiety and panic, GABA Tagged With: amino acids, anxiety, GABA, trial, tryptophan

The Amazing Aminos for Anxiety Homestudy program launch

October 8, 2015 By Trudy Scott 53 Comments

aaabanner

I’m so excited to launch the home study version of the Amazing Aminos for Anxiety program!

A powerful home study program on how to use five of the top individual amino acid supplements to help you eliminate anxiety, social anxiety and panic attacks. The added bonus is that you will also feel less stressed and overwhelmed, happier, more energetic and focused and will sleep through the night! Your cravings and emotional eating will be a thing of the past – no willpower required and no feelings of being deprived. You really do deserve to feel on top of the world and the amino acids may well be the answer!

Here’s what a past participant said about the live version I offered earlier this year:

This class was extremely helpful for me personally and professionally. I was intimidated with amino acids and Trudy’s class improved my understanding and confidence. In addition to her well organized class materials and information, she also shared personal experiences which made me feel like I wasn’t the only person with anxiety issues and there is a solution to managing anxiety.

I’m also seeing how gluten, alcohol and sugar really change my mood and anxiety/depression levels. I am very conscious of the consequences for me personally if I choose to eat/drink any of these. Before, I knew it was not good for me or anyone, now I know what happens with anxiety and brain function, in addition to the digestive and weight issues.

We’re offering 3 versions:

#1 Basic: Homestudy if you’re a DIY person OR
#2 Plus: Homestudy + 2 Q and A Live with Trudy (if you need some guidance and will have questions you can opt for this one) OR
#3 Premium: Homestudy + 4 Q and A live + private Facebook group for group discussions and interactions.

You can read all about it and sign up here:
https://www.everywomanover29.com/aminosforanxietyhs

Got questions or comments? Please comment below

Filed Under: Amino Acids, Anxiety and panic, Events Tagged With: amazing amino acids, amino acids, anxiety, Trudy Scott

Nutritional medicine in modern psychiatry: position statement by ISNPR

October 2, 2015 By Trudy Scott 6 Comments

world-psychiatry

A letter published this month in World Psychiatry, the official journal of the World Psychiatric Association, is titled: “International Society for Nutritional Psychiatry Research consensus position statement: nutritional medicine in modern psychiatry.”

You may recall my interview with Dr. Felice Jacka on season 1 of The Anxiety Summit: The Research – Food to prevent and treat anxiety and depression?  Dr. Jacka is one of the authors of this position statement and a co-founder of the International Society for Nutritional Psychiatry Research/ISNPR which was formed in 2013 with the aim to advance research and communication on nutritional medicine in the field of psychiatry.

Here is an excerpt from the position statement from ISNPR:

Although the growth in scientific research related to nutrition in psychiatry may be recent, it is now at a stage where it can no longer be ignored. In light of this, we aim to provide a platform to move towards a new integrated paradigm in psychiatry whereby nutritional considerations (both educational and prescriptive) can be considered “mainstream”. To this end, we present a consensus position statement from the International Society for Nutritional Psychiatry Research (ISNPR).

They state that what we are doing now is not working, that little is being done about prevention, and that nutrition needs to be part of treatment and prevention:

Present treatment of mental disorders is achieving sub-optimal outcomes; in addition little attention is given to preventative efforts. Due to the immense burden of mental disorders, there is now an urgent need to identify modifiable targets to reduce the incidence of these disorders. Diet and nutrition offer key modifiable targets for the prevention of mental disorders and have a fundamental role in the promotion of mental health.

They state that diet and nutrient-based approached approaches need to be included for mental health treatment and for prevention:

In addition to dietary modification, we recognize that nutrient-based (nutraceutical) prescription has the potential to assist in the management of mental disorders at the individual and population level. Many of these nutrients have a clear link to brain health, including: omega-3s, B vitamins (particularly folate and B12), choline, iron, zinc, magnesium, S-adenosyl methionine (SAMe), vitamin D, and amino acids. While we advocate for these to be consumed in the diet where possible, additional select prescription of these as nutraceuticals may also be justified.

veggies

They call for ongoing research, changes in food policy, and better public and clinician education (based on all the new research in this field of nutritional psychiatry).

I look forward to the outcome of the RCT dietary intervention for depression / “SMILES” trial later this year, additional dietary studies, and more studies on individual nutrients such as amino acids like GABA and tryptophan, minerals like zinc and others (which we know work so well for so many people). I’d also love to see trials that look at biochemical individuality and diets and nutrients customized to that uniqueness. I know we’re heading in this direction.    

The position statement ends with this:

It is the intention that this position statement and the ongoing work of ISNPR will assist in facilitating a transformation in psychiatry to better address the substantial global burden of mental illness, recognizing and embracing diet and nutrition as central determinants of both physical and mental health.

You can read the whole statement here in World Psychiatry

I say bravo to Dr. Jacka, ISNPR and the researchers who are at the forefront of this exciting research. I also say bravo to all the health practitioners who are already using this work with patients and clients. And finally, I say bravo to the anxious and depressed individuals who are implementing these powerful changes and seeing dramatic results.

It certainly is exciting to be part of this change!

 

Filed Under: People Tagged With: felice jacka, International Society for Nutritional Psychiatry Research, ISNPR, World Psychiatry

Healing from Psychiatry: An Artist’s Perspective by Alison Page

October 2, 2015 By Trudy Scott 4 Comments

healing-from-psychiatry
A drawing by Alison Page

Alison Page is creating an art book entitled Healing from Psychiatry: An Artist’s Perspective. She has close to 50 contributors from all over the world who have suffered or are suffering as a result of psychiatric treatments and medications. Alison shares this:

The focus of the book is on how people have used art to help them during their recovery from psychiatric treatments and medications. Some recoveries can be so intense that distracting by creating art becomes a survival mechanism.

The book contains a variety of mediums including paintings, photographs, short essays, excerpts from books and plays, lots of poetry, and a resource list and helpful tips for people who have recovered and also people still going through recovery.

My hope is that this book will be a useful tool for people going through recovery from psychiatric drugs and treatments. During my recovery, my cognition and ability to concentrate suffered. As a result, reading novels became impossible, but I could still appreciate art and read in short bursts.  Having a book of art made by others on the same path would have been a comforting and useful resource.

You can read about Alison’s story with anxiety and the benzodiazepines on this blog I published last year.

Here is the link to learn more and support this wonderful and inspiring project of hers via her GoFundMe campaign if it feels like a fit for you.

 

Filed Under: Books Tagged With: alison page, healing from psychiatry

Neuropsychiatric Lyme Disease by Dr. Suruchi Chandra

September 25, 2015 By Trudy Scott 28 Comments

Dr. Suruchi Chandra, MD

One of my favorite presentations at the recent IMMH/Integrative Medicine for Mental Health conference was Dr. Suruchi Chandra’s Neuropsychiatric Lyme Disease talk.

Here is the description of her presentation:

“Neuropsychiatric Lyme Disease and Associated Co-infections: Clinical Presentations, Diagnostic Challenges, and Treatment Options”

Lyme disease is one of the fastest growing infectious diseases in the United States. It can remain dormant for years and then later mimic a number of psychiatric illnesses, including anxiety disorders, mood disturbances, psychosis, and autism-like behaviors. It can be further complicated by the presence of co-infections. Both the diagnosis and treatment of these infections in the chronic stage can be challenging. We will review both standard treatment recommendations and integrative and holistic approaches, including dietary changes, herbal medicines, and nutritional supplements.

Dr. Chandra started by sharing the late stage neuropsychiatric symptoms of Lyme disease:

  • Depression
  • Mood swings
  • Anxiety, panic attacks, OCD
  • Psychosis
  • Violent behaviors and irritability
  • Chronic fatigue syndrome
  • Fibromyalgia
  • ADHD and autism like behaviors
  • Seizures
  • Sleep disorders

Here are some of the many very interesting facts she shared:

  • Lyme disease is one of the fastest growing infectious diseases in the USA (and it doesn’t seem to be only an issue in the USA)
  • Not everyone recalls a tick bite or bulls-eye rash
  • Lyme disease is not only isolated to the Northeast – a year ago a Stanford study found the bacterium Borrelia miyamotoi, as well as burgdorferi, the bacterium that causes Lyme disease, in ticks they sampled throughout the San Francisco Bay area
  • Lyme disease may be due to tick borne complex i.e. it is hypothesized that there are multiple co-infections
  • Purple rashes that look like stretch marks are common with Bartonella
  • There can be maternal-fetal transmission of the disease
  • The involvement of the gut is under-rated with Lyme disease and cognitive decline is a big issue
  • Lyme and co-infections affects serotonin levels, due to IDO being increased
  • Low zinc (and high copper) and low manganese levels are often factors

Dr. Chandra is very unique in that she uses no antibiotics, “provokes” before testing and has some very interesting herbal protocols (many that are used with malaria). She stated that Lyme disease is worth treating even if there are no symptoms, simply because of the higher risk of Alzheimer’s disease.

She uses a wonderfully integrative approach with her patients who have chronic tick borne diseases:

integrative-approach-chronic-tick-borne-illnesses

Here is the last slide of her presentation: Consider Lyme disease and the associated co-infections when there is any severe or atypical psychiatric disease, and use a holistic and individualized approach.

Chandra-conclusion

Excellent presentation! This really is the top integrative mental health conference to attend!

Here are a few of my other favorite presentations include:

  • Julie Matthews’ talk on “Oxalates, Phenols, and FODMAPs: Food Substances and Diets that Impact Mental Health Conditions”
  • James Greenblatt’s talk “New Information on Nutritional Lithium for ADHD, Mood Disorders and Prevention of Cognitive Decline”
  • Andrea Gruszecki’s talk on “The Effects of Stress on the Gut-Brain Microbiome”
  • Dr Kurt Woeller’s talk on “Oxytocin and Cholesterol – Their Interactions and Effects on Mental Health and Autism Spectrum Disorders”

I’ll share some highlights from these in a future blog post.

All the presentations were recorded and I’ll let you know when the recordings are available for purchase. These presentations are not to be missed.

Please share what you know about Lyme disease or if you have been diagnosed with one of the co-infections. Feel free to ask questions too.

 

Filed Under: Events, Lyme disease and co-infections Tagged With: anxiety, depression, Dr. Suruchi Chandra, IMMH, Integrative Medicine for Mental Health, Lyme Disease, Neuropsychiatric Lyme Disease

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