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5-HTP

ADHD: 5-HTP melts have been a miracle for one of my adopted kids

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ADHD and 5-HTP

A mom in my community responded to an ADHD blog sharing how 5-HTP melts have been a miracle for one of her adopted children – after one week! 5-HTP is not where I typically start with ADHD so I quizzed her to get more details and then went looking for the research to understand the mechanisms. This blog shares her rationale for using 5-HTP, the truly wonderful results her son experienced, some of the research and some possible serotonin/dopamine mechanisms. This is what she posted:

5-HTP melts have been a miracle for one of my adopted kids. He had lots of trauma and off the charts ADHD. 5-HTP is better than methylphenidate (Ritalin) and we are now weaning off the non-stimulants.

Just 80mg 5-HTP in the morning is all he needs. He was super ADHD, he had a para (teacher’s aide) in public school for years to keep him on track and this year at a school for ADHD the teachers were complaining that he was never on task.

Now after a week it has changed his life. I am so thankful for the anxiety summit. Thank you Trudy

This is truly wonderful to hear! I responded saying how thrilled I was to hear the impact it was having and asked why this mom decided to try 5-HTP? This amino acid, which is a serotonin precursor, is not typically my first choice for alleviating ADHD symptoms. I consider low GABA (and using GABA) or low catecholamines (and using tyrosine), together with dietary changes, blood sugar control, and assessing for low zinc, low iron and low omega-3s – as a starting point.

I wanted to know if he had low serotonin symptoms such as the worry, ruminating, and obsessive type of anxiety which could have possibly been driving the ADHD symptoms? Were there any other symptoms that were a clue that low serotonin may be a factor: insomnia (with fatigue the next day impacting focus) or sugar cravings in the afternoon/evening (causing blood sugar swings affecting focus and mood)?

Why she used 5-HTP and which low serotonin symptoms he had

This was her response about why she used 5-HTP and which low serotonin symptoms he had:

We have tried all the amino acids over the years. I tried 5-HTP this time because SSRIs were the only class of medication he has not tried. I thought maybe it was worth a try and I also found this study: Comparative study of efficacy of 1-5-hydroxytryptophan and fluoxetine in patients presenting with first depressive episode (where the therapeutic efficacy of 5-HTP was considered as equal to that of the SSRI fluoxetine).

As for cravings or insomnia: he is a kid who loves sugar so I’m not sure if it’s a craving or typical. He takes 0.3mg of melatonin each night because guanfacine, the non-stimulant, prevents the production of melatonin.

She also mentioned that she has followed me for years and that DPA, an endorphin-boosting amino acid, works for her. She is a dietitian and shares my handouts and blog posts with her clients, so she clearly felt comfortable experimenting with the amino acids with her son.

5-HTP products and dosing

I also asked which product they were using and how she landed at 80mg. She wanted a fast-acting supplement that would dissolve in his mouth and purchased Natrol 5-HTP:

They are 100mg but we are breaking off a little because he was falling asleep in class.

I reminded her that 5-HTP (or tryptophan) is typically best used late afternoon and evening so if someone is falling asleep in the day I’d switch to bedtime dosing.  If he needs it during the day for the ADHD symptoms then reducing the dose is the smart thing to do.

I love the sublingual/melt aspect of this product for quick results and because children do so well with a product that tastes pleasant.

However, I do not recommend this particular product because of very mixed ingredients information online. I have not seen the bottle of the actual product used but some of the online information states the product is gluten-free and soy-free and yet other information states it does contains gluten and soy. In some places they state it contains sucralose and an artificial flavor and in other places you see xylitol and natural flavor. This is all rather concerning. I’ll update this section as soon as I can confirm.

What does this mean for this mom? Now that she has figured out that 5-HTP helps her son, it’s best to find a better quality product so as not to cause other problems.

There are two chewable products in my online supplement store that come close to this product:

  • Serotrex Chewable: Two chewables contain 200mg theanine and 60mg 5-HTP. This could be used in the day or at night.
  • Designs for Health Insomnitol Chewables: Two chewables contain 10mg vitamin B6, 500mg inositol, 200mg theanine, 100mg 5-HTP and 3mg melatonin. This would need to be used at night instead.

Both of these contain theanine. Research shows that theanine reduces anxiety and improves cognition via “improvements in verbal fluency (especially letter fluency) and improvements in executive function (planning, multi-tasking etc).”

The research on 5-HTP and tryptophan for ADHD

This paper, The effects of 5-hydroxytryptophan on attention and central serotonin neurochemistry in the rhesus macaque, shares that

Individuals with depression and anxiety typically experience impaired executive function and emotional cognition, symptoms that are generally studied by examining disruptions in attention.

This study used 5-HTP as an intramuscular injection, rather than using it orally but the authors did report the following:

Our findings provide unique causal and mechanistic evidence suggesting that enhancing central serotonergic function results in categorically distinct changes in fundamental cognitive operations such as attention.

This paper, Does serotonin deficit mediate susceptibility to ADHD? summarizes the role of serotonin in ADHD, the interplay with dopamine and the use of oral tryptophan (a serotonin precursor similar to 5-HTP):

  • A chronic deficit of serotonin at the synapse may trigger symptoms of childhood ADHD (developmentally inappropriate levels of hyperactivity, impulsivity and inattention).
  • Studies from animal models of ADHD indicate intimate interplay between serotonin and dopaminergic neurotransmission.
  • Selective serotonin re-uptake inhibitors (SSRIs)…as non-stimulant drugs acting on the serotonin system are … clinically effective.
  • Oral administration of l-tryptophan, the amino acid precursor of serotonin, significantly alleviates ADHD symptoms.
  • Serotoninergic gene variants are associated with increased risk of ADHD.

I appreciate this mom for giving me permission to share here on the blog so we can inspire hope (and I wish for more and more improvements for this young boy):

My son is a 10-year old RAD (reactive attachment disorder) kid that was meth exposed and adopted at 3 years old. 5-HTP has worked so well. He has not thrown a fit in a month. Before fits were a daily occurrence. This might give hope to other parents.

Have you found that 5-HTP (or tryptophan) helps/helped you or your child with ADHD symptoms? If yes, do you feel the ADHD was caused in part because of anxiety and/or fear and/or feeling inadequate and/or perfectionism and/or poor sleep (all signs of low serotonin)? Or were the main symptoms poor focus, low energy, low motivation and depression caused by low catecholamines/low dopamine? Or a mixture of both?

If you’re a practitioner working with children or adults with ADHD, have you had good results with 5-HTP or tryptophan?

Please do share in the comments below.

PharmaGABA eases physical anxiety in a young man who has recently given up Adderall, alcohol and nicotine

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pharmaGABA and physical anxiety

Today’s blog is about a young man diagnosed with ADD (attention deficit disorder) in his early twenties and prescribed Adderal (a stimulant). He was a cigarette smoker and drank alcohol too. His mother shared this encouraging feedback about the recent changes he has made and the benefits he reports with pharmaGABA on a recent blog. She aslo has a question about the GABA timing.

If you’re new to the low GABA type of anxiety, here is a recap: with low GABA the anxiety is the physical anxiety type with stiff and tense muscles and there is often the need to self-medicate with alcohol in order to relax, feel calm and fit in socially. Cigarettes can also be calming for many folks. Anxiety can cause poor focus issues and the inability to focus can drive up anxiety.

Here is her feedback and question:

I have a son that just started GABA after I recommended it from following you all these years. He has given up Adderall, alcohol, and nicotine all this past six months and is feeling so much better than the past ten years of his life. He is 32. He had been diagnosed with ADD in his early twenties.

He has symptoms that fall under low GABA and tried a chewable PharmaGABA 100mg tablet yesterday. He took 2 tablets (200mg total) with his meals three times the past two days and said he felt it work immediately. I told him I thought perhaps on a podcast I heard dosing 30 minutes before meals or an hour after was best?

This was my feedback for this mom about the timing of the pharmaGABA:

  • It’s wonderful to hear that the chewable pharmaGABA worked immediately to ease his low GABA physical anxiety symptoms
  • The amino acid GABA is best used away from protein so, yes, 30 minutes before meals with protein or an hour after is best.
  • Your son will likely find he needs less GABA doing it this way and it’ll be more effective.

I had this encouragement and feedback about quitting and using GABA:

  • Good for him getting off Adderall and quitting alcohol and nicotine. It can be tough when using just will-power alone.
  • The amino acids actually make it easier to quit because of the self-medication aspect and alcohol and nicotine are often used as a way to ease anxiety.
  • Even so, addressing low GABA levels after the fact will make it so much easier for him to stay away from nicotine and alcohol without having to use will-power.
  • There is also research showing that GABA may offer gut protection after alcohol consumption
  • As I mention above, anxiety can cause poor focus issues and the inability to focus can drive up anxiety. GABA can help improve focus and reduce anxiety)

If I was working with young man I would also consider imbalances of other neurotransmitter too (like low serotonin and low endorphins) especially because alcohol and nicotine addictions are so often replaced by sugar and carb addictions.

In this randomized, double blind study, The use of a food supplementation with D-phenylalanine (DPA), L-glutamine and L-5-hydroxytriptophan in the alleviation of alcohol withdrawal symptoms, amino acids were “used to replenish a lack in neurotransmitters and alleviate the symptoms of alcohol withdrawal.”

In the study 20 patients were given these amino acids before quitting alcohol and this combination was found to alleviate withdrawal symptoms. Based on my experience even when will-power is used to quit (as in this case), many of these withdrawal symptoms linger.

Another reason to look at all the neurotransmitter imbalances is that low blood sugar and gut damage is often a factor with drinkers so glutamine may also be helpful for blood sugar stability and gut healing.

Finally, poor focus can also be caused by low catecholamines, so looking into this and considering a trial with tyrosine may also be worthwhile. This may also prevent the caffeine addiction we see once someone quits alcohol too.

Addressing his diet and probable nutrient deficiencies would be the next step for him. Also looking into adrenal health, possible candida and gut issues and food sensitivities.

I appreciate this mom for sharing and applaud her for telling her son about GABA. I also take my hat off to this young man for making these huge changes in his life and being willing to try GABA.

Have you successfully used GABA or any of the other amino acid to help quit alcohol or cigarettes? Or have you used them after you quit to prevent sygar cravings taking the place of alcohol or cigarettes?

Has GABA or pharmGABA helped ease the physical anxiety you experienced and also helped with focus issues?

Feel free to post your questions here on the blog too.

Gelatin triggers Enid’s anxiety in 2 weeks but also lowers her high blood sugar

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gelatin anxiety blood sugar

Are you aware that collagen and gelatin lower serotonin and may increase your anxiety and depression and worsen sleep? I blogged about this in 2017 and how susceptible individuals who are prone to low serotonin need to be aware of this and use 5-HTP or tryptophan to counter these effects. (You can read that blog here: Collagen and gelatin lower serotonin: does this increase your anxiety and depression?)

I’m sharing an example today from one of the many comments on the above blog as a reminder or in case this is new to you. It’s not well-recognized as being an issue even amongst practitioners and producers of collagen. This is also one of my most commented-on blogs so it’s clearly a big issue. And gelatin and collagen continue to become more and more popular.

As a reminder, gelatin is derived from collagen: when collagen breaks down, it becomes gelatin. Also, collagen and gelatin are an excellent source of these amino acids: proline, glycine, glutamine and arginine, but they do not contain the amino acid tryptophan, so they have the potential to lower serotonin levels.

Tryptophan-depletion studies have been done for years – using a tryptophan-deficient amino acid mixture – as a way to study the relationship between low serotonin and depression.

More recently, collagen and gelatin are being used in these tryptophan-depletion studies because they do not contain the amino acid tryptophan. This paper, Pharmacokinetics of acute tryptophan depletion using a gelatin-based protein in male and female Wistar rats, summarizes what we find in a number of studies that use gelatin for the purpose of lowering serotonin levels (in order to study the relationship between serotonin and mood issues):

The essential amino acid tryptophan is the precursor of the neurotransmitter serotonin. By depleting the body of tryptophan, brain tryptophan and serotonin levels are temporarily reduced.

What does this mean? If you consume gelatin or collagen, you end up depleting the body of tryptophan and serotonin levels are reduced for a short time. This can cause the classic low serotonin symptoms of anxiety, worry, panic attacks, fears, phobias, insomnia, PMS, afternoon and evening carb cravings, TMJ, PMS and even anger issues and obsessions/ruminations.

For Enid, adding gelatin to her weight-loss shake powder triggered the anxiety she used to experience:

I wanted to give you a sincere thanks for all the work you’ve done on this blog and for studying collagen and serotonin. I have been taking quite a bit of gelatin because I started a medically supervised weight-loss program a month ago and was adding the shake powder to gelatin to thicken it. I have a long history of anxiety but it has been better for several years. However, I have been really concerned because my heart hurts with anxiety like I used to have. So your article and the follow up comments have helped me since I would have continued to eat a lot of it But now I will stop. So thank you.

Edid also shared how the gelatin she was consuming lowered her blood sugar in 2 weeks:

What’s interesting is in 2 weeks of being on the diet and eating a lot of gelatin my glucose went from 190 (which is diabetes) to 113 which is perfectly normal. I’ve read that collagen lowers blood sugar. So hopefully it will stay down even after stopping eating gelatin.

I found it very interesting to learn about Enid’s lowered glucose and that it went down so much in just 2 weeks.

So I went looking into the research and found this paper, Therapeutic effects of marine collagen peptides on Chinese patients with type 2 diabetes mellitus and primary hypertension, stating that marine collagen “significantly reduced levels of fasting blood glucose.” The study concluded that marine collagen:

may benefit glucose and lipid metabolism, insulin sensitivity, renal function and hypertension management in Chinese patients with T2DM [type 2 diabetes] and hypertension.

This research is new to me and is a good reason to continue with gelatin or collagen and address why it’s causing her anxiety to ramp again after just 2 weeks.

My message in this blog post – Collagen and gelatin lower serotonin: does this increase your anxiety and depression? – is not to stop gelatin or collagen, but rather help you to figure out if your consumption of collagen or gelatin is causing your anxiety, depression or insomnia (or other low serotonin symptoms), or making it worse.

Once you have made this connection then you need to figure out what the mechanism is. The fact that the consumption of collagen and gelatin lower serotonin is one possible factor for susceptible folks. The easiest way to figure out if it is low serotonin for you is to do a trial of tryptophan or 5-HTP while continuing to consume gelatin or collagen and see if your new symptoms resolve. (You can read more about that here: Tryptophan for the worry-in-your-head and ruminating type of anxiety)

I would love your feedback. Do you use gelatin or collagen regularly i.e. daily or weekly? And why do you use it? How do you use it and what benefits do you notice?

Have you noticed an increase in anxiety or worsening of mood or any of the other low serotonin symptoms? Do you take tryptophan or 5-HTP to offset the fact that gelatin or collagen doesn’t contain any tryptophan and does that help?

Have you done the off/on test with collagen/gelatin and tryptophan or 5-HTP – and what was the outcome?

Have you found collagen or gelatin helped to lower your high glucose levels?

Feel free to post your questions here too.

5-HTP can raise salivary cortisol: does this cause a “wired-tired” feeling?

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5-htp salivary

Are you aware that 5-HTP – an amino acid supplement that supports serotonin levels – can raise cortisol levels and leave you feeling “wired-tired”? You may be able to relate to this if you’ve ever used 5-HTP to help with anxiety and insomnia and ended up feeling more anxious and more wide-awake despite your exhaustion and need for sleep. You feel “wired-tired” and it’s not pleasant at all.

Both 5-HTP and tryptophan, used as supplements, help to boost serotonin levels so you can feel happy, calm, sleep well and not crave carbs in the afternoon/evening. They also help with panic attacks and phobias, lack of confidence, depression, negativity, imposter syndrome, PMS, irritability, anger issues, pain/fibromyalgia, TMJ and anger. I typically have my clients with low serotonin symptoms start with a trial of tryptophan because I see such excellent results with this amino acid. That being said, some people simply do better on one versus the other and you may do better with 5-HTP.

However there is one big caveat with 5-HTP. I don’t recommend 5-HTP when a client has elevated cortisol levels because we know that it can raise cortisol levels in certain individuals. This can leave you feeling agitated, cranky, as well as wired and yet tired at the same time.

In this 2002 study, L-5-hydroxytryptophan induced increase in salivary cortisol in panic disorder patients and healthy volunteers

Salivary cortisol levels were measured in 24 panic disorder patients and 24 healthy volunteers, following ingestion of 200 mg L-5-hydroxytryptophan or placebo.

The experiment was carried out in the afternoon, “when basal cortisol secretion is more stable.” The first saliva sample was obtained at 1pm and the subjects ingested the 200mg 5-HTP at 2pm. Additional saliva samples were obtained at 2:30pm, 3:00pm and 3:30pm.

They report the following:

A significant rise in cortisol was observed in both patients and controls following ingestion of L-5-hydroxytryptophan. No such effects were seen in the placebo condition.

Here are a few additional comments and my thoughts:

  • This study was done to find evidence for “serotonin receptor hypersensitivity in panic disorder” and not specifically to test for the effects of 5-HTP on cortisol levels but it serves this purpose rather nicely (and it’s one of many similar studies, some of which measure plasma cortisol levels)
  • Keep in mind 200mg of 5-HTP is a large starting dose. It’s typical to start with 50mg so may be a factor to consider
  • In this study they did not assess cortisol levels beyond the 1.5 hours from ingestion of the 5-HTP. It would have been useful to see when levels started to go down
  • We would want to consider the ramifications of using 5-HTP for weeks (whether it’s 50 or 200mg). What impact would that have on cortisol and the adrenals? (I am not aware of a study like this having been done)
  • I’m also not aware of a study being done with 50mg but if you feel worse and feel “wired-tired” with 5-HTP and switch to tryptophan (the equivalent starting dose is 500mg) and your anxiety and other low serotonin symptoms resolve then you have found your solution
  • You may be wondering: “could I use 5-HTP to raise my low cortisol levels”? Theoretically yes and possibly very short-term. But I would question the timing since 5-HTP and tryptophan are best dosed mid-afternoon and later. This is when we would expect our cortisol levels to be on the downward slope as we end our day. I’d also want to nourish the adrenals with B vitamins and herbal adaptogen and remove the trigger/s that are leading to low cortisol.

If you suspect low serotonin symptoms and are new to using the amino acids and do not have my book I highly recommend getting it and reading it before jumping in to taking supplements: The Antianxiety Food Solution – How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood, and End Cravings.

There is a complete chapter on the amino acids and one for pyroluria, plus information on real whole food, sugar and blood sugar, gluten, digestion and much more.  If you’re not a reader there is now also an audible version.

Here is the Amino Acids Mood Questionnaire from The Antianxiety Food Solution and additional information on Anxiety and targeted individual amino acid supplements: a summary

Please also read and follow these Amino Acid Precautions.

This lists The Antianxiety Food Solution Amino Acid and Pyroluria Supplements that I use with my individual clients and those in my group programs.

Have you used 5-HTP with success? Or have you used it and felt “wired-tired”? Have you correlated the success or failure of your 5-HTP use with your salivary cortisol levels?

If you switched from 5-HTP to tryptophan did you have success with that?

If you’re a practitioner is this something you see with your clients/patients and take into consideration?

Feel free to post your questions here too.

Botox injections (cosmetic or non-cosmetic): are they a root cause of anxiety and panic attacks?

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botox injections

New research shows Botox injections are being considered for severe depression and bipolar disorder because it stops frowning and this lack of frowning has a positive impact on neurotransmitters and mood. I recently posted this on Facebook and asked this question:

I’m curious if you have had Botox injections or would consider it (for cosmetic reasons) or perhaps for migraines, dystonia, proctalgia fugax or depression/bipolar?

If you have had Botox injections are you happy with the result or did you have any adverse effects like increased anxiety, panic attacks or anything else?

The response was varied with most folks saying they would never consider using Botox for cosmetic reasons, some folks saying they used Botox for cosmetic reasons and had issues and some folks saying they’ve used Botox for cosmetic reasons and love it, and others who have used Botox for non-cosmetic reasons.

All the practitioners who commented have concerns about Botox saying results are mixed with some of their clients having severe reactions and some doing fine. As I looked further into this topic I’ve gained additional insights and my biggest concern for you, and my community, is that Botox can lead to very severe anxiety and panic attacks.

I encourage you to keep an open mind about my Botox concerns if you have chronic anxiety that is not resolving and it started (or got worse) after receiving Botox injections, or if  you’re considering Botox injections.

Anxiety, panic attacks, inability to handle stress, body shaking

I gained my biggest insights from the Botox Dysport (Side Effects) Support group. Someone suggested I look into this group and I requested an invite to join so I could learn more. So many of the members of this support group  report anxiety, panic attacks, inability to handle stress, body shaking and problems connecting socially.  This is what one member shared:

…just joining the dots, I’ve been unwell for a few years since getting Botox but didn’t put it together until having it last week and going into panic attacks / ER.

Since then extreme anxiety and I’ve ended up in a mental health facility on benzodiazepines (ativan/valium). Reactions / withdrawal has been severe, have started to put it all together whilst reading through this page.

I’m realising that my decline, immune system failure (chronic epstein barr) fatigue, loss of motivation, loss of appetite, shaking in my body, muscle atrophy, anxiety, no motivation to connect socially, can’t handle any stress, can’t relax, tinnitus, breathing trouble and the list goes on is from botox…. scared to say the least as doesn’t seem to be a solution, I was worried to get Botox originally and obviously am eating myself up with regret, thought I would share if anyone has a similar story.

There are many similar posts to this one and it’s heart-breaking, especially because they say they are not being heard by their doctors.

I had a short online conversation with one of the moderators and she shared they suspect Botox is impacting the hypothalamic-pituitary-adrenal (HPA) axis leading to high cortisol and causing their anxiety symptoms. Many of the members find relief with Seriphos, which is a phosphorylated serine product I’ve had great success with. Here is my blog post on Seriphos for anxiety and insomnia related to high cortisol.

I asked if any of the members find GABA or serotonin support helpful and for some GABA helps ease the physical tension and for other members tryptophan or 5-HTP helps ease the worry type of anxiety. However for others, the amino acids seem to have a paradoxical effect and make symptoms worse.

I’ve never been in favor of Botox for cosmetic reasons simply because I’m not a fan of putting foreign objects/toxins into the body and because I believe in aging gracefully with confidence. I do find that many women feel the need for cosmetic Botox injections and other ways to try and look younger (such as breast implants and hair dye) because of low self-esteem and lack of confidence caused by low serotonin.

Botox for non-cosmetic purposes

Botox is also used for non-cosmetic purposes. Some of my neurologist colleagues also have concerns about cosmetic use and will only use Botox injections for the following:

  • severe cases of dystonia
  • migraines (to relax forehead muscles)
  • proctalgia fugax /rectal spasms

Botox may also be used for multiple sclerosis (MS) symptoms, pelvic pain and bladder issues, for TMJ, after a stroke and for chronic anal fissures in colitis (sphincter spasms can prevent anal fissures from healing).

I would love to see safer approaches for non-cosmetic Botox injections being researched and explored by practitioners. For example:

Botox for mental health – we can do better with nutritional psychiatry

At the beginning of this blog I mentioned the new research that shows Botox injections are being considered for severe depression and bipolar disorder because it stops frowning. This lack of frowning has a positive impact on neurotransmitters and mood.

A study published in 2018, Clinical analysis of 86 botulism cases caused by cosmetic injection of botulinum toxin (BoNT), reports that botulism is a severe side effect of Botox injections with symptoms including: “headache, dizziness, insomnia, fatigue, blurred vision, eye opening difficulty, slurred speech, dysphagia [difficulty swallowing], constipation, and anxiety.”

The authors report these symptoms occur in the first 36 days after the Botox injections and that all symptoms resolved after botulinum antitoxin serum injections.

This conclusion clearly doesn’t address why there are so many folks in the Botox Dysport (Side Effects) Support group continue to experience long-term severe symptoms.

We also have research reporting a possible connection between Botox injections and thyroid autoimmunity.

I feel we can do better especially with what we know about nutritional psychiatry, the use of targeted individual amino acids, nutrients like lithium orotate, the gut-brain connections and everything covered in my book The Antianxiety Food Solution (my Amazon link) and on this blog.

A note of appreciation

I’d like to end with a note of appreciation to everyone who commented on my Facebook post, to the members of Botox Dysport (Side Effects) Support group on facebook (with over 5700 members as of this writing).

I’d also like to thank Diane Kazer for asking bold questions about Botox injections as part of her Non-Toxic Beauty Revolution summit. It starts next week – tune in to learn more about Botox, Breast Implant Illness, toxins in your cosmetics and so much more. In my interview we also talk extensively about the low serotonin/low self-esteem connections which I feel is a big missing piece for helping women who feel the desire or need to use cosmetic Botox in order to feel good and love themselves.

Diane writes about Botox here: Is Botox Safe? Top 3 Concerns & What to do if you’ve had it, sharing a brief history of botox, what she has uncovered about toxicity issues and possible detox solutions.

She also created this list of 58 Botox Illness Symptoms which she gave me permission to share here. She compiled this list from 1000+ people who have had Botox injections.

58 botox illness symptoms

Because of Diane asking questions and this initial research I’ve done, I’m adding a question about past history of Botox injections to my client intake form and will be gathering more information from my community of anxious women to see if there are patterns as to why some folks have such bad reactions.

I do feel we need to be asking if Botox injections (cosmetic or non-cosmetic) are a possible root cause of anxiety and panic attacks because they are adding to the toxic burden in susceptible folks.

But I do acknowledge it’s challenging to unwind all the contributing factors because it depends on what is going on with each person, such as their gut health, other medications (benzodiazepines themselves can be problematic), past trauma, infections, poor adrenal health, low GABA, low serotonin, poor detox capacity, low bile production, genetics etc. Unfortunately there is no way to know in advance who will be harmed and if Botox is the tipping point.

Please comment below if you’ve had Botox injections and had adverse reactions or have benefited from them with no adverse reactions. And if you have not had Botox would you ever consider it? Feel free to post your questions too.

Imposter syndrome and low serotonin: is tryptophan the solution?

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imposter syndrome

No-one is talking about the biochemical and low serotonin aspect of imposter syndrome and the role tryptophan plays. This really does need to be part of the discussion and part of the solution.

In case you aren’t familiar with the term imposter syndrome, many of my clients who appear to have very successful careers will say to me … “I feel like I’m an imposter. They’re going to catch me out at what I’m doing. I’m not really as good as everyone thinks I am.” Perhaps you can relate to this? You just don’t feel that you’re good enough – you’re faking it until you make it and putting on a brave face.

I can relate to all this personally. I had a very successful corporate job in my late 30s and I started to feel sure I was useless and that I was going to lose my job. Then the dreadful perimenopausal symptoms and anxiety and panic attacks started. And then I figured out it was low serotonin and hormone imbalances (and a number of other root causes that factored in to all this – I list many typical root causes below).

Valerie Young’s excellent book, The Secret Thoughts of Successful Women: Why Capable People Suffer from the Impostor Syndrome and How to Thrive in Spite of It, [my Amazon link] has created the awareness we need and offers so much in terms of recognizing the way imposter syndrome mani­fests in our lives. She shares these examples which you may also resonate with:

From the high-achieving Ph.D. candidate convinced she’s only been admitted to the program because of a clerical error to the senior executive who worries others will find out she’s in way over her head, a shocking number of accomplished women in all ca­reer paths and at every level feel as though they are faking it – impostors in their own lives and careers.

This article in Harvard Business Review, Overcoming Imposter Syndrome, states

Imposter syndrome can be defined as a collection of feelings of inadequacy that persist despite evident success. ‘Imposters’ suffer from chronic self-doubt and a sense of intellectual fraudulence that override any feelings of success or external proof of their competence.

The article mentions phrases such as “I must not fail”, “I feel like a fake” and “it’s all down to luck”, offering these tools: recognise the imposter feelings, reframe, talk about how you feel, be kind to yourself, visualize success and seek support.

This is all great advice but it’s hard work when you’re already struggling. And what if there was a simple solution that involved addressing low serotonin with an amino acid supplement such as tryptophan or 5-HTP?

How you will feel if your serotonin is low

If your serotonin is low you WILL feel like this: plenty of self-doubt, lack of confidence and negative self talk. It’s common to feel anxious and inadequate, have ruminating thoughts, do lots of reprocessing and overthinking, and be a perfectionist (you may get stuck because of the perfectionism and overthinking things). This often occurs together with carb cravings (especially late afternoon and evening), PMS/perimenopausal/menopausal symptoms. Insomnia is common and this is when much of the ruminations and negative self-talk occurs.

There is a very simple solution. Figure out if low serotonin is the issue and address it with tryptophan or 5-HTP.  Using co-factors like zinc, vitamin B6, iron, magnesium, and diet and lifestyle changes may be necessary too.

Why is serotonin low (and address the root causes)

You also need to figure out why serotonin is low and address this. Low serotonin may be caused by many factors such as:

  • dysbiosis and a messed up microbiome (we make so much serotonin in the gut)
  • stress and the adrenals (cortisol affects your sex hormone production)
  • the birth control pill (which lowers zinc and vitamin B6, both of which are needed for serotonin production)
  • gluten issues (leading to low serotonin and other nutritional deficiencies)
  • not consuming enough quality animal protein (amino acids are the building blocks of our neurotransmitters, and grass fed red meat provides zinc, iron and omega-3s – all needed to make serotonin)
  • low stomach acid (meaning you can’t digest the protein you’re consuming)
  • sex hormone imbalances (serotonin and estrogen are very closely linked)
  • liver issues (affecting how you process xenoestrogens)
  • low bile production (so you’re not digesting the healthy fats you’re eating)
  • statins (leading to cholesterol that is too low)
  • not getting enough exercise, sunshine or nature
  • mold exposure
  • heavy metal toxicity
  • Lyme disease and other co-infections
  • and more

I’ve poured through the research on imposter syndrome and there is no mention of serotonin. A few articles – like this one in Forbes, Why You Need To Understand The Neuroscience Of Imposter Syndrome – mention serotonin but not tryptophan (or 5-HTP) or any of the above approaches for raising serotonin (other than exercise).

However, clinically we see all the signs of imposter syndrome disappear once low serotonin is addressed.

Imposter syndrome and low serotonin? Have you made the connection and can you relate?

Please comment below if imposter syndrome resonates with you so we can all learn from each other. I’d love to hear:

  • how imposter syndrome shows up in your life and how you’d describe it to your best friend?
  • when do you feel like this – at work, all the time (work and home life) or only certain situations?
  • are these new feelings and if yes when did they start?  or have you always felt like this?
  • what type of job do you have? or are you an entrepreneur?
  • have you sought help for imposter syndrome and what has helped?
  • are you surprised to learn there is a biochemical aspect and nutritional solutions?
  • what other low serotonin symptoms do you have?
  • have you used tryptophan (or 5-HTP) for other low serotonin symptoms (like anxiety, ruminations, insomnia etc) and then realized that imposter syndrome is not longer an issue for you?
  • have you figured out and addressed some of the root causes of your low serotonin?

(if you feel more comfortable sharing some of this anonymously feel free to use a nickname when commenting – I’m aware that there is a stigma to admitting this in the corporate world)

Feel free to post your questions too.