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depression

Upping my tryptophan and lithium orotate have been absolutely profound for me: I’ve been depression free and anxiety free for over a year

July 8, 2022 By Trudy Scott 66 Comments

tryptophan and lithium orotate

Upping my tryptophan dose and also including and upping the dose of lithium orotate has been absolutely profound for me.

I’m off my SSRI/antidepressant (which I was off and on for a number of years). I’ve been depression/anxiety free for over a year. So fantastic.

Everyone is bioindividual, of course, so please avoid using my dosing regime, but it wasn’t until I increased the lithium orotate to 20mg a day – 10mg in the AM and PM.

Life changing

Katrin shared this wonderful feedback on Facebook and I’m sharing this today in order to illustrate how much tryptophan dosing can vary, when you may need to up your dosage of tryptophan, how the addition of lithium orotate may be the missing link, and increasing it may help further and to offer hope (as always). And I share my insights and some additional information on lithium orotate.

Katrin was inspired by a post of mine where I discussed increasing tryptophan over and above 500mg twice a day and only taking it when needed). She shared this:

I was taking 3g tryptophan split up between the hours of 2pm and bedtime. 3 grams was what I increased to after floundering on 500mg afternoon and evening.  I don’t take it every day (as per your great suggestion of not taking an amino acid if you feel you don’t need to.) But if I’m having a stressful week etc and my serotonin tanks, I’ll start to take it again.

After the initial increase of lithium orotate, in conjunction with the tryptophan increase, that’s when I started to feel the real difference – the icing on the cake, so to speak (sugar-free, gluten free icing and cake, of course). Lithium orotate was the game changer.

She started with 5mg lithium orotate twice a day and then increased it to 10mg twice a day and has recently reduced this (more on this below).

Is there a role for lithium orotate in psychiatry?

If you’re new to lithium orotate, this editorial, Is there a role for lithium orotate in psychiatry?, is a useful introduction. Here are a few highlights:

  • The growing evidence from epidemiological studies mirror the cellular studies that suggest lithium is perhaps a crucial trace element necessary for optimum brain functioning. All these studies imply that adequate lithium intake may be neuroprotective. Conversely, inadequate lithium intake (especially in vulnerable individuals) may predispose and/or perpetuate a range of psychiatric and neurodegenerative conditions.
  • If further studies confirm this hypothesis, then a safe and effective lithium mineral supplement will be needed to correct this specific mineral deficiency. Advocates of lithium orotate argue that such a supplement already exists and that it is both safe and effective.
  • Lithium orotate has been used worldwide, mainly by non-medical health practitioners for over 30  years

Lithium orotate is used at low doses and the dosing is much lower and in a different form to prescription lithium (carbonate) that is prescribed for bipolar disorder. The above editorial explains some of the differences and standard daily dose:

To further illustrate the differences in the daily doses of elemental lithium between the orotate and carbonate forms, a single 120 mg tablet of lithium orotate contains about 5mg of elemental lithium. This is only 10% of the dose of elemental lithium that you would find in a single 250 mg tablet of lithium carbonate, which would have about 50 mg of elemental lithium.

There are no established (medical) guidelines for the daily dose of lithium orotate. However, the standard dose prescribed by alternative health practitioners is a single tablet of 120 mg of lithium orotate a day (which is equivalent to 5 mg of elemental lithium).

The authors conclude with this: “There have only been a few small trials done in humans, and they showed that lithium orotate was effective, safe and generally well tolerated.” Until we have more human trials we have to rely on what we see clinically.  And based on what I’ve seen and the feedback from colleagues, there is most definitely a role for lithium orotate in psychiatry.

Lithium orotate works when there are mood swings and anxiety ups and downs

I’ve used lithium orotate with many clients and use it when folks have mood swings and anxiety ups and downs. It’s harder for the amino acids to work when there is a moving goal post and lithium orotate evens things out. Katrin said she resonates with this and this may be why the lithium orotate works so well for her.

There are not many studies on lithium orotate, although it’s exciting that there has been an increase in the last few years. This small study done in 1994, Effects of nutritional lithium supplementation on mood, mentions the “mood-improving and stabilizing effect.”  They used a yeast based lithium supplement of 400 μg (which is just  0.4 mg) for former drug users of mostly heroin and crystal methamphetamine.

The above editorial states the following reported benefits of taking lithium orotate:

feeling calmer; experiencing fewer or less intense depressive, hypomanic or mixed affective symptoms; being less impulsive; experiencing less frequent and less intense suicidal thoughts or aggressive impulses; reduced consumption of alcohol and not getting as easily upset by stressors.

I also use a low lithium questionnaire with clients. A number of symptoms/signs other than mood swings  provide a clue that you may have low lithium levels and lithium orotate may need to be trialed.

My insights on Katrin’s approach to increasing her tryptophan and adding/increasing lithium orotate

Katrin increased the tryptophan to 3g and added lithium orotate at the same time. I recommend changing one thing at a time i.e. do a trial or tryptophan, then increase the tryptophan for better results (increasing slowly from 500mg 2 x day to 1000mg 2 x day and then 1500mg 2 x day, and tracking symptom improvements); then add lithium orotate; and then increase lithium orotate for even better results. But if it’s done the way Katrin did it, you simply unwind things so you can figure out what is really working for you.

Keep in mind, the starting dose for tryptophan is 500mg twice a day and lithium orotate is 5mg once a day. I would never recommend that anyone starts on 3g tryptophan or 20mg lithium orotate.

Experimenting with different doses and combinations

Katrin stayed at this dosing and combination of tryptophan and lithium orotate for close to a year. When something is working well, you understandably don’t want to change things. But more recently she has been experimenting with different doses and combinations. She is what is is doing now:

  • “currently trying lithium orotate by itself, during the day while only taking 1g tryptophan at night before bed.”
  • “now I only take a lithium orotate dose of 5mg twice a day and I do that every second day. It’s working for me.”

This is the perfect way to adjust things and if she finds the new combination doesn’t work over the coming weeks and months she can adjust again.

Also, keep in mind that your needs change as your hormones fluctuate, when you’re under more stress, with seasonal changes (winter time/winter blues and due to seasonal allergies), if you’re exposed to a toxin such as lead (it can impact serotonin levels) or parasites etc.

It goes without saying that diet must be addressed too – gluten-free, sugar-free, caffeine-free, real whole food, quality animal protein, organic vegetables and fruit, fermented foods and healthy fats.

Resources if you are new to using the amino acids as supplements

If you are new to using any of the amino acids as supplements, here is the Amino Acids Mood Questionnaire from The Antianxiety Food Solution (you can see all the symptoms of neurotransmitter imbalances).

If you suspect low levels of any of the neurotransmitters and do not yet have my book, The Antianxiety Food Solution – How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood, and End Cravings, I highly recommend getting it and reading it before jumping in and using amino acids on your own so you are knowledgeable. And be sure to share it with the practitioner/health team you or your loved one is working with.

There is an entire chapter on the amino acids and they are discussed throughout the book in the sections on gut health, gluten, blood sugar control, sugar cravings, self-medicating with alcohol and more. There is also an entire chapter on gluten and grains if this is new to you.

The book doesn’t include product names (per the publisher’s request) so this blog, The Antianxiety Food Solution Amino Acid and Pyroluria Supplements, lists the amino acids that I use with my individual clients and those in my group programs.

You can find the Lidtke Tryptophan products I use and a number of different lithium orotate products in my online Fullscript store.

If, after reading this blog and my book, you don’t feel comfortable figuring things out on your own (i.e. doing the symptoms questionnaire and respective amino acids trials), a good place to get help is the GABA QuickStart Program (if you have low GABA symptoms). This is a paid online/virtual group program where you get my guidance and community support. There are many moms in the program who are having much success with their kids.

If you need serotonin support, the Serotonin QuickStart Program is a good place to get help. This is also a paid online/virtual group program where you get my guidance on using tryptophan and 5-HTP safely, and community support during 5 LIVE Q&A calls. You can sign up to be notified when the next live launch of this program is happening.

If you are a practitioner, join us in The Balancing Neurotransmitters: the Fundamentals program. This is also a paid online/virtual program with an opportunity to interact with me and other practitioners who are also using the amino acids.

Wrapping up and your feedback

With much appreciation for Katrin for sharing her wonderful success story – I’m so thrilled for her! I’d love to get this published as case studies to further add to the evidence. If you are a researcher or have a resource for me please do let me know.

Did  you need to adjust your tryptophan dose for easing your anxiety, depression and other low serotonin symptoms? What adjustments did you make?

Have you found the addition of lithium orotate has helped keep things more even so the amino acids are more effective? What dosing works for you?

If you’re a practitioner, do you find the addition of lithium orotate to be helpful for your patients/clients?

If you have questions please share them here too.

Filed Under: Anxiety, Depression, Lithium orotate, serotonin, Tryptophan Tagged With: antidepressant, anxiety, Balancing Neurotransmitters: the Fundamentals program for practitioners, depression, dosing can vary, lithium carbonate, lithium orotate, mood swings, prescription lithium, psychiatry, serotonin, SSRI, stabilizing, tryptophan

Non-celiac gluten sensitivity manifestations outside the gut: foggy mind, depression, anxiety, neuropathy, joint pain, headache, fatigue and IBS

July 1, 2022 By Trudy Scott 2 Comments

non-celiac gluten sensitivity

Celiac disease is “a digestive and autoimmune disorder that can damage your small intestine. People with celiac disease might experience symptoms like diarrhea, bloating, gas, anemia and growth issues. Celiac disease can be triggered by a protein called gluten. Gluten is found in grains, like wheat, barley and rye” (and oats that are contaminated with gluten). This description by the Cleveland Clinic is well-understood and recognized.

However, what is less recognized and understood, is extra-intestinal (or outside the gut) manifestations of non-celiac gluten sensitivity.  A paper published in 2018, Extra-intestinal manifestations of non-celiac gluten sensitivity: An expanding paradigm lists a number of symptoms and conditions that gluten consumption may cause and/or contribute to, even when you do not have celiac disease.

These can include: ‘foggy mind’; psychiatric diseases such as depression, anxiety and even psychosis; gluten ataxia, gluten neuropathy and gluten encephalopathy (causing memory and cognitive problems); joint and muscle pain, and leg or arm numbness; headache and fatigue;  irritable bowel syndrome (IBS); autoimmune disorders; and and fibromyalgia.

This blog post highlights excerpts from the 2018 non-celiac gluten sensitivity paper and stories from real people who have experienced relief when removing gluten from their diets. And resources if you find you need neurotransmitter support to help break the addiction and not feel deprived.

This is from the abstract of the above paper:

Non celiac gluten sensitivity (NCGS) is a syndrome characterized by a cohort of symptoms related to the ingestion of gluten-containing food in subjects who are not affected by celiac disease (CD) or wheat allergy. The possibility of systemic manifestations in this condition has been suggested by some reports.

  • In most cases they are characterized by vague symptoms such as ‘foggy mind’, headache, fatigue, joint and muscle pain, leg or arm numbness even if more specific complaints have been described.
  • NCGS has an immune-related background. Indeed there is strong evidence that a selective activation of innate immunity may be the trigger for NCGS inflammatory response. The most common autoimmune disorders associated with NCGS are Hashimoto thyroiditis, dermatitis herpetiformis, psoriasis and rheumatologic diseases.
  • A possible neurological involvement has been underlined by NCGS association with gluten ataxia, gluten neuropathy and gluten encephalopathy.
  • NCGS patients may show even psychiatric diseases such as depression, anxiety and psychosis.
  • Finally, a link with functional disorders (irritable bowel syndrome and fibromyalgia) is a topic under discussion.

We see all this clinically so it’s wonderful to see this being addressed in the research. However, the authors are saying we need more research and better studies:

the novelty of this matter has generated an expansion of literature data with the unavoidable consequence that some reports are often based on low levels of evidence. Therefore, only studies performed on large samples with the inclusion of control groups will be able to clearly establish whether the large information from the literature regarding extra-intestinal NCGS manifestations could be supported by evidence-based agreements.

Until then we use what we know works clinically: a gluten-free diet and observation of symptom resolution. We also use amino acids to balance brain chemicals so we break the addiction and don’t feel deprived (more on that below). Nutritional deficiencies caused by damage to the gut/leaky gut also need to be addressed, as well as healing the leaky gut and dysbiosis.

I shared the study abstract on Facebook asking for feedback and the response was so overwhelming that I can only share some of the feedback. I will do follow-up posts sharing more detailed information from their healing journeys.

Caroline had bloating, pain and chronic sadness, and discovered  “joie de vivre”

Caroline confirmed that she has gluten sensitivity saying she stopped eating wheat in 2011:

Within a few months, my chronic sadness disappeared and I discovered the “joie de vivre”. It also allowed me to get rid of my swelling belly (bloating). Every evening I looked like a woman 2-3 months pregnant. [this likely falls into the irritable bowel syndrome category mentioned in the paper]

The pain in my joints also ended up disappearing.

I read so much about gluten once I started to realize it had changed my life to quit eating that stuff that now I’m convinced grains shouldn’t be part of human food, and I mean all grains (botanically speaking).

I think grains should at least be taken off all the menus in all hospitals, especially the psychiatric ones.

I adore her “joie de vivre” feedback and am so happy for her! I had this same feeling of pure joy when I went gluten-free. And I get so much feedback like this from clients who had no idea life could be so much better.

I also agree with her sentiment about gluten and grains being an issue too, especially in psychiatric settings.

Daphne was emotionally dysregulated with negative feelings and a pressure headache

Daphne shared what she calls an odd effect that she gets soon after eating bread: roiling emotions:

I get emotionally dysregulated. Negative feelings surface in various degrees, for me primarily anger and the reviewing of the incidents that caused it (aka ruminating thoughts?); less often sadness, disappointment, and overwhelm (that usually surfaces on its own anyway).

I also get what I call ‘bread head.’ I get a pressure headache from between my eyebrows, up the center of my head to my crown.

An additional effect: ‘the hangover’. Overnight the pressure headache subsides and the next day my whole head feels heavy and I am slower physically and mentally, and my hands in particular are achy

Also, I have had chicken bumps on my skin my whole life, until I stopped eating bread. I still have some, maybe from rice, potato and corn reactions. Starch is not my friend.

As I mentioned above, many folks are surprised at the emotional changes they see when eating gluten. Daphne called it an odd effect but her response is a very typical extra-intestinal (outside the gut) psychiatric response. And yes starches and grains are an issue for many folks.

Other feedback: fibromyalgia pain, brain fog, depression, cystic acne, anxiety, body aches, fatigue, PCOS and hypothyroidism

Here is some feedback from a few other women. As you can see the symptoms can vary per person:

  • “Removal of gluten and all grains has improved my fibromyalgia pain symptoms … The difference in pain was so dramatic that it was worth it.”
  • “It makes such a difference with my brain fog and depression! And cystic acne. If I have gluten, I have cystic acne for about 2 weeks.”
  • “My joint pain, anxiety, and depression are much improved when I avoid gluten (and corn.)”
  • “Yes! Within 15 min of ingesting gluten containing food I get all over body aches, fatigue and brain fog. It’s very unpleasant. I cut gluten out of my diet simply because I can’t function properly while eating it. I also have had episodes of reactive hypoglycemia from it too.”
  • “Removing gluten has cured my hypothyroidism. Also has improved my PCOS, anxiety and depression.”

Stay tuned for a follow-up blog with more from their healing journeys and additional insights from me.

Using the amino acids to help break the gluten addiction and feel less deprived

Sometimes it’s difficult to figure out why you crave or are addicted to gluten. It can be challenging to determine which part of your brain chemistry it’s affecting, and you may not associate cravings with mood issues.

Your drug-of-choice is something you self-medicate with and it is something that makes you feel good or “normal.” It could be starchy gluten-containing foods like bread or pasta or cookies. It could also be candy, chocolate, ice-cream, coffee, sodas, wine/beer, cigarettes, marijuana, a prescription medication like Prozac, street drugs, or even shopping or exercise.

Cravings for these substances (or behaviors) typically indicate a brain chemistry imbalance, so it’s very helpful to identify how the substances you crave affect you. This will help you determine which amino acids you might supplement to address the imbalance.

Use your “drug-of-choice” from your gluten or grain list (perhaps you love bread or chocolate chip muffins) and the chart below to help you determine what brain chemistry imbalance may be affecting you and which amino acid you may benefit from.

How you feel before How you feel after Brain chemistry imbalance Amino acid to supplement
Anxious or stressed Calm or relaxed Low GABA GABA
Depressed or anxious Happy or content Low serotonin Tryptophan or 5-HTP
Tired or unfocused Energetic, alert, or focused Low catecholamines Tyrosine
Wanting a reward or sad Rewarded or comforted Low endorphins DPA (d-phenylalanine)
Irritable and shaky Grounded or stable Low blood sugar Glutamine

Once you address that brain chemical imbalance, it’s easy to quit and you won’t feel deprived.

You can read more about why you crave on this blog post

Resources if you are new to using the amino acids as supplements

If you are new to using any of the amino acids as supplements, here is the Amino Acids Mood Questionnaire from The Antianxiety Food Solution (you can see all the symptoms of neurotransmitter imbalances).

If you suspect low levels of any of the neurotransmitters and do not yet have my book, The Antianxiety Food Solution – How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood, and End Cravings, I highly recommend getting it and reading it before jumping in and using amino acids on your own so you are knowledgeable. And be sure to share it with the practitioner/health team you or your loved one is working with.

There is an entire chapter on the amino acids and they are discussed throughout the book in the sections on gut health, gluten, blood sugar control, sugar cravings, self-medicating with alcohol and more. There is also an entire chapter on gluten and grains if this is new to you.

The book doesn’t include product names (per the publisher’s request) so this blog, The Antianxiety Food Solution Amino Acid and Pyroluria Supplements, lists the amino acids that I use with my individual clients and those in my group programs.

If, after reading this blog and my book, you don’t feel comfortable figuring things out on your own (i.e. doing the symptoms questionnaire and respective amino acids trials), a good place to get help is the GABA Quickstart Program (if you have low GABA symptoms). This is a paid online/virtual group program where you get my guidance and community support. There are many moms in the program who are having much success with their kids.

If you are a practitioner, join us in The Balancing Neurotransmitters: the Fundamentals program. This is also a paid online/virtual program with an opportunity to interact with me and other practitioners who are also using the amino acids.

With much appreciation for these women for sharing their stories. I’d love to get some of these published as case studies to further add to the evidence.

Do you have (or suspect you may have) non celiac gluten sensitivity (NCGS)?

And has gluten removal resolved any of the above issues? And have you seen an improvement in gut issues too?

Have you observed other improvements since eating gluten and/or grain-free?

Did you find the amino acids helped you break your addiction and feel less deprived?

Or are you stuck and still eating gluten and have no idea where to start on quitting? If this is you, would a webinar series help?

If you have questions please share them here too.

Filed Under: Anxiety, Endorphins, GABA, Gluten, Pain, serotonin Tagged With: "joie de vivre", addiction, amino acids, anxiety, Autoimmunity, bloating, body aches, brain fog, celiac, cystic acne, depression, deprived, emotionally dysregulated, extra-intestinal, fatigue, Fibromyalgia, foggy mind, GABA, GABA Quickstart program, gluten, gluten encephalopathy, headache, hypothyroidism, IBS, joint pain, NCGS, negative feelings, neuropathy, Non-celiac gluten sensitivity, outside the gut, PCOS, psychosis, sadness, wheat

Phthalates (found in soft plastics and fragrances) are the new BPA and cause anxiety. Is this why the amino acid GABA is so often needed long-term?

June 10, 2022 By Trudy Scott 11 Comments

phthalates and gaba

Using the amino acid GABA (as a supplement) for anxiety (the physical tension type of anxiety) should ideally be short-term to address your low levels of GABA (gamma-amino butyric acid). Why then do many folks only find relief when using GABA long-term? What is depleting their GABA levels on an ongoing basis? One reason is that anxiety is caused with ongoing exposure to phthalates (found in soft plastics and fragrances). Ongoing exposure can continue to deplete GABA levels so supplementation is needed long-term. This blog reviews sources of phthalates and the supporting (and growing) research. And also the fact that we’re being told that phthalates are safe.

The awareness and concern about BPA (bisphenol A), an industrial chemical found in hard plastics (and a contributing factor when it comes to anxiety), is being surpassed by an awareness and concern about phthalates (pronounced “thalates”).

I believe “Phthalates are the new BPA!” and “Fragrance is the new smoking!” and I suspect we’ll be seeing more and more research on the adverse health impacts (including anxiety and other conditions – more on that below) and hopefully more and more awareness too.

Here is a brief summary:

  • They act as binding agents and make plastics flexible….and are found in plastics in the kitchen, vinyl toys (it makes them soft), shower curtains, paint and nail polish.
  • They are also found in anything with a fragrance – like air-fresheners and most commercial house-cleaning products, and cosmetics such as shampoos, moisturizers, sun cream and of course perfumes, deodorants and after-shave products. I cringe every time I see the beautiful perfume ads on TV and when I walk past someone with loads of after-shave wafting behind them

My assumption is that you’ve heard of phthalates and know they are harmful. They are well-recognized as being an endocrine disruptor but less is known about the effects on GABA levels and increasing anxiety (more on that below).

If you are new to phthalates, the organization called Safer Chemicals Healthy Family, has an excellent overview. They share that

Food is the leading source of exposure. Phthalates have been found in dairy products, meats, fish, oils & fats, baked goods, infant formula, processed foods, and fast foods. Phthalates are not intentionally added ingredients but rather “indirect” food additives. They easily escape from food processing equipment, food packaging, and food preparation materials, and contaminate food at points all along the supply chain.

They list the many health impacts (with links to studies): Endocrine disruption (i.e. affecting your hormones); abnormalities in the male reproductive system; reduced testosterone levels and altered thyroid hormone production; neurodevelopmental effects in infants or children (ADHD-like behaviors, aggression, depression, a lower IQ, and autism); liver and kidney toxicity; cancer; and asthma.

This article also addresses the fact that we’re being told that phthalates are safe when they are not.

Phthalates are associated with emotional symptoms (depression, anxiety and stress) in male and female students

In addition to the above health impacts, phthalates play a role in causing anxiety too. This 2020 paper, Association of Urinary Phthalates Metabolites Concentration With Emotional Symptoms in Chinese University Students, reports the results of a school-based cross-sectional survey that was carried out among 990 university students aged 17-24 years:

  • the concentration of six phthalate metabolites in urine was measured (with a detection rate of 79.6% to 99.7%)
  • The positive rates of depressive symptoms, anxiety symptoms, and stress were 17.4%, 24.8%, and 9.5%, respectively
  • One type of phthalates affected the males more severely and another type affected the females more

The authors concluded that:

Our study demonstrates that Chinese university students are widely exposed to phthalates; and high- and low-molecular weight phthalates are associated with emotional symptoms in males and females, respectively.

It’s seldom one cause that is contributing to anxiety and emotional symptoms, as illustrated by this study: Association Between Screen Time, Fast Foods, Sugar-Sweetened Beverages and Depressive Symptoms in Chinese Adolescents. We need to address all factors. And here it’s a combination of screen time, as well as junk food and sugar, and the plastic containers and soda bottles that are a source of phthalates.

As you can see, fast foods are a huge source – Phthalate and novel plasticizer concentrations in food items from U.S. fast food chains: a preliminary analysis. This paper was published in May 2022 and already we’re seeing “certain ortho-phthalates (i.e., di-n-butyl phthalate (DnBP) and di(2-ethylhexyl) phthalate (DEHP)) have been phased out and replaced with other plasticizers (e.g., dioctyl terephthalate (DEHT))”. This mirrors what we saw with BPA being replaced with BPS and BPF, which are concerning.

The anxiety-inducing effects caused by phthalates could be alleviated by GABA

What is very encouraging is the fact that the amino acid GABA can alleviate the anxiety caused by phthalates. In this 2018 animal study, Intervention Effect of Gamma Aminobutyric Acid on Anxiety Behavior Induced by Phthalate (2-ethylhexyl Ester) in Rats. This is the conclusion:

  • DEHP [phthalate] exposure induced anxiety in rats, which may be achieved through elevating nitric oxide and nitric oxide synthase levels in the prefrontal cortex of rats.
  • The [anxiety-inducing] effects caused by DEHP could be alleviated by GABA.

This study was looking at Di(2-ethylhexyl) phthalate (DEHP), and the authors shared that “it is one of the most widely used phthalate esters.” As you can see from the 2022 paper I shared above, it’s now being replaced with other plasticizers.

This 2019 paper, Effect of di(2-ethylhexyl) phthalate on the neuroendocrine regulation of reproduction in adult male rats and its relationship to anxiogenic behavior: Participation of GABAergic system didn’t use the amino acid GABA but do report a “decrease in hypothalamic gamma-aminobutyric acid (GABA) concentration” and the authors “suggest that GABA could participate in the modulation of reproductive and behavioral DEHP effects.”

Long-term use of GABA because of phthalates: using GABA should ideally be short-term

We clearly need human studies to confirm all this but until then we can use what we know about GABA and supplement with the amino acid GABA (as a supplement) when there are low GABA symptoms of physical anxiety, tension, stiff and tense muscles, intrusive thoughts, insomnia, and self-medicating with alcohol or sugar.

As mentioned above, using GABA should ideally be short-term – 3 to 12 months – to address your low levels of GABA. I propose that many folks only find relief when using GABA long-term and it’s partly due to phthalates (and other chemicals) depleting their GABA levels on an ongoing basis.

I’m in favor of long-term use of GABA supplementation as long as GABA levels continue to be low and GABA supplementation offers relief.

But you also need to be addressing your exposure to these chemicals and doing ongoing detoxification. And also addressing diet, gut-health, infections, low zinc, low vitamin B6, low serotonin etc. (on an as-needed basis).

Addressing exposure and ongoing detoxification

As far as addressing our exposure to these chemicals, reduction and ideally avoidance is ideal. The Safer Chemicals Healthy Family overview includes plenty of practical steps.

As far as ongoing detoxification and nutritional support I encourage regular infrared sauna (my personal favorite is the portable Therasage sauna), rebounding, dry skin brushing, optimizing lymph drainage and exercise.

The research on NAC alone and a combination of zinc and NAC is encouraging even if it’s not specific to anxiety. Also, research shows that rosmarinic acid, a natural polyphenol “confers protection against DEHP-induced thyroid inflammation.”

You can read about other more general detox approaches on this pesticide spill blog: rooibos tea, castor oil packs, vitamin D (it’s often lower in those exposed to phthalates), epsom salts baths, apple cider vinegar and broccoli sprouts (as a source of sulforaphane).

Resources if you are new to using GABA as a supplement

If you are new to using GABA as a supplement, here is the Amino Acids Mood Questionnaire from The Antianxiety Food Solution (you can see all the low GABA symptoms).

If you suspect low levels of GABA or any of the neurotransmitters and do not yet have my book, The Antianxiety Food Solution – How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood, and End Cravings, I highly recommend getting it and reading it before jumping in and using amino acids on your own so you are knowledgeable. And be sure to share it with the team you or your loved one is working with.

There is an entire chapter on the amino acids and they are discussed throughout the book in the sections on gut health, blood sugar control, sugar cravings, self-medicating with alcohol and more.

The book doesn’t include product names (per the publisher’s request) so this blog, The Antianxiety Food Solution Amino Acid and Pyroluria Supplements, lists the amino acids that I use with my individual clients and those in my group programs.

If, after reading this blog and my book, you don’t feel comfortable figuring things out on your own (i.e. doing the symptoms questionnaire and respective amino acids trials), a good place to get help is the GABA Quickstart Program. This is a paid online/virtual group program where you get my guidance and community support. There are many moms in the program who are having much success with their kids.

If you are a practitioner, join us in The Balancing Neurotransmitters: the Fundamentals program. This is also a paid online/virtual program with an opportunity to interact with me and other practitioners who are also using the amino acids.

Have you been using GABA for longer than 3-12 months? (please share how long and how it’s helping)

Do you think phthalates could be a factor in keeping your GABA levels low?

What have you done to reduce or eliminate phthalates from your life? (please share which sources and how)

If you have questions please share them here too.

Filed Under: Anxiety, Detoxification, GABA, Toxins Tagged With: anxiety, Balancing Neurotransmitters: the Fundamentals. NAC, BPA, depression, detoxification, emotional symptoms, endocrine disruptor, fast foods, fragrances, GABA, GABA Quickstart program, long-term, phthalates, physical-tension, rosmarinic acid, sauna, short-term, soda, soft plastics, sulforaphane, vitamin D, zinc

The seasonality of GABA: worsening anxiety, insomnia and intrusive thoughts in winter (and the need for increased GABA supplementation)

January 7, 2022 By Trudy Scott 33 Comments

seasonability of gaba

Seasonal variations in serotonin have long been documented with much research on the winter blues and SAD lamps. There is less awareness about GABA seasonality and I only recently started to look into the research when I wrote about the need to increase tryptophan or 5-HTP temporarily when a winter dip in serotonin causes more severe anxiety, OCD and/or the winter blues.

Following on from my blog post on the seasonality of serotonin, it’s important to be aware of the seasonality of GABA and that GABA levels may also be lower in the winter months. This is also due to shorter days and less light because of more overcast and cloudy/rainy/snowy days.

You may find you need to increase your GABA supplement dosing during this time, in order to get the same benefits for your low GABA physical anxiety, stiff and tense muscles, insomnia (the low GABA lying-awake-tense type), feelings of overwhelm, intrusive thoughts (the low-GABA type), and stress-eating or self-medicating with alcohol.

Read on to learn more about seasonal fluctuations in GABA, an example of how adjusting GABA could look and some of the possible mechanisms.

Intuitively increased GABA without knowing about the seasonality of GABA

A few weeks ago I shared on Facebook that GABA has a seasonal aspect and an increase may be needed in winter when it’s darker earlier and colder. Elicia offered this input:.

I use GABA Calm and usually take 1 or 2 a day. The past two days I’ve taken 4 because I suspected that I needed an increase.

I take it for physical anxiety, insomnia and intrusive thoughts. My symptoms had been worsening recently. The increased GABA seems to be helping.

She also asked what an increase in GABA would look like.

My feedback for her is (you guessed it!) that it depends on each person. If 4 x instead of 1 or 2 x GABA Calm a day helps to ease her symptoms then that’s the right amount for her unique needs at this time. It may be less or more for someone else. And it’s going to change again after the winter season.

I’m so glad to hear she intuitively increased her dose without knowing about the seasonality of GABA and that she saw her worsening symptoms improve.

Other approaches to boost GABA levels may help too: Yoga, meditation, tai chi and essential oils.

Seasonal fluctuations are also found in anxiety disorders and bulimia nervosa

As I mentioned above, SAD or seasonal affective disorder, appears to be relatively common and is well-recognized.

This review paper, An overview of epidemiological studies on seasonal affective disorder mentions anxiety and other conditions too:

  • Seasonal variations in mood, depressive symptoms usually peaking in winter
  • SAD was more prevalent at higher northern latitudes, but the prevalence varied across ethnic groups.
  • SAD has also been identified in children and adolescents.
  • Seasonal exacerbations and remissions are not limited to mood disorders, it has also been found in bulimia nervosa, anxiety disorders and other psychiatric illnesses.

Some of this may be related to low serotonin and as you’ll see below, melatonin and low GABA (and low dopamine too), and the liver, all may play a role too.

GABA is higher in summer/lower in winter and tied to liver function

In this animal study, Effect of the pineal gland on 5-hydroxytryptamine and γ-aminobutyric acid secretion in the hippocampus of male rats during the summer and winter, they report that

GABA secretion in the hippocampus of rats had a seasonal rhythm consisting of increased secretion in summer and decreased secretion in the winter.

Additionally, the liver can regulate the content of active substances, including GABA, and its function is controlled by brain centers, especially in the marginal lobe.

This paper reports similar seasonal changes with respect to serotonin, stating that both fluctuations may be related to the seasonal changes of “regulation by the liver”. The authors remind us that in Chinese Medicine the liver is closely related to emotions, and that the liver functions well in hot weather and is weak in winter.

GABA exhibits seasonal rhythms related to the pineal gland and melatonin

The introduction of this animal study (by the same authors), Molecular mechanisms of seasonal photoperiod effects of the pineal gland on the hippocampus in rats highlights a number of points related to seasonal variations in mood:

Based on the theory of “five Zang-organs corresponding to the seasons” in traditional Chinese medicine (TCM), physiological functions including emotions vary with the seasons.

The production of mood-related neurotransmitters such as 5-hydroxytryptamine [serotonin], γ-aminobutyric acid [GABA], dopamine, and norepinephrine exhibits seasonal rhythms, which are related to the regulation of the hippocampus by the pineal gland-MT [melatonin] system.

In other words, GABA (and these other neurotransmitters) exhibit seasonal rhythms related to melatonin secreted by the pineal gland, thereby impacting the hippocampus.

Be sure to read the paper for additional information on depression, seasonal affective disorder and bright light therapy; the seasonal effects of the pineal gland on the hippocampus; the role of melatonin and photoperiod/length of night; the hippocampus and melatonin receptors and more.

The authors were looking for direct evidence of the signalling mechanisms that cause this to happen:

Our findings suggest that the MTR-Gs/Gi-cAMP-PKA-CREB signaling pathway is involved in the seasonal photoperiod [length of night] effects of the pineal gland on the hippocampus and may underpin seasonal changes in emotions.

Feel free to read more about all this in the paper too as it’s beyond the topic of this blog.

Other factors to consider: sugar/alcohol, stress/pyroluria and low serotonin

I’d also consider the following:

  • The increased consumption of sugar at this time can lead to reduced zinc, magnesium and B vitamins (like vitamin B6 and thiamine) and this can further reduce GABA levels, which relies on these nutrients as cofactors for production. By boosting GABA levels with the amino acid GABA (and higher amounts if needed) you can actually reduce some of the cravings and stress-eating.
  • Overindulging in alcoholic holiday beverages can also deplete zinc and B vitamins, further affecting GABA production. Using higher amounts of the amino acid GABA (if needed) can also prevent self-medicating with alcohol. This often happens when trying to fit in and socialize.
  • If you have the social anxiety condition called pyroluria, the added stress of family and holiday gatherings can also contribute to zinc and vitamin B6 being dumped, and further impacting serotonin production.
  • The need to also increase tryptophan or 5-HTP temporarily when a winter dip in serotonin causes more severe anxiety (the low serotonin worry-type), OCD and/or the winter blues.

Resources if you are new to using GABA as a supplement

If you are new to using the the amino acid GABA as a supplements, here is the Amino Acids Mood Questionnaire from The Antianxiety Food Solution (you can see the low GABA and other low neurotransmitter symptoms) and a brief overview here: Anxiety and targeted individual amino acid supplements: a summary.

If you suspect low levels of GABA and do not yet have my book, The Antianxiety Food Solution – How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood, and End Cravings, I highly recommend getting it and reading it before jumping in and using amino acids so you are knowledgeable. And be sure to share it with the team you or your loved one is working with.

The book doesn’t include product names (per the publisher’s request) so this blog, The Antianxiety Food Solution Amino Acid and Pyroluria Supplements, lists the GABA products that I use with my individual clients and those in my group programs.

Have you noticed worsening anxiety, insomnia, intrusive thoughts or even bulimia in the winter months?

Have you noticed you need more GABA in the winter? And then you ease off at the end of winter again?

What changes in your dosing have made a difference with your symptoms?

Did you adjust intuitively or were you aware of the GABA seasonality aspect?

And do you notice something similar with serotonin support and needing additional melatonin in winter too (if you already use it)?

If you’re a practitioner, do you have your clients/patients make adjustments too?

Feel free to ask your questions here too.

Filed Under: Anxiety, GABA, Insomnia, serotonin Tagged With: alcohol, anxiety, bulimia, depression, GABA, insomnia, intrusive thoughts, liver, melatonin, pineal gland, pyroluria, SAD lamps, seasonality, self-medicating, serotonin, stress-eating, sugar, winter, winter blues

Trigeminal neuralgia and anxiety: GABA, tryptophan, St. John’s Wort, acupuncture, DPA, gluten, herpes and Lyme disease

December 31, 2021 By Trudy Scott 30 Comments

trigeminal neuralgia and anxiety

I get a surprisingly high number of questions about trigeminal neuralgia asking if there is a role for the amino acids GABA or tryptophan to help ease some of the nerve and associated face pain. It’s surprising because trigeminal neuralgia is considered a rare neurological disorder.

Nerve pain is not my area of expertise (anxiety is), and because anxiety and depression is common in this population, there are very likely similar underlying causes (more on that below). The targeted individual amino acids that we use for anxiety, also help to ease pain, so I’m sharing some of what I know in case it helps you or a loved one.

Read on to learn more about this condition and GABA, tryptophan, DPA, acupuncture, St. John’s Wort, Lyme disease, herpes and B vitamins.

About trigeminal neuralgia and the incidence

The NIH fact sheet defines trigeminal neuralgia (TN) as

a chronic pain condition that affects the trigeminal or 5th cranial nerve, one of the most widely distributed nerves in the head. TN is a form of neuropathic pain (pain associated with nerve injury or nerve lesion.) The typical or “classic” form of the disorder (called “Type 1” or TN1) causes extreme, sporadic, sudden burning or shock-like facial pain that lasts anywhere from a few seconds to as long as two minutes per episode.  These attacks can occur in quick succession, in volleys lasting as long as two hours.  The “atypical” form of the disorder (called “Type 2” or TN2), is characterized by constant aching, burning, stabbing pain of somewhat lower intensity than Type 1.  Both forms of pain may occur in the same person, sometimes at the same time. The intensity of pain can be physically and mentally incapacitating.

The incidence of new cases is approximately 12 per 100,000 people per year and women are impacted more than men.

A number of studies show anxiety, depression and insomnia are common when someone has trigeminal neuralgia. The question is this – is the pain causing the anxiety, depression and insomnia OR are there common underlying physiological causes for both. It’s likely a combination of both especially when it comes to idiopathic trigeminal neuralgia i.e. when there is no known cause. Known causes include head injury, multiple sclerosis, dental procedures, tumors and cysts.

By using some of the approaches outlined below, we may see pain relief and improved mood, less severe anxiety and better sleep.

When to consider GABA and serotonin support

There is no research on either GABA or tryptophan/5-HTP helping with symptoms of trigeminal neuralgia, however medications that work on both GABA and serotonin are typically prescribed for trigeminal nerve pain. For this reason I would consider a trial of GABA and/or tryptophan (or 5-HTP if other low GABA physical anxiety symptoms and low serotonin worry-type anxiety symptoms are also present. You can find the symptoms list here.

There is research-based and clinical evidence that GABA and serotonin support help with other types of pain:

  • Tryptophan ends TMJ pain, headaches and worry, and improves mood and sleep: a success story
  • GABA lozenge relieves excruciating pelvic floor/rectal pain and spasms within 30 seconds: a solution for proctalgia fugax

Both help with the anxiety, low mood and insomnia that is often present with pain conditions like this.

St. John’s Wort for nerve pain and mood

In one case report, Hypericum perforatum (St. John’s Wort) as a possible therapeutic alternative for the management of trigeminal neuralgia (TN), a 53-year-old Hispanic female patient with a history of trigeminal neuralgia used an over-the-counter preparation of St. John’s Wort and found it relieved her pain completely.

St. John’s Wort is a herb that is primarily “used for depression but also is used for rheumatism, gastroenteritis, headache and neuralgias. ” This case report is one of many studies on this herb and trigeminal neuralgia and other neuralgias (nerve pain).

It has anti-inflammatory and antioxidant effects and also supports serotonin and GABA production which further supports the above recommendations to trial the amino acids.  GABA and tryptophan would also be safe options if St. John’s Wort can’t be used as in the case of blood thinners, the birth control pill and other medications

Pain relief with endorphin support: acupuncture and DPA

Acupuncture offers pain relief via endorphin boosting and can be an option for the treatment of  trigeminal neuralgia, also offering relief for the “secondary myofascial pain associated with it.”

DPA (d-phenylalanine) is an endorphin-boosting amino acid that may also offer some pain relief. It can also be used to wean off prescription pain medication and improve sleep.

Other research-based pain-relief approaches for trigeminal neuralgia

Physical therapy, chiropractic care, using a custom dental appliance, and addressing myofacial pain may offer relief or be part of the solution.

There are some less recognized approaches too:

  • Photobiomodulation on trigeminal neuralgia: systematic review “Photobiomodulation appears to be as effective as conventional therapies” that include medications and surgery and yet without the side-effects. Photobiomodulation, also known as red light therapy, is also beneficial for anxiety and mood regulation.
  • Palmitoylethanolamide and Its Formulations on Management of Peripheral Neuropathic Pain – Palmitoylethanolamide (shortened to PEA) “has anti-inflammatory and anti-hyperalgesic effects, due to the down-regulation of activation of mast cells”
  • Therapeutic potential of cannabinoids in trigeminal neuralgia – there is growing evidence that “cannabinoids may be effective in alleviating neuropathic pain and hyperalgesia [extreme pain sensitivity]” via “inhibiting neuronal transmission in pain pathways.”

All of the above can also improve mood and insomnia and reduce anxiety too.

Other factors to consider: B vitamins, Lyme disease, herpes and gluten

As with any condition, a full functional medicine work up should be done to rule out and/or address gluten issues, low vitamin B6/B1/B12, and even herpes zoster and Lyme disease as a root cause (or contributing factor).

Current approaches and emerging interventions – disappointing for a 2021 paper

I was excited to read the title of this paper, Trigeminal Neuralgia: Current Approaches and Emerging Interventions, published late this year. The authors share that it “summarizes over 150 years of collective clinical experience in the medical and surgical treatment of trigeminal neuralgia.”

What is disappointing is there is no mention of any of the approaches listed in this blog. It’s published by neurosurgeons so it is understandable that they would say: “The first-line treatment remains anticonvulsant medical therapy. Patients who fail this have a range of surgical options available to them.”

Medications and/or surgical options may work well for you but if not, you need to know there are other options. You may also be looking for a medication-free or non-invasive approach.

Keep in mind that this is what you’ll be offered unless you work with a functional medicine practitioner.

I do agree with and am encouraged by these statements:

  • What is increasingly clear is that there is no catch-all medical intervention that is effective for all patients with trigeminal neuralgia, likely reflective of the fact that it is likely a heterogenous group of disorders that jointly manifests in facial pain.
  • Ultimately, elucidation of the molecular mechanisms underlying trigeminal neuralgia will pave the way for novel, more effective and less invasive therapies.

Complementary approaches: NIH fact sheet

What is encouraging is that the NIH fact sheet I link to above, does mention low-impact exercise, yoga, creative visualization, aromatherapy and meditation.

Other than the standard medications (carbamazepine, oxcarbazepine, topiramate, gabapentin, pregabalin, clonazepam, phenytoin, lamotrigine and valproic acid and tricyclic antidepressants such as amitriptyline or nortriptyline) and surgical options they do also mention acupuncture, chiropractic, biofeedback and nutrients.

Botox is listed too but I have concerns about this approach.

This blog is not intended to be a comprehensive approach for pain relief for trigeminal neuralgia but rather some options you can consider and explore with your practitioner – especially when you also have anxiety, depression and insomnia too.

Resources if you are new to using tryptophan/5-HTP, GABA and DPA as supplements

If you are new to using the amino acids as supplements, here is the Amino Acids Mood Questionnaire from The Antianxiety Food Solution (you can see the low serotonin, low GABA and low endorphin symptoms) and a brief overview here: Anxiety and targeted individual amino acid supplements: a summary.

If you suspect low levels of any of the neurotransmitters and do not yet have my book, The Antianxiety Food Solution – How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood, and End Cravings, I highly recommend getting it and reading it before jumping in and using amino acids so you are knowledgeable. And be sure to share it with the team you or your loved one is working with.

The book doesn’t include product names (per the publisher’s request) so this blog, The Antianxiety Food Solution Amino Acid and Pyroluria Supplements, lists the amino acid products that I use with my individual clients and those in my group programs.

Has any of the above approaches helped you or your loved one? If not, what has helped you?

What conventional treatment have you had and did it help? Were you offered any of the above non-medication and non-surgical treatment approaches?

If you’re a practitioner, has any of this helped? Please share your treatment approaches too.

Feel free to ask your questions here too.

Filed Under: Anxiety, GABA, Pain, serotonin, Tryptophan Tagged With: Acupuncture, anxiety, B vitamins, cannabinoids, depression, DPA, endorphin, face pain, GABA, gluten, herpes, insomnia, Lyme Disease, mood, nerve pain, pain relief, PEA, photobiomodulation, St. John’s Wort, trigeminal neuralgia, tryptophan

Fatigue, sleep disorders, depression, anxiety, fibromyalgia and cardiac troubles as the expression of a classic mild thiamine deficiency

October 8, 2021 By Trudy Scott 15 Comments

coffee sugar thiamine

Fatigue, sleep disorders, depression, anxiety, fibromyalgia and cardiac troubles are some of the symptoms we see as the expression of a classic mild thiamine deficiency. Thiamine deficiency is very under-rated and under-recognized, and can have far reaching ramifications. And a magnesium deficiency and high dose magnesium can actually cause a thiamine deficiency. There are also many other causes of thiamine deficiency that may not be on your radar: a high carb/processed food/sugar diet, coffee, tea, alcohol, genetics, environmental toxins, medications, celiac disease, leaky gut, bariatric surgery and malabsorption.

It’s for this reason that I invited Chandler Marrs, PhD to speak on the Anxiety Summit 5: Gut-Brain Axis. We had so much to cover and it ended up being so long, that we split it into part 1 and part 2.

chandler marrs

This is what we cover in Thiamine Deficiency in Anxiety and Gut Health (Part 1)

  • Excessive carbs, alcohol, medications and genetics as causes of low B1/thiamine
  • Dysbiosis, dysmotility, constipation, anxiety, depression, panic attacks, low energy
  • Psychiatric and digestive effects: research, history and other symptoms

This is what we cover in Thiamine Deficiency in Anxiety and Gut Health (Part 2)

  • The mitochondria, dysautonomia and POTS
  • Other symptoms: hyperemesis, exercise intolerance, muscle pain, neuropathy
  • Thiamine supplementation – forms, dosing and paradoxical reactions

Thiamine deficiency is under-rated and under-recognized

We start with why it’s an under-rated and under-recognized deficiency and Dr. Marrs shares that the assumption is that deficiency is not common and even when you test it looks like you are not deficient:

  • “The assumption is that there is no such thing [as a thiamine deficiency] and that it’s rare unless you are a chronic alcoholic. And even then, it’s missed 80% of the time. Or you have a severe injury or illness that depletes thiamine rapidly.
  • The presumption is that we’ve solved it, and it’s rare, and it only happens in countries where food availability is problematic.
  • The reality is that the chemistry of our foods, the chemistry of our environment, the medications that we take all combine and accrue to not only deplete the available thiamine on the basis of intake but to increase the need and to damage a lot of the enzymes involved in the processing of thiamine.
  • So a lot of folks are functionally deficient in that even though by definition they meet the daily requirement and they may, based upon lab testing, show up as being sufficient and not frankly deficient.
  • And so, I think that we just have taken our eye off of the ball with regard to this particular nutrient.”

Magnesium deficiency (and high dose magnesium) can actually cause a thiamine deficiency

Dr. Marrs also shares how a magnesium deficiency (which is very common) can actually cause a thiamine deficiency:

  • “One of the things that’s interesting is it requires magnesium to activate thiamine into its active form.
  • If someone is thiamine sufficient and magnesium deficient, then they are actually functionally deficient in thiamine because you cannot take the free thiamine and activate it into thiamine pyrophosphate.
  • So magnesium deficiency itself can cause thiamine deficiency. And there’s a good percentage of the population that doesn’t get enough magnesium.”

And she also shares how when taking high dose magnesium it’s so crucial to also be addressing low thiamine in order to prevent them becoming more thiamine deficient:

  • “Now, the flip side of that is really interesting. And I think this is important for your audience, in particular, is that magnesium supplementation, when someone has a problem with thiamine, will actually shut down thiamine processing and mitochondrial processing at one of the enzymes. Because if you don’t have thiamine with magnesium, then the enzyme α-ketoglutarate dehydrogenase kind of shuts the whole sequence down.
  • So if you are giving someone high dose magnesium, which is common to supplement, and not tackling the thiamine as well, you risk them becoming more thiamine deficient and reducing ATP output, energy output even further. So everything has to be in balance to some extent or another.”

I can think of one situation where this could be common. You use high dose magnesium due to constipation. Low thiamine may be one of the underlying causes of your constipation and now high dose magnesium is going to make the low thiamine situation worse.

Up to 30% of psychiatric patients have a thiamine deficiency

We talk about how up to 30% of psychiatric patients have a thiamine deficiency but that there hasn’t been enough work on psychiatric disorders which Dr. Marrs says “is strange given the fact that some of the strongest symptoms involve brain function and the most dangerous or some of the more dangerous damage is relative to areas of the brain.”

I share some quotes from a 2019 paper that does actually look at the psychiatric aspects – Neurological, Psychiatric, and Biochemical Aspects of Thiamine Deficiency in Children and Adults:

  • “The brain is highly vulnerable to thiamine deficiency due to its heavy reliance on mitochondrial ATP production. This is more evident during rapid growth, i.e., perinatal and children.
  • Thiamine deficiency contributes to a number of conditions spanning from mild neurological and psychiatric symptoms, confusion, reduced memory, sleep disturbances, and severe encephalopathy, ataxia, congestive heart failure, muscle atrophy, and even death.”

This paper also looks at the beneficial effect of thiamine supplementation in autism spectrum disorder (ASD) and other neurological conditions.

Below, I share some additional studies that we didn’t talk about in the interview but add value to the topic.

Fatigue, sleep disorders, depression, anxiety, fibromyalgia and cardiac troubles as the expression of a classic mild thiamine deficiency

This paper, High-dose thiamine improves the symptoms of fibromyalgia, states that “It is our opinion that fatigue, sleep disorders, depression, anxiety and cardiac troubles are the expressions of a classic mild thiamine deficiency.”

The authors share 3 cases where thiamine/vitamin B1 improved symptoms in all areas for all these women:

  • Patient 1: Female, 58 years old, weight 59 kg. From 1998, the patient began to have widespread pain accompanied by severe fatigue, depression, anxiety, irritability, sleep disorders, trouble concentrating, dry skin, general sickness, continuous headache, intolerance to low temperatures and, more recently, episodes of tachycardia and extrasystolia [alteration in heart rhythm].
  • Patient 2: Female, 37 years old, weight 74 kg. From 1999, the patient has had widespread pain and all the symptoms described for patient 1, with the only exception being that of cardiac symptoms.
  • Patient 3: Female, 60 years old, weight 65 kg. From 2006, the patient began to have widespread pain, fatigue, depression, anxiety, sleep disorders. Trouble concentrating.

As you can see the symptoms can be very varied and this is what makes it challenging to identify low thiamine as being the issue.

Thiamine deficiency after bariatric surgery

Here one case study where thiamine deficiency occurred after bariatric surgery: Wernicke’s encephalopathy mimicking multiple sclerosis in a young female patient post-bariatric gastric sleeve surgery:

We describe a case of Wernicke’s encephalopathy secondary to thiamine (B1) deficiency in a patient status post-bariatric sleeve gastrectomy.

The presenting symptoms of new-onset weakness, diplopia [double-vision], and confusion in a young female patient raised suspicion for multiple sclerosis (MS), but given a history of bariatric surgery, thiamine levels were checked, revealing significant Vitamin B1 (thiamine) deficiency.

This case highlights the importance of thorough history taking, as a misdiagnosis of MS in this case could have resulted in irreversible neurological deterioration and hematological and infectious consequences associated with the inappropriate administration of disease-modifying therapies.

Bariatric surgery is one of many causes of thiamine deficiency.

Some of the other many causes of thiamine deficiency

Other causes of thiamine deficiency include factors that may not be on your radar: a high carb/processed food/sugar diet (and even consistent smaller amounts of “healthy” sweeteners), coffee and tea consumption, alcohol consumption (excessive consumption and even moderate consumption i.e. social drinking), genetics (we talk about specific genes in the interview), environmental toxins, certain medications, celiac disease, leaky gut and malabsorption etc.

We do a deep dive into all this in the two interviews (and much more).

chandler marrs interview
(As you can see, when I do interviews I take notes throughout for a few reasons: writing consolidates the information into my brain and it allows me to make notes for follow-up questions. It also helps the video editing process later.)

Interviews that dove-tail well with this topic are these ones:

  • Michael Collins – Sugar/Fructose Addiction: Anxiety, ADHD and Aggression (because sugar and carbs lead to low thiamine)
  • My interviews, Glutamine, DPA and Tyrosine for Anxiety and Sugar Cravings and GABA & Tryptophan: Gut-Anxiety Connections (because the amino acids help you quit sugar/carbs, coffee and alcohol easily)
  • Tara Hunkin, NTP, CGP, RWP – Mitochondrial Dysfunction in Anxiety (because low thiamine adversely affects the mitochondria)

I encourage you to tune in if you have:

  • Anxiety & feel overwhelmed & stressed by little things
  • Panic attacks &/or obsessive thoughts or behaviors
  • Social anxiety/pyroluria
  • Phobias or fears (flying, spiders or even driving on a highway)

And also if you suffer from…

  • Food sensitivities, IBS/SIBO, parasites or gallbladder issues
  • Constipation, diarrhea, bloating, gas, pain & other digestive issues
  • Leaky gut, a leaky blood-brain barrier or vagus nerve issues

Join us if you are also an emotional eater with intense sugar cravings (and know you suffer from low blood sugar), experience insomnia, low mood, PMS, poor focus and/or low motivation.

This is THE online event to learn about the powerful individual amino acids – GABA, theanine, tryptophan, 5-HTP, glutamine, DPA and tyrosine – to quickly ease anxiety and help with gut symptoms while you are dealing with other root causes which take longer to address. (They also help with cravings as with this example, and sleep and immunity).

With research-based anxiety nutritional solutions and practical steps, you can determine your root causes, ease your anxiety and prevent it from coming back so you can feel on top of the world again!

If you are a practitioner, please join us too and find advanced solutions for your clients or patients too!

You’ve heard me say the Anxiety Summit has been called “a bouquet of hope!” My wish for you is that this summit is your bouquet of hope!

I hope you’ll join me and these incredible speakers, be enlightened and find YOUR solutions! More about this summit and other Anxiety Summits here.

Here’s to no more anxiety and you feeling on top of the world again!

Please share if these thiamine deficiency symptoms are new to you.

Also let us know if you’ve benefited from thiamine in the past or are currently using some form of thiamine – and how helped/is helping.

Have you seen this correlation between low magnesium and low thiamine OR taking high doses of magnesium and low thiamine symptoms?

Feel free to post your questions here too.

Learn more/purchase now

Filed Under: Anxiety, Depression, Sugar addiction, The Anxiety Summit 5 Tagged With: alcohol, anxiety, Anxiety Summit 5, carbs, cardiac, Chandler Marrs PhD., coffee, depression, fatigue, Fibromyalgia, insomnia, magnesium, neurological, psychiatric, sleep disorders, sugar, sugar craving, Thiamine, vitamin B1

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