neurotransmitters

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

December 11, 2020 By Trudy Scott 38 Comments

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.

The vagus nerve impacts mood, anxiety, immune response, digestion and heart rate

May 4, 2020 By Trudy Scott 12 Comments

The vagus nerve forms a bi-directional “super-highway” between your brain and the majority of your internal organs. Unless your vagus nerve is in good shape and activates readily when it is supposed to, the communication between your brain and the body will be disrupted.

This modern world can lead to overstimulation of the nervous system and you can become desensitized to chronic stress. Over time, this can lead to low vagal tone, which has been linked to a variety of mental and physical health issues, including chronic inflammation, poor gut function, neurodegeneration, autoimmunity and cancer.

And we know this to be true: you cannot FULLY heal leaky gut, microbiome function or brain issues WITHOUT optimizing your vagus function.

Host of the Mind, Body & The Vagus Nerve Connection Summit, Eva Detko, PhD, MSc, BA (Hons), mIAHT, shares the above wisdom about the vagus nerve. I’ll add this: overstimulation of the nervous system is especially high right now during the coronavirus pandemic.

In my interview, Balancing Neurotransmitters to Optimize Vagus Function, we start with a review paper that reports how the vagus nerve is intricately connected with anxiety and mood (and immunity).

I share from Vagus Nerve as Modulator of the Brain–Gut Axis in Psychiatric and Inflammatory Disorders:

The vagus nerve represents the main component of the parasympathetic nervous system, which oversees a vast array of crucial bodily functions, including control of mood, immune response, digestion, and heart rate.
It establishes one of the connections between the brain and the gastrointestinal tract and sends information about the state of the inner organs to the brain via afferent fibers.

The review article goes on to state how the vagus nerve is an attractive tool for treating psychiatric and gastrointestinal disorders: “There is preliminary evidence that vagus nerve stimulation is a promising add-on treatment for treatment-refractory depression, posttraumatic stress disorder, and inflammatory bowel disease.”

And as we all know when we hear the term treatment-refractory depression, it means we haven’t got to the root cause of it. It just means that medications haven’t worked for it.

So this allows us to extrapolate and say, well, there’s other lifestyle and dietary, and nutritional approaches that we could use. But they’re saying that stimulating the vagus nerve, activating it, can actually help in this area. And with my work in anxiety, whenever I see depression, I feel like I can replace that with anxiety (because of similar underlying causes). The other thing that they say is that there’s this impact on inflammation: “Treatments that target the vagus nerve increase the vagal tone and inhibit cytokine production.”

And we know that when we’ve got inflammation going on in the body, that’s going to contribute to mood disorders: “Stimulation of vagal efferent fibers in the gut influences neurotransmitters (like serotonin and dopamine, and GABA) that play a crucial role in major psychiatric disorders.”

So the conclusion is that vagal tone is correlated with the capacity to regulate stress responses and can be influenced by breathing. Its increase through meditation and yoga is likely to contribute to resilience, and the mitigation of mood and anxiety symptoms. And we know from other research, and we know from just doing it, that using meditation and yoga is going to affect anxiety levels. We’ve seen research showing that yoga and meditation raises GABA levels, which is one of the neurotransmitters that helps us feel calm. But now we’re also seeing from the research that good vagal tone has an impact as well.

So it’s really exciting to see that there’s many different ways that we can use to approach someone who does have anxiety issues.

I also talk about a very interesting study that brings the connections between GABA and the vagus nerve together very nicely. As I’m talking I see Eva nodding in agreement as I cover this. I wanted to share this study to add another mechanism as to how GABA may work, given so many people don’t believe it can because of the blood brain barrier.

This was an animal study done in 2011 and it’s titled: Ingestion of Lactobacillus Strain Regulates Emotional Behavior and Central GABA Receptor Expression in a Mouse via the Vagus Nerve. You may have had other people in the summit talking about this. I can see you nodding there. Let me just bring it back to this discussion because I’ve got something to add about this. But what they found is this – Lactobacillus rhamnosus increased GABA in the hippocampus. It reduced cortisol levels, which was caused by the increased stress, and it reduced anxiety and the depression in the animals.

When they severed the vagus nerve in some of the mice in the study they found that these neurochemical and behavioral effects were not found. So as soon as the vagus nerve was severed, the effects of the Lactobacillus rhamnosus, which was increasing GABA levels, was not reducing the anxiety and it was not reducing those cortisone levels.

The biggest question that I get about GABA is: “How could GABA possibly work if it can’t cross the blood brain barrier?” Maybe this is one way that is having an impact on anxiety. We know that we’ve got a lot of GABA receptors in our peripheral tissue. We’ve got GABA receptors in our muscles, which probably is the reason why we feel it when we’ve got this physical tension, or we’ve got the spasms. We’ve got GABA receptors in our pancreas. We’ve got GABA receptors in our endocrine system.

But maybe this vagus nerve connection and the fact that when it’s severed we’re not getting those effects, maybe this is another way that GABA is having an impact on anxiety.

Making the vagus nerve connection to serotonin, I share some interesting new research on SSRIs/antidepressants and the vagus nerve: Oral Selective Serotonin Reuptake Inhibitors Activate Vagus Nerve Dependent Gut-brain Signalling.

SSRIs like Zoloft or Paxil or Prozac are often prescribed for anxiety, depression, autism and dementia. And there’s a whole host of issues that we have with SSRIs where you’ll have serious withdrawal symptoms in some people.

In the study, the researchers proposed that SSRIs were having an effect on serotonin and it was the vagus nerve that was now communicating to the brain leading to increased serotonin levels. Similar to the GABA study, when they severed the vagus nerve of the mice, they did not see the same benefits from the SSRI.

My thinking is this: could we possibly extrapolate and say the amino acid tryptophan may have similar effects?

We won’t hold our breath for a similar tryptophan study but we can learn from this paper and possible mechanisms.

I also share how I use GABA and tryptophan with clients so if you’re new to using targeted individual amino acids you’ll learn more about this too.

As you know, my work is primarily using the neurotransmitters precursors (such as the amino acids) and using dietary changes, but we don’t want to forget about other approaches like vagus nerve support.

If we can improve vagus function, then we’re going to get even better benefits.

I share some of my favorite vagus nerve exercises. One of them – social interaction – has been challenging lately but cold showers are very do-able.

Let me share some aspects on the importance of social interaction for improving vagal tone.

Research shows that the more social interactions you have, the more it improves vagal tone. And then that improved vagal tone, improves your mood and makes you more social (and has ramifications for so many other areas as you’ll learn on the summit).

However if you have a condition called pyroluria (social anxiety, preferring one-to-one connections rather than being in large groups, not liking small talk, early morning nausea, not really big on animal protein – I go into it in depth during the interview if it’s new to you), getting out and being social can be very challenging when you are forcing yourself and putting on a brave face:

It’s a very stressful situation in doing that, and then it makes your pyroluria worse so your social anxiety gets worse. So when you have pyroluria and you have a stressful situation, you end up dumping high levels of zinc and B6. So it makes things worse.

If you do go out, it’s either very stressful or you just don’t even do it. So my contribution to the discussion is: let’s address pyroluria and that’s going to in turn allow people to get out and socialize without feeling uncomfortable, without feeling awkward, without having to stress, without feeling absolutely exhausted afterwards, and it’s going to help improve vagal tone.

Eva sums up with this important aspect:

What people need to know is that social connection is good for your vagus nerve only if it’s perceived positively by you internally. So if you’re in a situation where you’re forcing yourself to interact with other people, you’re actually not going to have a positive knock-on effect on your vagus nerve because it’s going to be the opposite. You’re going to stimulate the sympathetic nervous system response because you’re there, as you described, completely uncomfortable and basically stress out. So those social connections need to be positive.

Here are some interviews I look forward to tuning into:

Niki Gratrix, BA, Dip ION: Connecting the Vagus Nerve, Emotions and Gut Function
Ben Lynch, ND: Epigenetics of Chronic Stress
Bridgit Danner, LAc, FDNP: How Mold Toxicity Damages Your Nervous System
Jay Davidson, DC, PScD: Impact of Infections on Mitochondrial and Vagus Function
Kimm Sun, CNM: Impact of Birth Trauma Across Lifetime
Eva Detko, PhD, MSc, BA (Hons): Impact of Perfectionism on Heart Rate Variability
Misa Hopkins: Vagus Nerve Session of the Day – Vagus Nerve Sound Healing

I don’t go into the immune connection in my interview because it was recorded before the coronavirus pandemic started but keep this in mind as you tune in: you cannot have a well-functioning immune system without a healthy nervous system, and vice-versa!

A ketogenic diet for energy, mood stability and an end to anxiety

September 21, 2017 By Trudy Scott 20 Comments

Dr. David Jockers, is interviewed on the topic of the ketogenic diet on the Mental Wellness Summit 2, which airs online September 25 – October 2, 2017. The title of his interview is “Ketogenesis for Energy Stability” but I feel it could be called “Ketogenesis for Energy, Mood Stability and an end to Anxiety.” It’s a brilliant interview and he starts by sharing how the brain can use ketones and not only sugar:

We know that about 2/3 of the brain energy can be produced by ketones. We used to think that basically the brain depended upon sugar as its only energy source. And it does need a small amount of sugar, and that’s why it’s so important we have to have a certain level of blood glucose. However, as we get keto-adapted, when we start to utilize ketones as an energy source, the brain gets much more effective and efficient, and it needs less of the sugar.

And that’s important because sugar produces a lot more metabolic waste. And so when the brain is using ketones, there is going to be less free radical damage and what we call oxidative stress in the brain, so less damage being associated with the various neurons in the brain therefore better connection, better communication.

He shares that ketones are epigenetic influencers and improve neuron sensitivity thereby improving neurotransmitter production:

Ketones act to induce healthy genetic expression. They’re epigenetic influencers where they actually influence the brain to promote more BDNF (brain derived neurotrophic growth factor), which helps grow more neurons and more synapses (little gaps between the neurons). They help produce more neurotransmitters and really optimize the expression of these neurotransmitters to where we get good sensitivity between the neurons.

So when the neurons secrete serotonin, the next neuron is able to actually connect with that very easily and realize “hey, this is the message that we need to get across.”

Dr. Jockers then goes into the relationship between GABA and glutamate and how the ketogenic diet improves the ability of glutamate converting into GABA:

There is a relationship between glutamate, which is an excitatory neurotransmitter in the brain, and GABA, which is an inhibitory neurotransmitter. Glutamate naturally converts into GABA when certain nutrients are present – like magnesium and vitamin B6 – along with a properly working GAD enzyme.

Now, when we have ketones present, they have been shown to improve the ability to convert glutamate into GABA.

Individuals with anxiety or obsessive compulsive [disorder] often have excessive amounts of glutamate, which can cause too much excitation in the brain and something called excitotoxicity that damages a whole bunch of different neurons, and causes massive neuronal death in parts of the brain. It can lead to symptoms like anxiety, headaches, migraines and seizures. The ketogenic diet has been shown in many studies to be a very powerful remedy for seizure disorders like epilepsy. That’s where this neuropharmacology of the ketogenic diet was analyzed in detail where they came up with the understanding that it impacts this glutamate to GABA conversion.

When we have adequate amounts of GABA and this proper relationship of glutamate to GABA, we feel very emotionally balanced and calm. We are able to fall asleep well. We have less pain in our body, and less susceptibility to headaches. In general, we just feel very emotionally balanced, and that’s what we’re going for.

Ketones are a huge help when it comes to that. When you’re in a state of ketosis, your natural feeling should be that you just feel awesome. You feel like a high performer. You feel at peace and you feel calm. That’s a sign that you’re in ketosis. If you are on a low carb ketogenic diet but you’re noticing irritability, anxiety and headaches, you’re actually not using the ketones. Your body is not actually keto-adapted. Instead, you’re in a hypoglycemic mode where your blood sugar is too low. You’re not using the ketones, and you’re getting exitotoxicity in your brain.

He goes on to share what a ketogenic diet should look like:

Avocados, coconut oil, coconut butter, coconut flakes, coconut milk, grass-fed butter, so butter or ghee (which is clarified butter from grass-fed cows) olives, olive oil. You want at least one of those in every single meal and you want a lot of it in every single meal.

Dr. Jockers shares about how much protein to eat, what proteins to eat, what fruits and vegetables and how much to eat, how he cycles in and out of ketosis, how he uses intermittent fasting, his favorite supplements to support ketosis (magnesium threonate is one of them), his favorite adrenal adaptogens and much more.

I hope you can us join on The Mental Wellness Summit 2 summit to hear Dr. Jockers and other excellent speakers.

I know they are referring to medications but I find it quite funny that the hosts say the “magic pill” solution is not the answer. As you’ll hear in my interview, the dangers of benzodiazepines and why GABA is a more effective option for anxiety, I believe that GABA (and tryptophan and the other amino acids) are truly “magic pill” solutions that help so many seeking relief while they dig deeper for other contributing root causes and start to make dietary changes, whether it’s switching to real whole foods, quitting gluten, removing all grains or implementing a ketogenic diet.

Registration details are here

And let us know if you’d like to learn more about the ketogenic diet.

Also let us know how the ketogenic diet has helped you.