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Panic disorder

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

By Trudy Scott 48 Comments

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.

Tryptophan and ascorbic acid for anxiety caused by lead toxicity

By Trudy Scott 18 Comments

lead-toxicity

Lead toxicity is a factor when it comes to anxiety, panic disorder, phobias and depression, even with low levels of lead exposure.

This 2010 paper, published in the Archives of General Psychiatry, Blood lead levels and major depressive disorder, panic disorder, and generalized anxiety disorder in U.S. young adults reports the following:

In this sample of young adults with low levels of lead exposure, higher blood lead was associated with increased odds of major depression and panic disorder. Exposure to lead at levels generally considered safe could result in adverse mental health outcomes.

The paper discusses a possible mechanism of action i.e. lead disruption of neurotransmitter production (of the catecholamines and serotonin):

If lead exposure contributes to the etiology of these disorders, the mechanism of action could involve perturbation of neurochemistry, such as brain monoamine neurotransmission.

Lead exposure is known to disrupt catecholaminergic systems, and depression and anxiety disorders are strongly associated with disturbances in these systems.

Studies in animals show that chronic lead exposure can decrease serotoninergic activity in several brain regions including the nucleus accumbens, frontal cortex, and brainstem.

It is surprising that generalized anxiety disorder was not associated with increased lead levels in this study but other research does find anxiety correlations:

Addressing lead and other heavy metal toxicity is not to be taken lightly and can often be quite a lengthy process. Finding a knowledgeable practitioner who understands chelation is important. We covered much of this in my interview with Dr. John Dempster on season 4 of the Anxiety Summit – Anxiety and heavy metals: chelation of mercury and lead

The good news is that while you are working on lead detoxification there is promising research that supports what I see in my clients: using the amino acid tryptophan reduces and often completely eliminates anxiety, panic attacks and depression while you are dealing with other underlying issues. In this instance it’s the lead toxicity but it could also be Lyme disease or gluten sensitivity or Hashimoto’s thyroiditis and many other conditions.

The animal study I’m referring to was published at University of Lagos paper in 2012: Neurobehavioural and neurotoxic effects of L-ascorbic acid and L-tryptophan in lead exposed rats and states that:

The sub-chronic exposure to lead decreased brain serotonin, while causing oxidative stress by decreasing reduced glutathione levels, antioxidant enzyme activity and increasing lipid peroxidation and brain protein contents.

Ascorbic acid attenuated [or reduced] both lead induced neuronal oxidative stress, and abnormalities in behaviour.

Tryptophan ameliorated [or improved] lead-altered neurobehaviour [such as anxiety and aggression].

Co-administration of ascorbic acid and tryptophan on lead exposed rats showed a reversal in all indices assessed towards the physiological state of control. This suggests that ascorbic and tryptophan can be used to compliment chelating therapy in lead neurotoxicity.

I don’t know if you can extrapolate the dosages from the rat to a human weight-wise but since I have a curious mind I did some calculations: it turns out that they used a rough equivalent of 2000mg of ascorbic acid and 1000mg of tryptophan for an adult human. The starting dose for tryptophan is typically 500mg, and less if you’re sensitive or a “pixie dust” person. I would start here and do an amino acid trial, increasing over a few weeks until anxiety symptoms start to resolve. You can read more about the amino acids process here

Have you used tryptophan (or other amino acids like GABA) to reduce or improve anxiety symptoms with success, while dealing with a bigger underlying issue such as lead toxicity?

If you’re a practitioner, have you helped your clients/patients with tryptophan while dealing with lead toxicity?