serotonin

Tryptophan for my teenager: she laughs and smiles, her OCD and anxiety has lessened, and she is more goal oriented and focused on school.

February 19, 2021 By Trudy Scott 60 Comments

A mom posted wonderful feedback on a recent blog post on ADHD and 5-HTP, sharing how how tryptophan has helped her daughter in ways that didn’t even realize were an issue. She was shocked to see so many improvements and she called it a miracle experience. Here is the feedback Kathy shared:

We had a “miracle” experience with adding L-Tryptophan 300mg at bedtime for my teenager. I was shocked to see how much it improved my child, especially in ways that I didn’t even realize were an issue.

The results were like my teenager coming out of a fog, and also like my child was when she was younger.

She became more engaged with the family and did a lot less isolating.

She suddenly had interest in activities she had never pursued before. For instance, she wanted to start playing team sports after having played nothing for years. She wanted to do family game night! Before, we couldn’t force her to do it, and now it was her idea.

Her thoughts seemed to quiet down and were more organized.

Her OCD [obsessive compulsive disorder] and anxiety symptoms lessened.

She became more goal oriented and focused on school.

She laughs and smiles more!

We were most shocked because what we thought was normal teenage development was actually depression that we had no idea was there.

Tryptophan has been the most effective supplement we have ever used, and we have used a lot. We experimented with the dose until we ended up on 3 at bedtime. The brand we used was the Lidtke L-Tryptophan.

This did not cure her ADD [attention deficit disorder], but definitely improved her executive functioning. We tried GABA and saw no improvement with that. We have tinkered with L-Tyrosine, but haven’t been able to get on a steady dose of it yet to see if it will also help.

Thank you for giving us the idea to try!

I thanked Kathy for sharing the wonderful results her daughter has experienced with the Lidtke Tryptophan and how happy I was for both of them! I love all the surprise benefits she saw and appreciate this feedback: “This has been the most effective supplement we have ever used, and we have used a lot.” I hear this a lot – tryptophan and GABA are game-changers for so many of my clients.

I have these questions I posed to this mom and hope to hear back as I feel these answers may be helpful for other parents and practitioners who work with children and teens:

Did she use 3 x chewable 100mg tryptophan or did they open the 500mg capsule
What did the trial look like for them to end up with 300mg at night?
What made her decide to trial tryptophan instead of 5-HTP?
What made you decide to even trial tryptophan – was it her daughter’s anxiety and OCD?
Was her daughter willing to trial tryptophan initially or was there resistance?

I’ll report back once I get Kathy’s feedback.

Updated Feb 26, 2021: Kathy’s additional feedback

I read all your blog articles and listened to some of your talks. I made a chart of symptoms and then decided to try GABA Calm first.

Since that didn’t help, the next logical choice for us was Tryptophan. My daughter has a lot of anxiety, intrusive thoughts and other OCD symptoms. The reason I didn’t trial the 5HTP first was because my daughter has some PTSD like startle responses, and since you said it isn’t good if you have high cortisol, I just made the guess that she might due to her startle response.

With the Lidtke brand, we used the [500mg] capsules and I did not open them up. My teen would not have gone for that because she already takes a lot of supplements and medication because she is being treated for Lyme and Bartonella. She is cooperative with taking all the supplements/medication. We started at 1 capsule a night for probably 5 days and saw no difference, then went to two for another 5 days, and then landed on 3 when we noticed the dramatic change.

Even her LLMD [Lyme literate MD] was shocked at how differently she interacted with her in our last appointment.

To further clarify, it turns out Kathy actually started her daughter on 500 mg tryptophan at bedtime and they experimented with the dose until they ended up on 3 x 500 mg at bedtime for a total of 1500 mg. Kathy’s initial comment about 300 mg had me thinking she was using 3 x 100 mg tryptophan. Either way, the dose really simply reflects what her needs are and someone else may well get similar benefits with a total of 300 mg. This is why we experiment and do trials of different doses.

Normal teenage development or really depression?

I also have to wonder how many other parents would say this after addressing low serotonin levels in their daughters and/or sons: “We were most shocked because what we thought was normal teenage development was actually depression that we had no idea was there.” I suspect the number would be high, especially given the growing incidence of anxiety and depression in teens.

Also, according to the ADAA/Anxiety and Depression Association of America “80 percent of kids with a diagnosable anxiety disorder and 60 percent of kids with diagnosable depression are not getting treatment.”

Now that Kathy has seen these wonderful changes in her daughter, I’d love to know – if she could go back in time – what questions would she have asked her anxious and depressed daughter so she could help her with solutions sooner?

And what would she suggest to other parents to be looking out for in order to identify anxiety and depression in their children (who often cannot adequately articulate that they do feel anxious and/or depressed)?

If you’re new to tryptophan and low serotonin symptoms

In case you’re new to tryptophan, it is an amino acid that is used as a supplement to support low levels of serotonin. With low serotonin we the worry-in-your-head and ruminating type of anxiety, panic attacks and phobias, lack of confidence, depression, negativity, imposter syndrome, PMS, irritability, anger issues, insomnia and afternoon/evening cravings.

My thoughts on addressing the ADD/inattention issues

Here are my thoughts for her as a starting point for helping to address her daughter’s residual ADD/inattention symptoms:

When someone does well with tryptophan at night, we often trial 5-HTP in the day too. As I shared in a recent blog, this mom shared how 5-HTP melts helped with ADHD symptoms one of her adopted kids was experiencing. She also called it a miracle!
A tyrosine trial may also be worth considering because low catecholamines lead to poor focus and feelings of calm focus are reported with tyrosine. However we also see low energy, low motivation and depression with low catecholamines which no longer seem to be an issue – so I’m not sure if tyrosine would help.
L-theanine may work better than the GABA they tried. Research shows it helps with cognitive function specifically improvements in verbal fluency (especially letter fluency) and improvements in executive function (planning, multi-tasking etc).
With inattention issues it’s also key to look at low blood sugar, gluten and sugar consumption, low iron, low zinc and low omega-3s.
If there was hyperactivity with the inattention then we’d look at salicylates in the diet as they can cause behaviour issues. This doesn’t seem to be the issue but a big clue would be red cheeks and ears that are not from the heat.
Consider the Ayurvedic herb Bacopa monnieri which has been shown to improve “visual perception, impulsivity, and attention” in children and adults.
Consider the herb saffron (Crocus sativus) which has “memory-enhancing and antidepressant effects” and has been shown to be as effective as Methylphenidate/Ritalin.

Additional resources when you are new to using amino acids as supplements

We use the symptoms questionnaire to figure out if low serotonin or low GABA or low endorphins or low dopamine or low blood sugar may be an issue for you.

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, anxiety and mood issues.

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 them all in my online 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), the Serotonin QuickStart Program is a good place to start if you need serotonin support. This is 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. We take a deep dive into product options including the Lidtke products and others if you’re not able to access Lidtke.

If you also have low GABA symptoms, the next step to get help is the GABA QuickStart Program. This is also a paid online/virtual group program where you get my guidance and community support. Another option is the budget-friendly GABA QuickStart Homestudy program.

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.

Now I’d like to hear from you

I love hearing heartwarming stories like this and I am sharing it here to inspire and offer hope!

Please do share your success story on the blog so we can all learn from each other, as well as inspire and offer hope.

How has tryptophan helped you or your child? What has helped with inattention?

Feel free to post your questions and feedback in the comments below.

The effect of emotional freedom technique on nurses’ stress, anxiety, and burnout levels during the pandemic

February 12, 2021 By Trudy Scott 4 Comments

Nurses who are working with patients during this pandemic “are particularly vulnerable to emotions such as fear and anxiety, due to fatigue, discomfort, and helplessness related to their high intensity work.” A new paper published Dec 2020, The effect of Emotional Freedom Techniques on nurses’ stress, anxiety, and burnout levels during the COVID-19 pandemic: A randomized controlled trial reports the benefits of just one online session of EFT (emotional freedom technique) or tapping.

As this paper mentions, “The basic principle of EFT is to send activating and deactivating signals to the brain by stimulating points on the skin that have distinctive electrical properties, usually by tapping on them.”

The study participants were shown a picture of the acupressure points and shown how to “gently tap on them using their index and middle fingers. After this demonstration, the participants followed the basic steps of an EFT session, following the researcher’s example:

Identify an anxiety-evoking issue and determine the SUD level [the SUD is a subjective unit of distress ranging from 0 to 10 with 10 being most severe]
Creating a personal acceptance and reminder statement in the general form of “I accept myself despite this ……….”
Tapping seven times on each acupressure point
After tapping these points, the affirmation/reminder statement is repeated.
A sequence of physical movements and vocalizations called “The Nine Gamut Procedure” is carried out.
Steps 3 and 4 are repeated.
Another SUD rating is given [in other words how they felt afterwards on a scale of 0 to 10]

The study conclusion is as follows: “A single online group EFT session reduced stress, anxiety, and burnout levels in nurses treating COVID-19.” You can read the full study here and see the picture of the acupressure points.

This is a powerful intervention for nurses, other healthcare and frontline workers – and anyone dealing with anxiety, stress and burnout!

Tapping leads to psychological and physiological improvements

As well as psychological improvements, tapping also leads to physiological improvements. In a 2019 study, “after a 4-day training workshop on tapping, the researchers reported that happiness increased by 31% and the following declines in psychological symptoms in 203 participants were reported:

anxiety (-40%)
depression (-35%)
posttraumatic stress disorder (-32%)
pain (-57%) and
cravings (-74%)

I find it fascinating that EFT/tapping leads to physiological improvements too. In this same 2019 study these changes were reported:

resting heart rate (-8%)
salivary cortisol (-37%)
systolic blood pressure (-6%) and diastolic blood pressure (-8%)
heart rate variability and heart coherence
salivary immunoglobulin A (SigA) (+113%)

Combining tapping with nutritional approaches for easing anxiety

As I mention in the above blog, I have great success with amino acids like GABA, tryptophan and glutamine to provide quick anxiety-relief, end the overwhelm and stop the carb cravings for my clients. So until recently, I hadn’t really felt the need to look into tapping.

However, I believe we need to use everything at our disposal. We also respond differently to different approaches and what may work for one person may not work as well for someone else.

I love that EFT/emotional freedom technique/tapping compliments the dietary/nutritional/biochemical approach I use with my clients for helping to ease anxiety, overwhelm and stress.

Ideally these nurses (and you and anyone who is stressed or anxious) could could use tapping/EFT and combine it with nutritional support for possibly even more benefits:

Use targeted amino acids such as tryptophan or 5-HTP for the low serotonin worry-in-your-head anxiety where folks may also experience fears, panic attacks, ruminations, phobias, insomnia, PMS, anger, irritability and cravings; and GABA for the low GABA physical-anxiety that also includes muscle tension, overwhelm, insomnia and the need to self-medicate with alcohol to calm down
DPA (d-phenylalanine), also an amino acid, boosts endorphins (in a similar way to acupuncture) and helps my clients who are experiencing weepiness, pain and are big comfort/reward eaters. I blog about this here: DPA for weepiness, pain and comfort and reward eating)

In April last year I blogged about nutritional and lifestyle approaches after reading a very somber and eye-opening article in the New York Times titled: The Psychological Trauma That Awaits Our Doctors and Nurses. You can read about B vitamins, melatonin, nature and more on this blog here.

EFT/tapping resources

If you’re new to EFT/tapping and would like to learn more, the 13th Annual Tapping World Summit airs online starting Feb 22, 2021:

This is a great introductory video from summit host Nick Ortner (register to watch it and get access to the summit)
Here is the main summit registration page

Nick has also written a best-selling book “The Tapping Solution: A Revolutionary System for Stress-Free Living” (my Amazon link)

Are you a nurse or other frontline worker who has used EFT with success?

Do you use both with success: EFT and the amino acids like GABA, tryptophan, 5-HTP, theanine or glutamine? What about EFT and dietary changes like no gluten, no sugar and no caffeine?

I also want to give a shoutout to all the nurses and other frontline workers who are doing so much during this pandemic. We appreciate you!

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

January 15, 2021 By Trudy Scott 77 Comments

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

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

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

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

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

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

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

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

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

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

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

5-HTP products and dosing

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

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

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

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

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

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

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

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

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

The research on 5-HTP and tryptophan for ADHD

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

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

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

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

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

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

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

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

Additional resources when you are new to using GABA, 5-HTP and other amino acids as supplements

As always, I use the symptoms questionnaire to figure out if low serotonin or low GABA or other neurotransmitter imbalances may be an issue.

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 (this is covered in an entire chapter too), sugar cravings, anxiety and mood issues.

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. Another option is the budget-friendly GABA QuickStart Homestudy Program.

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.

Wrapping up and your feedback

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

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

Please do share in the comments below.

GABA helps a stressed young boy with episodes of “choking” or tightening in his throat

December 25, 2020 By Trudy Scott 34 Comments

Earlier this year I blogged about how the calming amino acid GABA is often a solution for both anxiety and globus pharyngeus (lump in the throat) and a mom shared this about her son’s episodes of “choking” or tightening in his throat (to the point that he cannot swallow), especially when school stress gets high:

My son, (8 y.o.) has a history of public school use of physical aversion intervention for behaviors that result from a significant language impairment often reports “choking” or tightening in his throat to the point that he cannot swallow. When school stress gets high, he ceases to swallow his saliva which creates a long period of “spitting” out substances including food and natural spit as he is fearful of “choking” to death. During panic attacks he immediately reports “choking” which furthers his panic. You are the first practitioner I have come across that has explained the relationship between globus pharyngeus, stress reaction and low GABA levels. I always felt his throat tightening (involuntary muscle response) was a stress response but was not aware of it’s connection to GABA levels. Thank you for this informative piece!

I voiced my concern for what her son was going through and how I can’t imagine how scary it must be for someone his age, asking her to keep us updated on his progress.

And just over a month later she reported the success her son was having with GABA:

We started a GABA supplement which has positively impacted my son. While he still struggles with hypersalivation when in distress or anxious, his self-reports of feeling like he is “choking” or his throat is closing, has not been present since GABA has been started. We are about a month in and I am inspired that we will continue to have progress. I have been referring to your work as a source to everyone I know that struggles with anxiety. Thank you for all that you do from a very grateful parent.

What wonderful results for her son! Getting feedback like this warms my heart and I appreciate her for sharing so I can share here.

I did ask what GABA product he was using, how much/how often he uses it and how quickly he noticed an improvement but did not hear back. My recommendation is 125mg to start for adults and less for children and I like the GABA Calm product as it’s a sublingual form and easy to use for kids.

I also commented on the fact that he still has “hypersalivation when in distress or anxious.” I would focus on trying to reduce the anxiety with higher doses of GABA and also consider addressing low serotonin because of the anxiety, panic attacks and being “fearful of “choking” to death”.

The anxiety could trigger hypersalivation but the hypersalivation could also be as a result of a food sensitivity like gluten or dairy. Both these and other food sensitivities could also contribute to low GABA/low serotonin and be a trigger for anxiety.

Of course, bullying at school should always be considered and so should the social anxiety condition pyroluria, speech therapy, gut health and vagus nerve support.

Could this be a case of laryngopharyngeal reflux (LPR)?

I always like to try and connect the dots and wonder if this could be a case of laryngopharyngeal reflux (LPR)? I don’t know but it’s possible. This paper, Laryngopharyngeal reflux: A confounding cause of aerodigestive dysfunction, states that LPR is “defined by the retrograde passage of gastric contents beyond the upper oesophageal sphincter, with contamination of the larynx, pharynx and lungs” and states that “half of the laryngeal complaints referred to ear, nose and throat (ENT) services are ultimately diagnosed as LPR.

It also mentions globus pharyngeus and dysphagia (which is difficulty swallowing), sharing that changes in pH suggest reflux occurs in “50% of patients with hoarseness, 64% with globus, 55% with chronic cough and 35% with dysphagia.”

This same paper reports that “30% of patients with LPR-like symptoms report anxiety, compared with 6% of healthy controls.”

Prevalence of reflux disease in children and LPR symptoms by age

This paper, Laryngopharyngeal Reflux Disease in Children, reports that “Although the exact prevalence is unknown, it is estimated that nearly 1 in 5 children likely suffers from reflux disease.” This 1 in 5 number is for both GERD (gastroesophageal reflux disease) and LPR.

The authors also share that it usually presents with a different set of symptoms depending on age:

Infants typically present with regurgitation, vomiting, dysphagia [difficulty swallowing], anorexia, failure to thrive, apnea, recurrent croup, laryngomalacia [softening of the laryngeal structure], subglottic stenosis [narrowing of the airway], or chronic respiratory issues.
School-age children tend to demonstrate chronic cough, dyspnea [shortness of breath], dysphonia [hoarseness], persistent sore throat, halitosis [bad breath], and globus sensation.
Older children may also complain of regurgitation, heartburn, vomiting, nausea, or have chronic respiratory issues.

Low levels of GABA, a calming neurotransmitter

In case you’re new to GABA: low levels of GABA, a calming neurotransmitter can lead to anxiety, fears and panic attacks. With low GABA, the anxiety is a physical kind of anxiety with muscle tension or muscle spasms. Low GABA may be one possible root cause of globus pharyngeus, which leads to a rather scary golf-ball-like lump or constriction in the throat – or as this young boy describes, episodes of “choking” or tightening in his throat.

The amino acid GABA raises GABA levels and in this instance helps ease this tightening, choking or throat muscle spasms.

To be clear, there is no research (yet) on the use of the amino acid GABA for these types of symptoms, however in one study gabapentin was compared to baclofen for the treatment of gastro-oesophageal reflux-induced chronic cough and in another study there were improvements with both proton pump inhibitors and gabapentin for globus pharyngeus. If GABA works I’m all for it, rather than these medications, which do have a long list of side-effects.

Has your child been diagnosed with globus pharyngeus or laryngopharyngeal reflux disease?

Have you observed episodes like this in your child, personally or with clients/patients and has GABA helped?

Have you found other contributing factors like low serotonin, food sensitivities, gut issues, vagus nerve issues or pyroluria?

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

Christmas tree phenols as a trigger for anger, meltdowns, anxiety, hyperactivity, insomnia, aggression, self-injury and autistic symptoms?

December 18, 2020 By Trudy Scott 16 Comments

Are you aware that the aromatic oils that give pine trees their wonderful smell are phenols and that these phenols may be a trigger for anger and meltdowns, anxiety, hyperactivity, irritability insomnia, self-injurious behavior, digestive issues and autistic symptoms (such as stimming, swinging and hand-flapping)? All this can be caused by an indoor Christmas tree in susceptible individuals.

My colleague Julie Matthews writes about this here: Avoiding Holiday Havoc: Healthy solutions to avoid meltdowns and keep the holidays happy

“When phenols are not able to be broken-down and detoxified by a process called sulfation, which is low in many children with autism and ADHD”, they can cause these symptoms and also red cheeks and ears. She shares that “phenolic compounds come in many forms including artificial petroleum-based food additives, and salicylates (a type of phenol) found in plants and foods like strawberries and spices, as well as pine trees.”

In the above blog, Julie shares this story about a client with a 10-year old son with autism. He severely regressed during the holidays and it was because of the Christmas tree. This is what the mom shared:

During the Holidays our son regressed severely. He became anxious, aggressive, and self-abusive. He cried and had tantrums regularly throughout the day. He couldn’t sleep anymore and was up for hours at a time, night after night. He was hand-flapping like crazy. We have a swing in the house for him and he now wanted to swing all day long, constantly, and do nothing else. He lost eye contact and he stopped responding to his name.

Once the Christmas tree was removed the improvements were dramatic:

The next day, he was much calmer. He seemed to have “exhaled.” Within 48 hours, our son was completely back to normal.

I shared Julie’s blog on my Facebook page and a father in my community shared a similar experience about his autistic son’s severe reactions to phenols:

Yes! My autistic son who is sensitive to phenols, would completely meltdown during the holidays. We thought it was just the change in routine and his environment, but quite by accident we discovered fragrances seemed to make him worse. We got rid of the fragrances and holiday tree/decor and the improvement in our son was dramatic! We now realize it was the phenols.

My son’s reaction to phenols/fragrances are bright red cheeks/ears, dark under eye circles, headaches, inappropriate manic laughter, aggression/self injurious behavior, marathon meltdowns/screaming, incontinence, insomnia/less than 3 hrs sleep a night, bumpy rashes, GI issues/diarrhea, excessive sensory stimming (hand flapping, lip licking, running around and body slamming into things.) During the holidays, the intensity of these reactions shot through the roof.

They found out by chance that it was the Christmas tree that was causing his son’s issues each year. It started when he was a toddler and they figured it was the stress and changes of the holidays that was the issue. One year they didn’t put up a tree and they could not believe the difference. It was then they made the connection and learned more about phenols and made the necessary changes.

By reducing phenols in his diet and environment, and giving him Epsom Salt baths and enzymes (No-Fenol), most of the above symptoms were significantly reduced.

I suspect there are many families who are seeing similar meltdowns and have no idea it could be the Christmas tree. Keep in mind that the reactions may not be as severe as these two cases I’ve shared here. If you are seeing any increase in anxiety, irritability, sleep problems, digestive issues or other unusual behavior changes in your child, keep an open mind that it may be more than just the holiday changes.

Julie’s advice is this:

Since so many children with autism and ADHD react to salicylates/phenols – in her nutrition practice she finds an overwhelming majority react negatively – she suggests a cautious approach to holiday decorating for all families of a child with autism or ADHD. Simply avoid the pine Christmas tree.
If you are unsure about their sensitivity to salicylates/phenols you might ask yourself if your child is often hyper, irritable, or has red cheeks, and other common salicylate symptoms, or whether they crave salicylate-rich foods such as berries, grapes, apples, and ketchup. If so, explore salicylates further.

I encourage you to read Julie’s blog to gain a better understanding of salicylates and phenols. If you are a practitioner and want to learn more about low salicylates/phenols and other special diets her practitioner training is excellent.

I appreciate this mom and dad for sharing their experiences with their sons so we can all learn and help other families. I also so appreciate Julie’s expertise in this area and really look forward to digging further into the research and picking her brain so I can share more.

Could your holiday anxiety and/or insomnia be phenol issues too?

Julie works with children with autism and ADHD but as someone who works primarily with adults with anxiety, I’m going to be exploring sensitivity to salicylates/phenols further. Julie recently shared this with me: “if you start looking you’ll probably see a lot of your clients with anxiety have phenol issues.”

If you also notice any increase in anxiety, anger, irritability, sleep problems, digestive issues or other unusual behavior changes, keep an open mind that it may be more than just the holiday stress or winter blues/winter anxiety. It may well be phenol issues too.

Serotonin connection to phenol issues

I’ll be blogging more about this and the fascinating serotonin connection to phenol issues. You may have noticed that many of the symptoms these 2 boys experienced sound a lot like either low serotonin or high serotonin (both of which can occur in autism). Serotonin is an endogenous phenol compound and this phenol issue is likely causing high serotonin.

When I asked Julie about this she shared this with me: “Yes, serotonin and dopamine are phenolic. And sulfation is important for the inactivation of dopamine and serotonin. So poor sulfation can lead to neurotransmitter imbalances.”

Using collagen to lower high serotonin?

I’ve blogged about how collagen can lower serotonin in susceptible folks and increase anxiety. It is also used by some folks to lower their high serotonin and make them calm. Misty reports using collagen ‘therapeutically’:

I use it to reduce tryptophan because I have a tendency toward high serotonin. I have suffered my entire life with ADD, tics as a child, grinding teeth, general anxiety, lack of motivation and later, IBS. In my 53 years I’ve never been as calm as I am now.

I don’t know if Misty has a phenol issue but I’m going to be exploring if collagen or gelatin could possibly be used to help lower the high serotonin and ease some of these severe phenol reactions quickly, in conjunction with other approaches like avoiding the foods and environmental exposures, enzymes and other nutrients, and Epsom salt baths.

Christmas tree syndrome, mold issues and toxic plastic trees

I hate to spoil the Christmas fun but here are a few other things to consider:

Christmas tree syndrome is also a real issue for many individuals
My friend and Enviornmental Toxins expert Lara Adler shares how mold from a real tree made her and her cat really sick “Within a few days of getting the tree, I broke out in a full-body rash that required a 10-day run of prednisone. I didn’t think it was the tree at first (it could have been something else), but then my cat, who was already dealing with GI inflammation and a gut issue developed asthma! Out of nowhere! She also ended up on prednisone. I got rid of the tree and both our symptoms never came back.”
She also shares some issues with plastic trees: they are often made from toxic PVC (polyvinyl chloride) with “softeners like lead and/or phthalates”, and often treated with endocrine-disrupting flame retardant chemicals. More about this on Lara’s blog here.

Have you observed a salicylate/phenol reaction with your child or client/patient? What about a less severe reaction with your child or with you personally?

Have the following helped you: avoiding the foods and environmental exposures like a Christmas tree, using enzymes like No-Fenol and other nutrients, and Epsom salt baths? In the midst of a very severe reaction has collagen or gelatin helped reduce symptoms quickly?

What about mold issues or allergies with a Christmas tree?

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

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

December 11, 2020 By Trudy Scott 45 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)

Imbalances of other neurotransmitter (like low serotonin and low endorphins)

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.

Additional resources when you are new to using GABA and other amino acids as supplements

As always, I use the symptoms questionnaire to figure out if low GABA may be an issue. The low GABA symptoms include: physical tension, overwhelm, fears, anxiousness, stiff and tense muscles, sleep issues, feelings of panic and stress-eating and drinking.

Wrapping up and your feedback

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.