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Vitamin B6 improves dream recall (which can be used to monitor vitamin B6 status)

By Trudy Scott 40 Comments

It’s exciting to see new research confirming the connection between vitamin B6 and dream recall. In this new study, Effects of Vitamin B6 (Pyridoxine) and a B Complex Preparation on Dreaming and Sleep (which was randomized, double-blind and placebo-controlled), 100 participants from across Australia were given 240 mg vitamin B6 (pyridoxine hydrochloride) before bed for five consecutive days. Other study participants were given a B complex. This is the outcome of the study:

  • vitamin B6 significantly increased the amount of dream content participants recalled but did not significantly affect dream vividness, bizarreness, or color, nor did it significantly affect other sleep-related variables
  • participants in the B complex group showed significantly lower self-rated sleep quality and significantly higher tiredness on waking

Here are my thoughts on these results:

  • It’s wonderful to read that Vitamin B6 improves dream recall – this is what I see with my clients all the time.
  • With an optimal dose of vitamin B6, I would expect changes in “dream vividness, bizarreness, or color” and this also what I also see with my clients. If they are having horrible/vivid/bizarre dreams, the vitamin B6 changes them to pleasant dreams OR if dreams were not recalled prior to supplementation, they are now remembered and pleasant. The dose of 240 mg was used across the board but based on what we know about biochemical individuality, 240mg may be too much for some folks and not enough for others, so this could have impacted the results.
  • It’s not surprising that the B complex taken at bedtime impacted sleep. It’s known to be stimulating and it’s not something I’d advise any client to do. For this reason, I don’t feel it was the ideal control for this study.

The lead researcher is Dr. Denholm Aspy and his primary research focus is lucid dreaming. On his researcher profile on the University of Adelaide website, he describes lucid dreaming and the potential benefits:

In a lucid dream, the dreamer realizes that they are dreaming and can then explore and even control the dream. Lucid dreaming has a wide range of potential benefits and applications such as creative problem solving, treatment for recurrent nightmares and improvement of motor skills through rehearsal in the dream environment (e.g. for elite athletes or people recovering from physical trauma).

He shares that the purpose of his research is to address exploration of the potential applications of lucid dreaming and to “develop reliable ways to induce lucid dreams.” Looking for potential applications of lucid dreaming is very interesting and new to me.

Vitamin B6/dream recall research and pyroluria (a social anxiety condition)

However, this vitamin B6/dream recall research is of particular interest to me because of my work with pyroluria, a social anxiety condition which responds really well to supplementation with zinc, vitamin B6 or P5P (pyridoxal-5-phosphate) or a combination of both, and a few other key nutrients.  Here is the pyroluria questionnaire.

One of the classic signs of pyroluria is poor dream recall, stressful or bizarre dreams, or nightmares, signs which the late Carl Pfeiffer, MD attributed to low vitamin B6 status. He suggested that your dreams and dream recall serve as a good indicator of your need for vitamin B6. You should dream every night and you should remember your dreams. They should be pleasant—the kind of dreams where you wake up and want to close your eyes and continue dreaming.

Going back to the above discussion of lucid dreaming, in lucid dreams “the dreamer is aware of dreaming and often able to influence the ongoing dream content.” This is exactly how I would describe my dreams when I have good levels of vitamin B6 and my clients say the same.

Keep in mind that if you do have pyroluria, you may need to increase your dose of vitamin B6 in times of stress. Vitamin B6 can also be depleted by oral contraceptives because they cause both low vitamin B6 and zinc, reduce serotonin levels and increase anxiety. Vitamin B6 can also be depleted by antidepressants, diuretics, and cortisone, so if you start or stop taking any of these, you may need to adjust the amount you supplement.

If this intrigues you and you’re new to pyroluria, I write about dreams and vitamin B6 in the pyroluria chapter of my book, The Antianxiety Food Solution. My blog is also a wealth of information on pyroluria:

Dream recall and vitamin B6 status is important even if you don’t have pyroluria

Observing your dream recall and hence vitamin B6 status is important even if you don’t have pyroluria. This is because vitamin B6 it has been implicated as a co-factor in more than 140 biochemical reactions in the cell, playing a role making amino acids and neurotransmitters, making fatty acids, and even quenching reactive oxygen species (ROS).

This is partial list showing the importance of vitamin B6 (with both research and clinical evidence) for:

You may also wonder what the mechanism of action is? How does vitamin B6 impact your dream recall? One hypothesis is that vitamin B6 is a co-factor nutrient used in the conversion of tryptophan to serotonin which is then used to make melatonin. Vitamin B6 is also an antioxidant, is anti-inflammatory, and modulates immunity and gene expression.

If you’re looking for a quality vitamin B6 product, my supplements blog lists a range of vitamin B6 supplements that I use with clients and those in my group program.

Monitoring your dream recall is one very simple way to assess changes in your vitamin B6 status. And we now have new research supporting this. I look forward to follow-on studies by these authors, learning more from them about lucid dreaming and I hope to be able to offer some of my insights from clinical practice.

*** I address some concerns about vitamin B6 toxicity in this blog: Why is vitamin B6 toxic for some and why don’t symptoms resolve when vitamin B6 is stopped? I have yet to see any signs of toxicity in my clients, but I have also not ever recommended more than 500mg/day. However, I was recently made aware (thanks to some folks in my community) that there are some individuals who have issues with very small amounts of vitamin B6.  If you have experienced any issues with using vitamin B6 supplementation please share.

What are your dreams like and do you use your dreams to monitor your vitamin B6 status? What improvements have you noticed by addressing low vitamin B6 levels?

If you’re a practitioner do you use dream recall as an indication of vitamin B6 status?  Have you seen adverse issues with vitamin B6 supplementation and at what doses?

Delayed IgG food sensitivities: depression and anxiety due to inflammation, leaky gut, leaky blood brain barrier and low serotonin

By Trudy Scott 7 Comments

It’s really encouraging and exciting to see a major study confirming what we’ve known about IgG food sensitivities or IgG food reactivity for years, and also reporting a link to irritable bowel syndrome (IBS) and depression. The paper, published in May this year, The Food-Specific Serum IgG Reactivity in Major Depressive Disorder Patients, Irritable Bowel Syndrome Patients and Healthy Controls states

There is an increasing amount of evidence which links the pathogenesis of irritable bowel syndrome (IBS) with food IgG hyperreactivity. Some authors have suggested that food IgG hyperreactivity could be also involved in the pathophysiology of major depressive disorder (MDD).

The following diagram and excerpt illustrates the gut-immune-inflammatory-brain model for depression that is associated with food IgG hyperreactivity or sensitivity.

The gut-immune-inflammatory-brain model for Major Depressive Disorder associated with food IgG hyperreactivity. According to the hypothesis proposed in our previous work, we present a possible mechanism underlying the MDD [major depressive disorder] development, suggesting that the interplay between genetic and environmental factors may lead to disruption of tight junctions, the loss of their integrity and both gut and BBB [blood brain barrier] permeability. Undigested food compounds, which would normally break down in the gut, translocate into the blood circulation, and trough epitopes combine with food IgG antibodies to form immune complexes. This, in turn, provokes an abnormal response and triggers immune-inflammatory cascade. Uncontrolled release of the proinflammatory mediators may contribute to low-grade systemic inflammation and low-grade neuroinflammation, which, via pathological processes in CNS [central nervous system], i.e., changes in neurotransmitter metabolism, neurogenesis, glutamate excitotoxicity, may in consequence induce and then maintain and prolong depression.

[diagram and excerpt from The Food-Specific Serum IgG Reactivity in Major Depressive Disorder Patients, Irritable Bowel Syndrome Patients and Healthy Controls]

I wrote my book, The Antianxiety Food Solution, in 2011 and there wasn’t research on the gut-immune-inflammatory-brain model, but I do write extensively about delayed IgG food sensitivities (as well as other types of food issues). If you don’t have my book I’m including some of the highlights related to this (and I encourage you to pick up a copy too!). If you do have my book I hope this next section encourages you to go back and read chapter 4 again (and even check out the other books I mention below).

I write about how with delayed food reactions, it may take a few hours to several days before symptoms appear, which can make it difficult to identify the offending food or foods. In these reactions, the body responds by creating a type of antibody known as IgG (immunoglobulin G).

I also write about how food sensitivities can have effects beyond physiological symptoms, including creating imbalances in key chemicals in the brain, which can cause anxiety, phobias, depression, irritability, and mood swings. When food sensitivities have these effects, they are sometimes termed “brain allergies” or “cerebral allergies.” Dr. Carl Pfeiffer wrote extensively about this and used these terms in his wonderful book, Nutrition and Mental Illness, way back in 1987. (This book is a quick read and is one of my favorite older books on the subject of mental health and biochemical imbalances.)

I also reference the work of my colleague and friend, clinical nutritionist Liz Lipski. In her 2004 book, the 3rd edition of Digestive Wellness she shares that

24 percent of American adults claim they have delayed food and environmental reactions.

She feels that these sensitivities are often the result of leaky gut syndrome, a condition characterized by damage to the microvilli lining the intestinal walls. This allows undigested food particles to travel across the intestinal wall and into the blood, where the immune system responds to them as foreign, harmful substances and creates antibodies to neutralize them.

All this sounds very similar to what the new study is reporting doesn’t it? I’d prefer it not to take so long for the knowledge from as far back as 1987 to get into mainstream journals but it’s the world we live in and we can just appreciate that we are moving forward and in the right direction!

The 2018 paper mentioned above concludes the following:

Our findings suggest more common food-specific serum IgG hyperreactivity among patients with IBS and MDD [major depressive disorder], which may be one of the mechanisms leading to the development of immune activation and low-grade inflammation observed in these disorders.

They do support an elimination diet for IBS but not for depression:

There is no causal relationship which could confirm clinical utility of an elimination diet in patients with depression

I do love research, but this really bothers me as it’s just common-sense and we do have some case studies supporting the use of elimination diets. In this case study the patient’s “treatment-resistant” depression improved considerably with an elimination diet, with similar results in another case study where a gluten-free elimination diet improved both anxiety and depression and everyday functioning.

In the meantime, we’ll continue to rely on the wisdom of practitioners like Dr. Pfeiffer and Liz Lipski, and all the clinical evidence showing how an elimination diet does help with both depression and anxiety. Just read some of the success stories on this blog – Paleo and grain free diets: anxiety and depression success stories.

Other mechanisms: nutrient malabsorption and serotonin production

There are other mechanisms that I also cover in my book – nutrient malabsorption and a more direct impact on serotonin production.

One possible mechanism is indirect effects of gastrointestinal damage due to eating problem foods, resulting in nutrient malabsorption. In a 2009 double blind placebo-controlled study:

65 celiac patients aged 45-64 years on a strict gluten-free diet for several years [and showing signs of low folate, low vitamin B12 and low vitamin B6] were randomized to a daily dose of 0.8 mg folic acid,0.5 mg cyanocobalamin and 3 mg pyridoxine or placebo for 6 months

I doubt folic acid or this form of B12 would be used today but even with these forms at these low doses, the study participants showed homocysteine in a good range and reported improvement in general well-being – after just 6 months of supplementation.

Another possible mechanism is the fact that gluten sensitivity and the resulting damage to the gut can limit the availability of tryptophan and therefore lead to decreases in levels of serotonin. Research published in 2005, Gluten-free diet may alleviate depressive and behavioural symptoms in adolescents with coeliac disease: a prospective follow-up case-series study, reports that:

serotonergic dysfunction due to impaired availability of tryptophan may play a role in vulnerability to depressive and behavioral disorders among adolescents with untreated coeliac disease

In addition to removing the foods that are causing the sensitivities, you need to heal the gut and boost serotonin levels with a targeted individual amino acid like tryptophan.

Give the link between anxiety and depression, all of the above could apply if you have anxiety too.

Have you had IgG food sensitivity testing and found that an elimination diet helped reduce your depression or anxiety symptoms?

Candida: anxiety and low serotonin, testing and parasites, sugar cravings, EMFs and your genes

By Trudy Scott 9 Comments

My interview on anxiety on The Candida Summit with host Evan Brand, addresses anxiety, the tie in to low serotonin and the sugar cravings aspect. I was so excited to find a connection between serotonin and candida and share this in our interview. 

with low serotonin you’ve got the mental anxiety – the worry, the ruminating thoughts, the obsessive thinking, the reprocessing, insomnia, lying awake in bed, trying to shut down the busy mind. And the two amino acids I use for this is tryptophan; that’s my first choice. And my second choice is 5-HTP. That being said, some people do better on one versus the other.

The reason I like tryptophan is 5-HTP can raise cortisol and make people who are wired/tired feel a little bit more wired/tired. So until I’ve seen cortisol results in saliva, I like to use tryptophan first.

But let me share some of this interesting research that I’ve found. And why I’m so excited about it is because as I said earlier, I will use the amino acids first before I’m specifically addressing the candida. But it seems like using tryptophan first, as well as helping with the low serotonin, it’s starting to have an impact on the candida, which I didn’t know about, until I did the research for this. So thank you for inviting me to speak. It just reinforces what I know about the amino acids – that they are pretty powerful.

There was a study done in 2003, and the title is Antifungal Properties of Serotonin Against Candida species. And they looked at various different candida strains: albicans, glabrata, tropicalis, and a few others. And they exposed these candida strains to serotonin. The study concludes: “Serotonin showed antifungal activity towards all isolates of candida.”

What they didn’t know is what the mechanism of action was. They stated: “Identifying the mode of action would be of great help in developing and research new antifungal drugs.” I don’t agree with that. I’m just excited to see that there is this connection with serotonin, which reinforces how beneficial tryptophan is.

Of course, my solution is to provide serotonin support via diet, exercise and the use of the targeted individual amino acid tryptophan or 5-HTP.

You can read more about this serotonin-candida connection in my blog post: Symptoms, nutrient malabsorption, worsening psychiatric symptoms and the serotonin connection

In our interview I also discuss how I use the amino acids and how tryptophan/5-HTP as well as GABA, DPA, tyrosine and glutamine, can actually help with so much of the sugar craving we see in candida, PLUS how I use this approach to gauge when candida is really serious.

EMFs and the dangers of 5G – and candida

Dr. Schaffner talks about EMFs and the dangers of 5G and shares how they are protecting the Sophia Institute Clinic (which she shares with Dr. Dietrich Klinghardt):

What we have done at the clinic—and again, this is an evolving art—the two things that I think are going to make the most difference in what we can do right now is, first, of course we always say avoid exposure, try to distance yourself. Distance is your friend with any technology, when we’re looking at EMF.

But we actually shielded the clinic. We have a cell phone tower within a mile of the clinic. And so, we wanted to be mindful of that exposure. We ask everybody to turn off their cell phones when they come in to the clinic. And we don’t have Wi-Fi. So everything is ethernet corded. And then, we don’t have cell phone exposure while we’re practicing.

But we do two things that I think people should be aware of. And one is we use a type of graphite paint. It’s called YSHIELD. And that actually comes from Germany. And it has properties to, essentially, try to create a Faraday cage environment and block the incoming microwave radiation. And so, that has to be grounded, of course. And you want to always work with somebody who knows what they’re doing with this technology. Because if you don’t do it right, you can actually increase your exposures or create an unhealthy environment.

And then, Dr. Klinghardt works with the woman who creates these silver-lined curtains that actually help to block the microwave radiation coming in through the windows.

There’s a really great website—LessEMF has a lot of this technology. And then, YSHIELD, you can Google, I think it’s yshield.com. And then, the silver-lined curtains, I believe, is a fabric called, Swiss Shield. And so, you can either make them yourself or hire somebody to do that.

Learn more about candida, low serotonin, low melatonin, and your glymphatic system in the second half of Dr. Schaffner’s interview.

Candida, sugar cravings and COMT and MAOA genes

Evan Brand brings up the topic of sugar and carbs in the diet with Dr. Ben Lynch in the Candida, sugar cravings and COMT and MAOA genes interview: No one is discussing the influence of the whole epigenetic piece, and how people and their decision making with foods could be influenced by their genes?

Dr. Ben Lynch shares how he has a unique angle on this fascinating topic of our genes and sugar/carb cravings:

It’s one that always ties back to what came first—the chicken or the egg, right? So what came first, the genetic propensity towards carbohydrate binging or addictive personalities for high-caloric dense foods like ice cream and cakes, doughnuts, pastries, which then leads us to candida?

And then, they go on all these candida treatments. And they beat it. And they’re all happy again. But then their genetic propensity drives them yet again for the yeast overgrowth and the food binging.

He gives an example of how some people, when they’re down and out, may be drawn to sugar and carbs to self-medicate (this is something I see with my anxious clients all the time):

They’ll hit the chocolate. They’ll hit the doughnuts, the ice cream to make them feel good. And what these do is they spike your dopamine.

You’re not really aware of it, but you just do it. And you know you shouldn’t do it. But what happens here is, is some individuals, they have genes, which eliminate their dopamine out of their body pretty quickly. This gene is called COMT. And one of its jobs is to move dopamine out. You don’t want to always have neurotransmitters in your brain. That’s not good.

So some of these folks are born with a COMT gene that actually works faster, which is really good because they can calm down really quick in stressful environments. They can perform at a high level in stressful situations like surgeons, or EMT, or firefighters, or policemen, policewomen. They strive in these high-risk, highly-attentive situations.

But when they come home, everything’s a low normal. And they need that hit of dopamine. So they might come home and binge on sugars and carbs to drive their dopamine back up. And that’s a significant one.

Dr Lynch also shares about another gene, MAOA, which deals with our serotonin:

If you have a faster MAOA gene, which moves through your serotonin, then you are craving carbohydrates, and you’re craving pastas, and breads, and all the things that candida love, and beer. These things which increase your tryptophan levels, support your MAOA, and thus your serotonin. These are two major foods that our candida love. And these are two very, very common genes in the population which predispose us to having these issues

Candida testing, parasites and intractable yeast overgrowth 

Evan Brand asks this question about candida testing in the Candida, Mitochondrial Dysfunction, and Meditation interview with Dr. Dan Kalish: I’m guessing your statistics are similar to mine, 9 out of every 10 organic acids I find Candida overgrowth. Stool test, the GI map is missing a lot of Candida. Maybe you could help me understand why that’s happening.

Dr. Dan Kalish shares why candida testing can be challenging:

Because Candida can be commensal where it’s growing within the digestive tract itself, or it can be invasive where it penetrates into the tissue of the gut. And then it’s not going to be found in any of the stool tests. So stool tests can miss it easily. And in fact, the more severe it gets, the harder it is to find on a test.

That’s what happens with the yeast when it gets bad. It gets invasive. It goes up into the actual lining of the gut. So if it penetrates there, it causes leaky gut. But then it’s invasive, so it’s penetrating into the tissues. And you’re not going to see it in the stool. And that’s when it gets worse. In fact, it’s going to cause more symptoms. But then it’s almost impossible to find on the stool test.

He also shares this gem about intractable yeast overgrowth that just won’t go away:

You can have a Candida overgrowth, treat it and feel better, but have there be another underlying cause for the Candida. So there’s a lot of patients that will come to me and be like, “I had this Candida overgrowth. As long as I eat this radical and extreme and ridiculous diet, and take all these herbs, I’m fine. But every time I stop, it just comes back.”

Then, that leads the person to assume that it’s this horrific Candida overgrowth that’s never going to go away. And in those patients, there’s almost always Giardia, or Crypto [Cryptosporidium], or E. histo [Entamoeba histolytica], or some other bug that’s screwing up the ecology of the gut that’s allowing the Candida to keep coming back. So that’s just something to be on the lookout for.

If you feel like you have this intractable yeast overgrowth that just won’t go away, you should find a functional medicine doctor and do all the stool testing. Because you’re almost guaranteed there will be some other infection.

Click here to register for The Candida Summit which runs online from July 9-15, 2018!

Do share if you’ve successfully addressed candida overgrowth and how your symptoms improved and how bad your sugar cravings were.

Let us know if you’re EMF-aware and how addressing low serotonin has helped you.

If you have questions post them below in the blog comments.

Melatonin improves sleep quality and reduces anxiety after a TBI (traumatic brain injury)

By Trudy Scott 11 Comments

New research shows that melatonin improves sleep quality and reduces anxiety after a TBI (traumatic brain injury). The study, Efficacy of melatonin for sleep disturbance following traumatic brain injury: a randomised controlled trial was completed in Australia and used a prolonged-release (also called timed-release) melatonin product.

The study participants, 67% of whom were male, had mild to severe TBI and sleep disturbances as a result of their injuries (most of which were from car accidents). There were 2 study groups, with one group given 2mg of prolonged-release melatonin for 4 weeks and then switched to a placebo for 4 weeks (with a 48-hour window in between). The other group did the opposite.

The prolonged-release melatonin was made by Sigma Pharmaceuticals Australia and called Circadin. Each night 2 hours before bedtime, 2mg of Circadin was taken by study participants. They received a reminder text message each night.

These are the study results for sleep:

Melatonin was associated with a significant and moderate reduction in PSQI [Pittsburgh Sleep Quality Index] global scores, indicating improved sleep quality.

There was no significant reduction in sleep onset latency with melatonin compared to placebo.

What this means is that overall quality of sleep improved but there was no change in the time it takes to fall asleep (sleep onset latency). The latter is to be expected with prolonged-release or timed-release melatonin.

The study concluded that:

The present results, therefore, suggest that melatonin may be useful in treating sleep disturbances in patients with TBI.

With better sleep quality you would expect reduced fatigue and improved vitality – both were reported by study participants.

Melatonin associated with a small decrease in self-reported anxiety

What is interesting is that melatonin was also associated with a small decrease in self-reported anxiety (no differences in depression were reported.) The authors suggest that one possible mechanism of this may be that melatonin acts a muscle relaxant. In this commentary: Potential action of melatonin in insomnia, the authors equate the beneficial effects of melatonin to benzodiazepines:

many of the actions of melatonin on sleep propensity, anxiety, thermoregulation, and convulsions resemble those reported following administration of benzodiazepines. It is possible that some of these actions of melatonin may be mediated via peripheral benzodiazepine receptors

They are suggesting that with melatonin we get the sleep improvement (sleep propensity is the readiness to transit from wakefulness to sleep, or the ability to stay asleep if already sleeping), relaxation effects and antianxiety benefits of benzodiazepines.

But you get none of the side-effects, tolerance issues and withdrawal nightmares with a benzodiazepine which do more harm than good. On a side notes: this month World Benzodiazepine Day is celebrated to create awareness and offer support for benzo sufferers.

I would have picked something more inert for the placebo ingredients

I would have picked something more inert for the placebo ingredients: mannitol (106mg), acacia (11 mg) and pure icing sugar (106 mg). Mannitol, a sugar alcohol, can cause bloating and diarrhea in some individuals and although the amount is tiny (5g of sugar equals 1 teaspoon), sugar consumption is not ideal before bed. As I would expect adverse symptoms:

were more frequently reported during placebo treatment. The most commonly reported symptoms were neurological, followed by bodily pain, gastrointestinal and dermatologic.

In Australia, melatonin cannot be purchased over the counter (OTC) at health stores or via online retailers, unlike in the USA, and is only available by prescription. I’m all for melatonin being available OTC but the silver lining to this is that companies that make melatonin, such as Circadin, have a vested interest in the research. Research is expensive and time-consuming and we get to benefit too.

Keep in mind that this research is applicable to anyone with low melatonin, whether or not a prior TBI has occurred.

There are many root causes of insomnia – how I work with clients

In those with TBI, sleep disturbances are common, and the authors do report reduced evening and overnight melatonin production in this population. However, there are many root causes of insomnia, with low melatonin being one possible root cause – in TBI and in those who have not had a TBI.

One study limitation is that they didn’t measure melatonin levels or circadian rhythm (salivary cortisol) in all of the study participants so we can’t be sure everyone did have low melatonin.

And melatonin isn’t going to work in all instances of insomnia. It’s one root cause I look at.

This is how I work with clients who have insomnia:

  • I start with low serotonin and address this with tryptophan observing improvements in sleep and easing of worry and anxiety (on a side note, low serotonin is common after a TBI so this makes total sense)
  • Then I have my client use sublingual melatonin if they have issues falling asleep AND timed-release melatonin if they have issues staying asleep (you can see some of the melatonin products I recommend here)
  • When saliva results come back, we address the adrenals as needed, often adding Seriphos when cortisol is high
  • Other factors are addressed based on each person’s need: gluten issues, SIBO, parasites, candida, EMFs, sex hormone imbalances, medication side-effects, sleep habits

We’d love to hear if timed-release melatonin has helped you improve your sleep quality? And if it also helped with easing anxiety?

What about tryptophan or sublingual melatonin for helping you fall asleep? And the other root causes?

If you’re a practitioner, do you use tryptophan or sublingual or timed-release melatonin with your clients? And address the other root causes of insomnia?

Feel free to post your questions too.

Kate Spade: suicide, hormonal imbalance, antidepressants as a trigger and the stigma of mental health

By Trudy Scott 34 Comments

Photo by Paul Keleher (originally posted to Flickr as kate spade) [CC BY 2.0], via Wikimedia Commons
Kate Spade, a well-known American fashion icon and handbag designer, died by suicide last week at the age of 55. I’m always torn in situations like this…just share the news story with my sympathies in order to respect the family or use this as an opportunity to learn from and prevent others from suffering the same fate. This time I’m doing the latter – with the risk of appearing insensitive – because there are red flags here and I feel so strongly that we all need to learn from this in order to move mental health forward. I’m hoping her husband and family would approve.

In the announcement about Kate Spade’s suicide in the New York Times, Mr. Spade said:

that though his wife had suffered from anxiety at points during their relationship and marriage, her serious bouts of depression only began about six years ago, at the age of 49.

Kate suffered from depression and anxiety for many years. She was actively seeking help and working closely with her doctors to treat her disease, one that takes far too many lives. We were in touch with her the night before and she sounded happy. There was no indication and no warning that she would do this. It was a complete shock. And it clearly wasn’t her. There were personal demons she was battling.

My heart goes out to Kate Spade’s husband, young daughter and loved ones. Her suicide is just so sad but as I said I have a fair bit to say about this….

 

Hormone imbalance triggering anxiety and depression?

According to the reports, Kate’s “serious bouts of depression only began about six years ago, at the age of 49, but she had suffered “from depression and anxiety for many years”.

Perimenopause and menopause is a classic time for women to experience worsening anxiety and depression and can be driven by fluctuating hormones, especially low estrogen. In this study, Depression and the menopause: why antidepressants are not enough? the authors share that

Postmenopausal depression is more severe, has a more insidious course, is more resistant to conventional antidepressants in comparison with premenopausal women and has better outcomes when antidepressants are combined with HT (hormone therapy).

Addressing hormone imbalance as one possible root cause can eliminate the anxiety and depression. Some of my favorite resources for hormone balance are these books: The Hormone Secret and Cooking for Hormone Balance.

 

Low levels of neurotransmitters like serotonin, catecholamines and GABA?

Directly connected to hormonal imbalance is brain chemistry imbalance. Addressing low levels of neurotransmitters like serotonin, the catecholamines and GABA provide results quickly when they are used in a targeted way based on individual needs:

  • Low serotonin is an issue when estrogen levels are declining and the amino acid tryptophan can have profound benefits if low serotonin is one of the root causes, leading to depression, worry, fear, overwhelm and sleep issues.
  • Low catecholamines can cause the “I just want to say in bed” depression and low motivation, together with fatigue and poor focus. The amino acid tyrosine can help to eliminate some of this and also provides thyroid support.  Poor thyroid health can also be a root cause of depression.
  • We see low GABA levels when progesterone is low and if this is one of the root causes, it can result in increased physical anxiety and insomnia. The amino acid GABA, opened on to the tongue, can provide calming results within minutes.

I can totally relate to the hormonal aspect as I suffered from PMS for years and my anxiety issues and panic attacks started in my late 30s and I had a really low spell as I was going through menopause.  Both GABA and tryptophan turned things around very quickly for me as they do for my clients.

 

The role of diet and nutritional psychiatry?

There is so much new science behind the role of a real foods traditional diet for alleviating both depression and anxiety. The SMILES study, published by Prof Felice Jacka early 2017, was the first randomized controlled diet depression study and ONE THIRD of the dietary intervention group saw improvements in their depression symptoms.  This was just diet alone and switching from processed and junk food to real food with no specific dietary restrictions.

There is also much clinical evidence supporting how diet can have an impact. Holly, suffered from with severe depression and anxiety changed her diet and shared this with me:

Over the course of a year and a half, I was given 10 different psychiatric diagnoses and cycled through 10 different medications. I discovered the healing power of diet completely by accident, and it changed my life. I now live with no diagnoses and no symptoms.

I started with the Whole30 (strict paleo), then went paleo, dabbled with a ketogenic approach, and now I eat a modified paleo diet, with some rice and goat dairy.

This has been termed nutritional psychiatry and you can read more diet-depression and diet-anxiety success stories here.

Keep in mind that your prescribing psychiatrist may not yet be on board with this or up to date on the newest research. Just last week someone told me what happened when they discussed nutritional psychiatry with their doctor and showed them my book The Antianxiety Food Solution (my Amazon link). He said: “Good luck with that!”

 

Could the antidepressant medication have triggered her suicide?

The statement from Kate’s husband says “She was actively seeking help for depression and anxiety over the last 5 years, seeing a doctor on a regular basis and taking medication for both depression and anxiety.”  Could the antidepressant medication have triggered her suicide or played some part?

We will never know with Kate but this is always my first thought when I learn of a suicide and when we hear of homicides in the news. One of my colleagues shared this when her suicide was first announced: “I was wondering if she was under psych care and what role meds might have played in this tragedy.”

This paper is one of many papers reporting similar antidepressant suicide and violence risks, and concludes that:

Antidepressants double the occurrence of events in adult healthy volunteers that can lead to suicide and violence

Kelly Brogan MD – Holistic Psychiatrist​ no longer prescribes psychiatric medications because we don’t know who will experience this side-effect. She writes this about a Swedish study and antidepressants and increased suicides

As antidepressant prescriptions increased 270% over 15 years, suicide rates also increased. Strikingly, more than half of the young women who committed suicide (52%) were prescribed antidepressants within a year of committing suicide. And antidepressants were detected in 41% of the women who committed suicide, showing that they were under the influence of antidepressants at the time of death. 

 

What if you are taking an antidepressant and seeing benefits?

When I posted some of this on Facebook earlier in the week someone who is on an antidepressant and benefiting shared her frustration that we are blaming suicide on medications.

There are many who do benefit but there are two issues I have:

  1. Even if someone is doing well on an antidepressant, benzodiazepine or other psychiatric medication I feel we need informed consent about the side-effects and training for the individual and family on what to look out for as things can change. The can occur when meds are changed, doses are increased or decreased, new meds are added, one or more are stopped abruptly or too quickly (called discontinuation syndrome). Many doctors also need to be educated and to acknowledge that suicide and homicide are very real side-effects of these meds.
  2. We don’t know who will be adversely impacted, which is why consent/knowledge about this is so important.

When we rent ski equipment or go bungee jumping we sign an informed consent form, acknowledging the possible risks of death. Why is this not happening with these medications? I just want individuals to be going into this with eyes wide-open so they don’t say “why didn’t anyone tell us this?”

If someone is currently seeing benefits from antidepressants (or benzodiazepines) I make sure they know ALL the risks and encourage them to continue to look for root the causes and address these (never stopping medications abruptly and never without the prescribing doctor’s permission).

There are many possible biological or biomedical or metabolic causes of depression and anxiety and many of these can play a factor in suicide.  Here is a list of just some of them:

My concern is that none of these – the medications or poor diet and nutritional deficiencies – are ever discussed when someone does commit suicide or goes on a violent or homicidal rampage.

 

The stigma of mental health and the fear of seeking help

There are reports that “Kate Spade felt unable to seek help or discuss her mental health because she feared this might damage the brand she created.”  This is a huge issue and if it was true for her or if anyone with a mental health condition feels like this, this has to change!

As Dr. Mark Hyman MD​ said this when I interviewed him last year before the launch of his Broken Brain docu-series

I began to realize that the body was driving a lot of this brain dysfunction, and that if you fix the body, a lot of the brain disorders would get better, that it wasn’t a primarily a mental problem, but it was a physical problem.

Our interview and full transcript is here and we cover the gamut in 12 minutes: the gut and microbiome, nutritional deficiencies, food sensitivities, heavy metals, other environmental toxins and medications.

We don’t hide the fact that we have a broken leg so why do we have to hide it when we have a broken brain? If we can start to acknowledge that mental health issues so often have this physical aspect (and often it’s 100% physical) then hopefully we can end this crazy stigma.

And even if there is also trauma or lifestyle factors that make someone depressed or anxious – so be it. Stop the stigma and shame. Why do we have to put on a brave face and pretend all is well. It has to stop so people can ask for help.

Last but not least, I feel we need to offer practical nutritional psychiatry resources to the family who have been traumatized by the loss of a loved one to suicide.  We know the amino acids and B vitamins help individuals recover from psychological stress after a natural disaster and these same nutrients can help the family in the midst of their sorrow.

I am aware it’s a very delicate subject and I’m sure this will rub some people the wrong way but I believe we all need to be talking about this and not tip-toeing around it.

I really feel this all needed to be said today. I hope this helps you or a loved one.

Rest in peace Kate Spade.

Candida: symptoms, nutrient malabsorption, worsening psychiatric symptoms and the serotonin connection

By Trudy Scott 17 Comments

Candida is commonly present in the gastrointestinal tract with no ill effects, but when it becomes invasive it can cause a host of issues. And, of course, yeast infections can occur in various parts of the body.

Candida overgrowth is usually triggered by antibiotic use, birth control pills, steroid medications, and sugar consumption. Many in the conventional medical community don’t see it as a problem that requires treatment, and even fewer see it as contributing to mood issues, but as part of a holistic plan to alleviate anxiety, it must be addressed. I’ve seen many clients with mood problems and intense sugar cravings take that next step in improvement when their dysbiosis and candida overgrowth is resolved.

  • Anxiety, agitation, panic attacks, depression, and mood swings are common psychological symptoms of candida overgrowth.
  • Leo Galland reports impaired fatty acid metabolism and low levels of zinc and vitamin B6 in his patients with candida overgrowth – nutrients that are vital for mental health and have a bearing on anxiety.

These are the symptoms that can give us a clue that candida overgrowth may be an issue:

  • Anxiety, depression and mood swings
  • Nail or skin fungus, athlete’s foot, or vaginal yeast infection
  • Chronic sinus or ear infections
  • Sore muscles and joints
  • Food sensitivities
  • Feeling chronically fatigued
  • Poor memory and brain fog
  • Constipation or diarrhea
  • Frequent bloating and gas
  • Environmental sensitivities
  • Feeling worse on damp or humid days
  • Insomnia
  • Low blood sugar
  • PMS
  • Endometriosis
  • Ringing in the ears
  • Headaches
  • Sensitivities to strong chemical smells
  • Cravings for bread, cookies, sugar, other carbohydrates, or alcohol

Professor Rucklidge, has published a number of studies in New Zealand, looking at micronutrients to treat psychiatric disorders including attention-deficit/hyperactivity disorder (ADHD), mood disorders, stress, and anxiety. Many individuals saw positive results unless candida was an issue.

Research from one her papers, published in 2013, reports that infections like candida can contribute to poor gut health and inflammation. This leads nutrient absorption issues and thereby deterioration in psychiatric symptoms. Here is an excerpt from the paper – Could yeast infections impair recovery from mental illness? A case study using micronutrients and olive leaf extract for the treatment of ADHD and depression:

As part of a wider investigation into the impact of micronutrients on psychiatric symptoms, many participants who experienced a yeast infection during their treatment showed a diminished response to the micronutrients.

One case was followed systematically over a period of 3 years with documentation of deterioration in psychiatric symptoms (ADHD and mood) when infected with candida and then symptom improvement following successful treatment of the infection with olive leaf extract and probiotics.

I discuss candida symptoms and this study in my interview on The Candida Summit.

Evan Brand, the summit host, also suffered (and healed!) from candida, parasite infections and bacterial overgrowth. In his health practice, upwards of 95% of his clients have some degree of candida overgrowth – time and time again, he sees debilitating and mysterious symptoms disappear once candida overgrowth is addressed.

Evan and I actually met last summer and we talked about him doing a candida summit. I was thrilled when he invited me to speak on the summit because I see candida overgrowth in so many of any clients with anxiety.

That’s Evan in the blue shirt – we had just enjoyed a delicious healthy grain-free lunch with a group of colleagues all working in the area of mental health and stress reduction

I did the usual digging into the research. I do this before speaking on a summit because I like to share new information each time I speak and I always learn something!

I was so excited to find a connection between serotonin and candida and also share this in our interview. In a paper published in 2003: Antifungal properties of 5-hydroxytryptamine (serotonin) against Candida species in vitro, looking at clinical isolates of Candida albicans, Candida glabrata, Candida tropicalis and Candida parapsilosis, it was found that short exposure to serotonin resulted in antifungal activity. The authors conclude with this:

Identifying the mode of action [of serotonin] could be of great help in developing and researching new antifungal drugs.

Of course, my solution is to provide serotonin support via diet, exercise and the use of the targeted individual amino acid tryptophan or 5-HTP. I discuss how I use the amino acids in our interview too and how these (tryptophan/5-HTP as well as GABA, DPA, tyrosine and glutamine) can actually help with so much of the sugar craving we see in candida, PLUS how I use this approach to gauge when candida is really serious.

Other speakers and topics I’m looking forward to hearing:

  • Ben Lynch: How genetics change your desire for certain foods; mood issues, autism and candida overgrowth
  • Dr Christine Schaffner: EMFs; your glymphatic system; serotonin and melatonin
  • Evan Brand: his candida and parasite protocols; the adrenals; avoiding a herxheimer reaction
  • Dietrich Klinghardt: EMFs and 5G; retroviruses in chronic health conditions
  • Dr Elisa Song: candida in kids; PANS/PANDAS and other neuropsychiatric issues (I recently heard her present on PANS/PANDAS in Melbourne and it was excellent!)

Do share if you’ve overcome candida and how your symptoms improved. If you have questions post them in the comments below.