tryptophan

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

July 20, 2018 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 3^rd 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

July 8, 2018 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)

July 6, 2018 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.

Little evidence for SSRI use in anxiety and compulsions in ASD: my interview on Nourishing Hope for Autism Summit

July 2, 2018 By Trudy Scott 2 Comments

One of the reasons I’m so passionate about participating on summits like The Nourishing Hope for Autism Summit and sharing the powerful nutritional interventions is due to the fact that medications such as antidepressants and benzodiazepines are frequently prescribed in ASD – and the research and clinical evidence shows that children and adolescents with ASD (autism spectrum disorder) are more vulnerable to the side effects.

This paper, Psychopharmacological interventions in autism spectrum disorder, makes the following conclusion:

Psychopharmacological treatment of core and associated symptoms in ASD is challenging, in large part because ASD presents in many different ways. Furthermore, children and adolescents with ASD are more vulnerable to the side effects of psychopharmacological intervention than their age-matched, typically developing counterparts.

This paper, Pharmacotherapy of emotional and behavioral symptoms associated with autism spectrum disorder in children and adolescents, supports this, stating there is little evidence to support the use of SSRIs in ASD:

Selective serotonin reuptake inhibitors are often used in clinical practice to target anxiety and compulsions; however, there is little evidence to support its use in this population. There is a great need for further research on the safety and efficacy of existing psychotropic medications in youth with ASD.

And this paper published a few months ago, An update on pharmacotherapy of autism spectrum disorder in children and adolescents, concludes that

Overall, the evidence is limited for pharmacotherapy in children with ASD, and side-effects with long-term use can be burdensome.

Much of this also applies to adults with ASD and in my interview I talk about the psychiatric medicine concerns within the ASD community and the high incidence of anxiety, aggression, irritability and OCD in this population.

We also discuss the following nutritional solutions in my interview (appropriately titled: How to calm anxiety, and eliminate aggression and OCD) –

the role low serotonin plays in anxiety, aggression and OCD/obsessions and the use of tryptophan and when to avoid 5-HTP
the low GABA type of physical anxiety and how to effectively use GABA for results
how to use inositol for OCD and some wonderful success stories
lead toxicity and increased anxiety and the protective role of tryptophan and ascorbic acid
phenols and oxalates other special diets (and my story with oxalate issues)

Our interviews are always fun, science based and practical – and in this one we even shared some of our personal results (both good and bad) with some of these nutrients.

Here are just a few of the speakers and topics I’m really looking forward to hearing:

James Adams, PhD: The Scientific Evidence Linking Nutrition and Autism Improvement
Dietrich Klinghardt: Understanding Lyme, Infections, Mold, and Heavy Metals and the Effects on Autism
Chef Pete Evans: Food is Medicine, Inspiration from a chef
Kaalya Daniel, PhD: How You Can Use the Healing Properties of Camel’s Milk for Autism
Dominic D’Agostino, PhD: Is the Ketogenic Diet Right for an Autistic Child?
Susan Owens, MS: The Inflammasome, Oxalates, Autoimmunity and Autism
And of course, Julie Matthews, CNC: When GFCF Diets Don’t Work – BioIndividual Nutrition for Autism

This summit provides you with information and tools that address the root causes so medications such as the above do not even have to come into the picture!

The Nourishing Hope for Autism Summit runs July 30 to August 3 and is hosted by my dear friend and colleague Julie Matthews, whose work you’re probably very familiar with. In case Julie’s work is new to you, in my eyes, she is THE autism nutrition expert. I’ve had the pleasure of interviewing her a number of times on the Anxiety Summit, I endorse her Bioindividual Nutrition training (special diets) for practitioners, I highly respect the work she does and I adore her!

The focus of this summit is clearly autism and Julie is THE expert so you’ll learn a ton from the experts she has gathered.

But do keep in mind that those with autism or Asperger’s are often considered the canaries in the coalmine and even if you don’t have a loved one with ASD many of the interviews have wider applications for anxiety, ADHD and other developmental and learning disorders.

Dark chocolate reduces stress and inflammation, improves memory, immunity and mood – but are you addicted?

June 22, 2018 By Trudy Scott 21 Comments

dark chocolate addiction

A press release from Loma Linda University reports that two new studies show dark chocolate consumption reduces stress and inflammation, while improving memory, immunity and mood. These are wonderful results from human trials and if you’re like most of us I’m sure this subject brings great delight! However (and sorry to be the party-pooper here), there are a number reasons why you may want to hold back on the excitement: if you’re addicted to chocolate and/or sugar this is a big red flag, and if dietary oxalates and caffeine are issues for you then this news won’t be good. But there may be ways you can get some of the benefits without the harmful effects (more on that below).

These papers were presented as posters at the Experimental Biology 2018 annual meeting in San Diego, and the press release reports that

dark chocolate with a high concentration of cacao (minimally 70% cacao, 30% organic cane sugar) has positive effects on stress levels, inflammation, mood, memory and immunity. While it is well known that cacao is a major source of flavonoids, this is the first time the effect has been studied in human subjects to determine how it can support cognitive, endocrine and cardiovascular health.

Lee S. Berk, a researcher in psychoneuroimmunology and food science from Loma Linda University, School of Allied Health Professions, served as principal investigator on both studies and stated the following:

For years, we have looked at the influence of dark chocolate on neurological functions from the standpoint of sugar content – the more sugar, the happier we are. This is the first time that we have looked at the impact of large amounts of cacao in doses as small as a regular-sized chocolate bar in humans over short or long periods of time, and are encouraged by the findings. These studies show us that the higher the concentration of cacao, the more positive the impact on cognition, memory, mood, immunity and other beneficial effects [such as enhanced neuroplasticity].

The flavonoids found in cacao are extremely potent antioxidants and anti-inflammatory agents, with known mechanisms beneficial for brain and cardiovascular health.

In these 2 small studies (which have yet to be published in a peer-review journal) the consumption of 48g of 70% dark organic chocolate offered many of these health benefits in as quickly as 30 mins (in one the study) and when consumed every day for a week (in the other study).

In case you’re wondering how much this means in practical terms: 48 g is just over an ounce and a half, or 2 tablespoons. So think about 2 squares of 70% dark chocolate.

But are you addicted to chocolate? And do you binge?

I know I sounded like a real party pooper in the introduction but if your eyes lit up or you even got a little teary-eyed or felt a really warm “I so deserve this treat” glow or you felt realy joy at the thought of indulging (or maybe all of the above emotions) when you read the subject line then these may be red flag for you. But despair not as there are ways to help you not overdo it and binge on a week’s supply of dark chocolate in one sitting. If you relate to the binge comment you know exactly what I mean and have felt that deep regret and shame afterwards.

Lorraine shares this about her chocolate addiction:

the minute I start eating it – I am like a heroin addict. I can’t stop. I end up bingeing for a few weeks as it’s all I can think about. It’s the weirdest thing – so I mainly abstain from it and have a slip, binge, anxiety relapse about once a year until I am able to buckle down and fight the cravings knowing the anxiety is not worth the euphoria.

For some people the anxiety that is caused by chocolate is too severe (more on that below) but if Lorraine’s anxiety and bingeing are related there may be a solution for her and if yes, it would be the GABA solution below.

The brain chemistry balancing solution for bingeing

Cravings for chocolate can often be due to brain chemical imbalances and when these are addressed no willpower is required and there are no feelings of being deprived. Here is a simple way to help you figure it out:

if you have to eat chocolate when you haven’t eaten in awhile it’s likely low blood sugar and glutamine on the tongue stops the desire on the spot
if you stress-eat your chocolate cravings are likely due to low GABA, and GABA will stop the stress-eating and calm you down
if you eat chocolate to feel happy (and especially from late afternoon onwards) then your cravings are likely due to low serotonin, and tryptophan stops the cravings and boosts mood and reduces anxiety
if you eat chocolate for an energy boost then it’s likely due to low catecholamines and tyrosine will stop those cravings and give you a mood and energy boost
if you are a comfort-eater then it’s likely due to low endorphins and DPA will stop that “I deserve-it-reward-eating” and also give you a hug-like mood boost

I write more about this in the glutamine cravings blog and you can find all the individual amino acids listed on my supplements blog here with details on how to purchase them from my distributor.

Once you have this figured out this brain balancing there is no bingeing, you can eat a small portion and feel very satisfied and will actually address some mood and anxiety issues at the same time!

Dark chocolate is a no-no if dietary oxalates are an issue for you

If dietary oxalates cause you issues like anxiety, insomnia, vulvar pain, urinary issues, or other pain (for me they cause dreadful foot pain – like shards of glass combined with hot coals)

When considering high oxalate foods, 41mg and above is considered an exceptionally high oxalate food. In one study, the total oxalate contents of 34 samples of dark chocolate collected from 13 different countries ranged from 155 to 485 mg/100 g which equates to around 77 to 240mg for 48g. So dark chocolate does need to be avoided and I would not even consider eating some even with calcium citrate or magnesium citrate.

In a related study published last year by lead author Professor Lee Birk, Is Chocolate Beneficial for Brain Health? the 20 subjects were subjected to a sequence of cacao sensory awareness tasks ranging from:

recall of past experiences
imagine eating chocolate right now
visualization/looking at real chocolate
olfaction [or sense of smell]
taste but not swallow
and finally chocolate consumption (70% cocoa bar) to satiation

And for many the above provided benefits for them. For me a good long deep sniff of dark chocolate feels quite satisfying, as strange as it may sound.

I do sometimes miss the texture of melted chocolate but solid coconut butter satisfies that need. Believe it or not, but so does pemmican, a savory snack that is made with beef fat and beef jerky, honey/cherries and sea salt. Check out pemmican from US Wellness Meats here (my affiliate link).

Avoid it if the caffeine causes anxiety, insomnia, heart palpitations and/or migraines

For many of my clients the caffeine in dark chocolate can cause anxiety, insomnia, heart palpitations and/or migraines. Some of these “twitchy” effects may also be due to the theobromine, a chemical compound, which roughly translates to “food of the gods” and is also what makes chocolate deadly for dogs.

I have to admit that chocolate would be my “drug” of choice before cakes, cookies or sweets. Putting aside the oxalate issues, it also affects my sleep and creates mild anxiety/sort of edginess with mild heart palpitations with restless sleep. This is how I remember a coffee buzz feeling. But worse than this is the migraine I get a day or 2 days later. It is wicked pain above my left eye that leaves me horizontal for a day. So, no chocolate for me unfortunately, other than enjoying the aroma of it.

Carob as a delicious alternative

Carob is a delicious alternative to dark chocolate as it doesn’t contain caffeine and is lower in oxalates. It has a definite chocolate-like flavor.

A 2002 study found that carob may actually have calming effects. It is also antioxidant rich, contains the polyphenol gallic acid which has been shown to help metabolic syndrome, has chemoprotective properties and helps with digestion.

Check out my Carob Cinnamon Delight al la Trudy hot beverage recipe and this recipe for Carob Coconut Avocado bites (leave out the sesame seeds and add extra coconut flakes if oxalates are an issue).

Organic and Fair Trade of course

If you can get to enjoy dark chocolate be sure to consume only organic as cocoa plants are heavily sprayed, Other than the concerns with the actual pesticides and insecticides, there is cause for concern about raised copper levels because of copper-based pesticides.

Fair Trade is a global movement made up of a diverse network of producers, companies, shoppers, advocates, and organizations putting people and planet first

I know I’m going to get questions on what brands I recommend that are organic, Fair Trade and gluten-free so here goes – Vital Choice is my pick right now.

Vital Choice has quality dark chocolate that is both organic and Fair Trade. It is labeled gluten-free but they state it is “Manufactured on shared equipment with products containing wheat, milk, peanuts, and tree nuts.” I have not had any reports of anyone having a gluten issue with it but please use your own discretion. Here is the link to check them out and make a purchase (it is my affiliate link). Simply search for dark chocolate.

Feel free to share how you do with dark chocolate and how it makes you feel when you consume it and be sure to post any questions you may have.

And if you know of brands that are organic, Fair Trade and gluten-free please do share them.

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

June 6, 2018 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.