tryptophan

Mom switches her teen son from 5-HTP to tryptophan. In 3 days he has less anxiety, fears and ruminating thoughts, laughs more and sleeps better.

February 16, 2024 By Trudy Scott 40 Comments

My son has autism and OCD. I took him off fluvoxamine in May and used cbd and some other things and he was doing fine up until this past winter. He began having irrational fears and ruminating thoughts/fears that would not stop! I started 5-HTP, theanine, B12, probiotics with him for the last month and did not see any improvement. I was ready to go back to the medication when I came across your blog and information.

I assumed 5-HTP would be better for OCD, but after reading your comments you mentioned that you just switch to tryptophan if the 5-HTP is not working. I had tryptophan at home already. That night I emptied half a capsule into a little stevia flavored water and had him hold it in his mouth for a minute.

He was a different kid after that!!!! This is just the 3rd day but even his teachers are telling me he is doing really well and is less anxious at school. I am so thankful! I am now giving him 500mg in the morning and early evening.

I bought some inositol and plan to try adding that in the afternoons to see if that will help as well. I believe that he has PANDAS. He is a hand washer, and spits a lot, and has lots of other quirks that I would love to see decrease.

I have hope again! I am buying your book so that I can get a good plan going for him. If you have any other suggestions for him please let me know!!

This wonderful feedback was posted in the comments of one of the tryptophan blogs. I’m so thrilled for this mom and young man (he’s almost 20). I thanked her for sharing all this on the blog and offered to share additional generic feedback via a new blog post. I also asked for additional feedback on exactly how the tryptophan helped (more on that below).

Read on to learn how tryptophan helped with his ruminating thoughts, fears, crying and improved his sleep. And my insights about the ideal timing of tryptophan, finding the optimal dose and why it may work when 5-HTP doesn’t. I also share some insights about inositol and OCD (obsessive compulsive disorder).

Low serotonin symptoms and the questions I had about his symptoms

I do hope he continues to see these benefits. Seeing such amazing results in 3 days is always what we’re looking for and it’s not unexpected to get such profound results so quickly!

I had some additional questions so I could share some general feedback as to how I work in situations like this. I wanted to know his age and if the switch to tryptophan helped any of his OCD symptoms and if yes how many notches improvement?

And which of the classic low serotonin symptoms the tryptophan helped and by how much: anxiety? irrational fears? and ruminating thoughts/fears? anything else? (all the low serotonin symptoms here)

Knowing this helps me know if I’m on track with a client i.e. the tryptophan is helping with low serotonin symptoms. And it also helps me decide we should consider increasing the dose and possibly adjust the number of times to use tryptophan. I share more about this below.

Tryptophan helps reduce his ruminating thoughts, fear and anxiety. And he’s laughing more and sleeps better

She shared some specific examples as to how much the tryptophan helps reduce his ruminating thoughts, fear and anxiety. And he’s laughing more and it helps him sleep:

He would often call me or text me throughout the day with questions about his health, and he would come to me 10-15 times in the afternoons/evenings, for about 3 weeks or so, and ask me the same questions about a rare disease that he believed he had.

He would cry and shake with fear and anxiety at some point and I would need to reassure him over and over again that he did not have this disease, and that it was literally impossible for him to have it.

After starting the tryptophan supplements 2x500mg morning/early evening he did not come to me at all and seemed content the 1st day.

Yesterday, he didn’t get the 2nd tryptophan until 5pm so he did come to me with 1 question/concern. I reassured him and he seemed fine especially after his supplement. Then 1 more question later that night but he accepted my reassurance both times and let it go.

So that was a big difference compared to the last 4 weeks. He was also laughing at some cartoon he was watching which I had not seen him do for a month either. Anxiety is less. He is sleeping better too. So far he still seems to believe the irrational things.

Tryptophan is clearly helping so many of his symptoms but we have more opportunities for further gains with tryptophan.

Tryptophan for low serotonin: dosing and timing

As I share in my book and other blog posts, typically 500 mg tryptophan twice a day is a good starting dose, used away from protein mid-afternoon and evening. It’s used like this because serotonin starts to decline in the afternoon. We increase based on individual needs to find the ideal dose. We may also add tryptophan or 5-HTP earlier in the day.

In a situation like this, if we were working together, I’d consider the following:

Adding a mid-afternoon dose of tryptophan
A switch to just afternoon and evening dosing (unless the morning dose was used for a specific reason i.e. morning symptoms)
Adding a second dose of tryptophan each time (he is using Nature Stacks Serotonin Brain Food and I’d recommend Lidtke 500 mg tryptophan for the second dose each time because it contains only tryptophan)

With changes we do one thing at a time and track symptom improvements carefully.

Tryptophan vs 5-HTP?

I commend her for figuring out the switch from 5-HTP to tryptophan.

It’s a well known fact that some folks just do better on one vs the other and if 5-HTP isn’t working I’ll have clients switch to tryptophan and vice versa. I typically start with tryptophan because it seems to be better tolerated. The biggest issue that I see with 5-HTP is that it’s often not tolerated if you have high cortisol. It can also cause nightmares for some folks.

Precaution about serotonin syndrome with tryptophan/5-HTP

There are precautions when using certain amino acids and I always review them with all my clients. If they have been prescribed an SSRI, I have them discuss the use of tryptophan/5-HTP with their prescribing doctor so they can be monitored for serotonin syndrome. With careful monitoring and doctor approval I feel comfortable having my clients use tryptophan/5-HTP 6 hours away from their one and only SSRI.

If they are using more than one SSRI and/or a combination of psychiatric medications, the use of tryptophan/5-HTP is not advised.

None of the above applied in this situation but it’s important to be aware of.

Inositol and OCD: when to consider adding it?

OCD or even mildly obsessive behaviors or thoughts can be a sign of low serotonin. I will do a trial of tryptophan as above and for some folks it’s often enough. Sometimes tryptophan at least helps to some degree and when it’s not enough, adding inositol (a B vitamin) takes it to the next level.

For many folks 500 -1000 mg capsules are typically recommended but this is a really low dose for OCD. The powdered form is really effective because you can increase as needed. You can actually go as high as 18g. I start low, with 1-2g in kids and adults, and keep going up by 2g a week until the obsessive symptoms disappear. More on inositol and OCD here.

GABA, dopamine and endorphin support too

She mentions that her son “seems to be low serotonin, low GABA (1st 1/2 of the list), low endorphins and low catecholamines” so other amino acids are likely to be of benefit too.

As always we used the neurotransmitter symptoms questionnaire and do trials of each amino acid: GABA for low GABA symptoms, DPA for low endorphins and tyrosine for low dopamine. These trials of each one are done one at a time with careful tracking to find the ideal dose before layering in the next amino acid.

Using the amino acids so it’s easy to reduce sugar and go gluten-free

I also asked what dietary changes he has already made and she responded: “We are in the process of reducing sugar and going back to gluten-free as much as possible but this will be hardest to stick to. Have done a keto-like and gluten-free-casein-free diet on and off since he was 4 years old.”

This is a great start and using the amino acids help reduce cravings and make it easy to reduce sugar and go gluten-free.

There is a sugar cravings aspect to all the neurotransmitter imbalances. The type of craving can be found on the above symptoms questionnaire. It’s not uncommon to need support in more than one area:

Low serotonin – tryptophan or 5-HTP for afternoon/evening cravings
Low endorphins – DPA for comfort/reward eating
Low catecholamines – tyrosine for low energy sugar cravings
Low GABA – GABA for stress eating

I’m glad she is getting a copy of my book The Antianxiety Food Solution. It has all the foundational dietary information, sections on cravings and a chapter on the amino acids.

It also has a chapter on pyroluria, which is very common in autism and something I help most of my clients address. Here is the pyroluria questionnaire.

Tryptophan and inositol product options

Products I recommend include Lidtke 500 mg Tryptophan and Designs for Health Inositol Powder. You can purchase these from my online store (Fullscript – only available to US customers – use this link to set up an account).

If you’re not in the US, Doctor’s Best L-Tryptophan 500mg and Now Inositol Powder are products I recommend on iherb (use this link to save 5%).

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

We use the symptoms questionnaire to figure out if low serotonin or other neurotransmitter imbalances 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 (this is covered in an entire chapter too), sugar cravings, anxiety and mood issues. The importance of quality animal protein and healthy fats is also covered.

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), if you need serotonin support, the Serotonin QuickStart Program is a good place to start. 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 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

Have you had success with tryptophan for anxiety, fears, crying and ruminations? And has it also helped with sleep, how happy you feel and reduced cravings? Has it also helped with OCD?

Did you first trial 5-HTP and then found tryptophan worked better or vice versa?

If yes, what dose and when do you use it?

What about using inositol to further reduce OCD? And what dose helped?

If you’re a practitioner do you use tryptophan and/or inositol with clients/patients with these low serotonin symptoms?

And please let me know if it’s helpful that I’m now including product recommendations and where to get them?

Feel free to share and ask your questions below.

How to use bright light therapy for increased anxiety, increased panic and SAD during the cold dark winter months

January 19, 2024 By Trudy Scott 2 Comments

There is a seasonality to anxiety and panic disorder just as there are seasonal variations in mood for certain susceptible individuals:

Following a clinical observation of increased anxiety symptoms and mood changes during winter in panic disorder patients, the Seasonal Pattern Assessment Questionnaire (SPAQ) was completed by 133 patients. Global Seasonality Scores (GSS), and the prevalence of Seasonal Affective Disorder (SAD), were significantly higher than reported in general population studies.

Seasonal changes were also found in anxiety and panic attacks.

These findings suggest the possibility of a common aetiology [etiology or cause] for panic disorder and SAD, that seasonality may be a far more general phenomenon in psychopathology, and that light therapy may be a useful treatment for some panic disorder patients.

The above abstract is from this paper: Seasonality in panic disorder

If you’re new to bright light therapy or are currently using it with success and would like to learn more, I’d like to point you to this excellent review paper, Bright Light as a Personalized Precision Treatment of Mood Disorders. The authors of the above paper cover some of the basics like how to use bright light for SAD (seasonal affective disorder) or the winter blues, and for how long, possible adverse effects and who should not use bright light therapy (this last aspect is theoretical).

This information about bright light and mood disorders can be applied to anxiety and panic attacks, in addition to SAD.

As you’ll read below there are also often benefits for non seasonal depression, bipolar disorder, fatigue, sleep issues, emotional eating and other conditions too. And bright light therapy can be used in conjunction with the amino acids tryptophan or 5-HTP, and is often used with psychiatric medications too.

How to use bright light for SAD and winter anxiety/panic and for how long?

You sit in front of the light box or full spectrum lamp – on a table or your desk – with open eyes. Using a standing lamp as a source of light is another option.

The authors of the Bright Light paper share the following approach for SAD (seasonal affective disorder or the winter blues), all of which is applicable for increased anxiety and panic attacks in winter too):

Start with a “duration of 30 minutes, using a light intensity of 10,000 lux.” (more on lux comparisons below)
“Early morning administration offers greater chances for remission” (although there is documented research and clinical results that for some folks later in the day works well too).
“Measured at eye level, a therapeutic distance of 60–80 cm from the light box can be seen as standard requirements (some other devices recommend a distance of 30 cm, so we advise to follow the device recommendations that take into account light parameters and distance).” Most of the lights/devices I recommend state a distance of 30 cm so it’s best to follow the manufacturer’s guidelines.
“Lower intensities also appear to be effective, but need longer exposure durations: 2,500 Lux for 2 hours per day or 5,000 Lux for 1 hour a day.” This means sitting further away may allow you to sit in front of the lamp/device for longer duration and get the same benefits.
“Significant effects appear only at 2–3 weeks of treatment.” Based on my clinical results, I have clients start to feel some improvements right away with the correct distance and a good lamp.
“Treatment is usually continued until the time of usual spontaneous remission in the spring or summer” (and is ideally started as fall/autumn starts to approach rather than in the middle of winter).

I’m also adding this missing and yet important fact from another paper: “The light box is angled ~30° from the line of gaze. The user does not stare directly into the light.”

They also discuss guidelines for year round use of bright light therapy for non-seasonal unipolar depression, another term for major depressive disorder. And midday or morning use for bipolar depression (when on mood stabilizers). I share more about this in my blog: Midday bright light therapy for bipolar depression. I refer you to the study for this information so it can be discussed with your doctor.

Bright light therapy for insomnia and decreased alertness/fatigue

The Bright Light paper also mentions how light therapy “may also be useful to improve sleep quality” … and … “abnormalities in circadian rhythms such as sleep phase delay syndrome, that are frequently associated in mood disorders.”

The authors also mention how light therapy can also help “decreased alertness”, presumably as a result of poor sleep.

Clinically, I see these benefits for clients in similar ways that tryptophan or 5-HTP help with sleep issues. This is related to the serotonin boosting mechanism of bright light therapy. Keep in mind anxiety and panic are symptoms of low serotonin.

What are some possible adverse effects of bright light therapy?

The authors state that bright light therapy “is well-tolerated by patients; adverse effects such as headache, eyestrain, nausea and agitation, are usually transient and mild.” Clinically, I have seldom seen clients experience headache, eyestrain and nausea.

However, I have seen agitation and other low serotonin symptoms get worse – like feeling more sad or more worried or more angry or more irritated or more sleep issues (or all of the above). Too much bright light therapy can ramp up low serotonin symptoms in a similar way that too much tryptophan or 5-HTP can. In other words, it can be overdone and more is not necessarily better. You have to find a balance and figure out what works best for your needs.

I also have clients who are prescribed antidepressants discuss light therapy with their prescribing doctor as I suspect there is the possibility of serotonin syndrome. I don’t see any reports of this in the research and a number of reports of bright light therapy being used successfully in conjunction with antidepressants.

Who should not use bright light therapy?

The authors share these contraindications: “ophthalmic disorders (cataract, macular degeneration, glaucoma, retinitis pigmentosa) and disorders affecting the retina (retinopathy, diabetes, herpes, etc.).” They recommend getting an eye examination if you are in doubt.

Other papers state that the above is theoretical and there are no documented cases of eye damage from bright light therapy. But if you suspect you may be at high risk, get the approval from your ophthalmologist and ongoing monitoring too.

Recommended lights, lamps and panels: always 10,000 lux

This blog post, Winter blues or SAD: light therapy has been updated (as of Jan 2024) with new links for recommended lights/lamps/panels, all 10,000 lux. You can also read feedback from folks who use and find the benefits of full spectrum light or bright light therapy. For example, Chrstine shared this:

My office is the darkest room in the house and I have one sitting on my desk, especially helpful in the winter. This is the second Verilux Happy Light I have used and I really like it. Living in Nevada where there is sunshine over 330 days of the year I am so accustomed to light and brightness that if I am in a dark room or space for too long it really affects me. This has been a great product for me and I can recommend it.

If you’re curious about lux, it is a unit of illumination and this paper, Light Therapy in Mood Disorders: A Brief History with Physiological Insights, includes this very useful lux comparison image:

light therapy and mood disorders — The above is shared under the Creative Commons Attribution License and can be found here .

The combination of using bright light therapy with amino acids such as tryptophan and 5-HTP

I often recommend the use of light therapy in conjunction with amino acids such as tryptophan and 5-HTP. This offers additional serotonin support and helps ease worry-type anxiety, panic attacks, low mood, insomnia, cravings and more. I discuss this combination approach in the winter blues blog.

When someone is already using amino acids with some success, we may just add light therapy and keep amino acid dosing the same or we may use higher doses of amino acids like tryptophan, 5-HTP and GABA during the winter months. We may also use both depending on the person’s unique needs.

I had one client who did really well with tryptophan: his anxiety decreased dramatically but then ramped up before winter. Increasing tryptophan was too much for him so we kept the original tryptophan dose and he started bright light therapy. This worked very well for him until the end of spring when he was able to stop the light therapy.

I also share links to increased OCD (obsessive compulsive disorder), intrusive thoughts, PMDD (premenstrual dysphoric disorder), PMS (premenstrual syndrome), binge eating/emotional eating and drinking/alcoholism in the winter months – and the role of light therapy and amino acids.

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

We use the symptoms questionnaire to figure out if low serotonin or other neurotransmitter imbalances may be an issue for you.

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 importance of quality animal protein is also covered.

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 too). This is a paid online/virtual group program where you get my guidance and community support.

Do you experience increased anxiety, panic attacks and/or the winter blues in the winter months? Have you had success with bright light therapy?

If yes, which full spectrum lamp have you found to be the most useful? What time of the day do you use it, how often do you use it and for what duration?

Have you used a combination of amino acids and light therapy, and adjusted up your amino acids during the colder and darker winter months?

If you’re a practitioner do you recommend light therapy to your clients/patients?

Feel free to share and ask your questions below.

Tryptophan 500 mg daily for a month: helps reduce negative thoughts, that scary wave of fear, panic attacks and anxiety

December 22, 2023 By Trudy Scott 32 Comments

Sylvie learned about my work after hearing me speak about nutritional solutions for anxiety on a summit. I discussed the use of tryptophan for low serotonin type of anxiety and panic attacks. She shared how much just 500 mg of tryptophan helps her and asks about using pharmaGABA too. In this blog I share my insights on next steps for someone in her shoes: using more tryptophan and/or more GABA and/or another GABA product. I also suggest that she reconsiders her vegetarian diet which can definitely play a role in low serotonin and some of the other neurotransmitters. Here is her wonderful feedback about tryptophan and her question in her own words:

I’ve been dealing with anxiety and panic attacks for a while. I am a vegetarian and really have no apparent reason why to have these two ghosts (anxiety and panic attacks) stealing the show in my present life. I don’t have anything causing intense stress or trauma and I take good care of myself. I went to see a Ph.D. in Psychotherapy and she couldn’t help me much, then I heard you talking about Tryptophan.

I got it the next day and I have been taking 1 x 500 mg at night daily, for about a month now. I have had almost no negative thoughts and that scary wave of fear in my body. Ok, maybe a couple of times, but really, very minimum. I was having a panic attack about once a week, ever since I took Lidtke Tryptophan so far I think I wanted to have a couple of them in the whole month, but they came very mildly and they disappeared.

May I take advantage and ask a question? When I felt I was going to have a panic attack I tried a 100mg of Pharmagaba that I found at Whole Foods, but I don’t think it did much for me. I know you recommend the GABA Calm, but I’ve suffered from migraines in the past, and I am afraid that the tyrosine will trigger one (one of my triggers for panic/anxiety are migraines), so what other brand/amount could I take that does not have tyrosine?

I don’t take any medications and am very healthy (had a yearly check up with complete lab work done in January), so the minimum dose of Tryptophan seems to be working well for me. THANK YOU SO MUCH for sharing this information. I now understand the power of nutrition in our brain’s health, thanks to your book, etc…

Use what is already working and increase to find the ideal dose

It’s wonderful to hear how just 500 mg tryptophan once a day had such an impact on her and I appreciate her for sharing this on the blog so I can share here.

When I’m working with a client we always use what is already working well – in this case it’s tryptophan – and increase it to see if we can find the ideal dose and alleviate all the low serotonin symptoms.

Her negative thoughts and the scary wave of fear have been dramatically reduced but do happen from time to time. By increasing tryptophan she may well be able to completely eliminate them.

Panic attacks are a classic sign of low serotonin and with this amount of tryptophan they have decreased from once a week to a mild version once a month. This is another clue that tryptophan is helping and that it’s worth considering an increase. I would start with this before adding in pharmaGABA or another GABA product (but more on that below).

I would also review the list of low serotonin symptoms (you can find these here) and rate what else may still be causing any issues – like insomnia, PMS, anger, afternoon sugar cravings etc.

As far as increasing tryptophan a few options could be considered:

500 mg tryptophan mid-afternoon and 500 mg tryptophan at night OR
2 x 500 mg tryptophan at night (this would be a good option if sleep is still not ideal)

Precaution about serotonin syndrome with tryptophan/5-HTP

There are precautions when using certain amino acids and I always review them with all my clients. If they have been prescribed an SSRI I have them discuss the use of tryptophan/5-HTP with their prescribing doctor so they can be monitored for serotonin syndrome. With careful monitoring and doctor approval I feel comfortable having my clients use tryptophan/5-HTP 6 hours away from their one and only SSRI.

If they are using more than one SSRI and/or a combination of psychiatric medications, the use of tryptophan/5-HTP is not advised.

None of the above applied in this situation but it’s important to be aware of.

When to consider GABA and some products to trial

Low GABA can also be a factor when it comes to anxiety and panic attacks. But it’s best to get a good baseline of serotonin support before adding a new amino acid like GABA.

I would also review the list of low GABA symptoms (you can find these here) and rate which ones may still be causing issues – like how severe her physical anxiety/tension is when she has a panic attack, if she eats more sugar/drinks more alcohol when stressed and has low GABA tension-type of insomnia.

Tyrosine is a precaution with migraines so it was wise not to use GABA Calm but the pharmaGABA dose she used may not have been high enough. It’s worth increasing the dose to see if that helps before adding a different GABA product. A GABA only product like NOW GABA powder or a liposomal GABA/theanine product would be something to consider if the pharmaGABA doesn’t help. I shared a link to many of the GABA products that I use and recommend

The role of a vegetarian diet in low serotonin

I also suggest that Sylvie reconsiders her vegetarian diet which can definitely play a role in low serotonin and some of the other neurotransmitters.

She does share that she is surprised about the anxiety and panic attacks but it’s not really surprising to me because it’s a fact that you can become nutrient depleted on a vegetarian diet: low iron, low vitamin B12, low omega-3s and low vitamin D, as well as low intake of amino acids are common. All of the above are needed to make serotonin and other neurotransmitters.

She says “I now understand the power of nutrition in our brain’s health, thanks to your book.” I do address the issue with vegetarianism in my book so hopefully she is open to considering some changes.

Here are a few blog posts to illustrate the power of eating real whole food that does include quality animal protein:

If she doesn’t make changes to her diet it’s possible she may need to use tryptophan and/or GABA long term.

Tryptophan and 5-HTP product options

Sylvie happens to respond well to tryptophan and yet some folks do better with 5-HTP so it’s a matter of doing a trial of each.

Products I recommend include Lidtke 500 mg Tryptophan, and Pure Encapsulations 50 mg 5-HTP. You can purchase these from my online store (Fullscript – only available to US customers – use this link to set up an account).

If you’re not in the US, Doctor’s Best L-Tryptophan 500mg and Source Naturals 50 mg 5-HTP are products I recommend on iherb (use this link to save 5%).

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

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

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 – including the Lidtke Tryptophan 500 mg and some of the GABA products mentioned above – in my online store.

Have you had success using tryptophan and/or GABA for your anxiety, panic attacks, negative thoughts and scary waves of fear? If yes, how much helps? Did you start low and then increase?

If you’re a practitioner do you have success using tryptophan and GABA this way with your clients/patients?

Feel free to share and ask your questions below.

Tryptophan 3x/day: OCD and ruminating thoughts are no longer ruling my grandson’s life and he has the most beautiful serene smile

December 15, 2023 By Trudy Scott 34 Comments

I recently received this wonderful feedback from a grandmother who is so happy about tryptophan helping her 17-year old grandson. He had been struggling with OCD (obsessive compulsive disorder) and ruminating thoughts for years:

We started with Lidtke L-Tryptophan Chewables. I was thrilled beyond my greatest hopes to see that it helped immediately! So, we went forward with having him chew a tryptophan when the thoughts started taking hold. This helped for a while, but the thoughts would return.

Finally I read one mother on your blog who gave her son tryptophan 3x/day. So we tried this. That was the magic bullet for my grandson. Getting the tryptophan in before the thoughts could take hold made the difference. And so we have stuck with this plan and have been so happy to see that OCD is no longer ruling my grandson’s life.

Last week I heard the most beautiful words I could imagine. “Hey grandma! The OCD is permanently gone!” Truly a miracle! That’s how it feels to him. As long as we continue to take the tryptophan 3x/day, there is no sign of OCD or ruminating thoughts!

We keep GABA Calm on hand as well and if a bothersome thought enters his mind, he chews a GABA and we don’t hear any more about it.

I honestly don’t even know how to tell you what a blessing your information has been to my grandson. He has the most beautiful, serene smile almost all the time now.

In all my reading and searching for all these years, you’re the only one I saw talking about this. Thank you, from the bottom of my heart, for guiding us to giving this kid his life back. I pray that all the good things you have done to help people come back to you tenfold, Trudy. You are a Godsend.

How much tryptophan helped him and why using it 3 x a day was key

The amino acid tryptophan, used as a supplement, supports low serotonin levels which can cause the worry type of anxiety, ruminating thoughts and OCD (behaviors and thoughts). You can see all the low serotonin symptoms here.

Each of the Lidtke L-Tryptophan Chewables provides 100 mg tryptophan which is often a great starting dose for children and teens. Because it’s chewable and tastes sweet it’s also a great format for children and teens (and “pixie dust” adults who need a very small amount). The bad aspect is that it does contain sugar and is quite sweet. Because you are continually consuming something sweet you may end up over-consuming them if sugar addiction is your issue.

As you can see 100 mg tryptophan did provide some relief in the moment but using the amino acids consistently throughout the day is what I always recommend for best results. In this instance 100 mg tryptophan 3x day worked perfectly for this young man.

Keep in mind there is no one-size fits all for dosing and 100 mg tryptophan x3 per day is considered quite low with many individuals needing 500-1000 mg tryptophan two or three times a day. Also some individuals do better on 5-HTP so this should always be considered too (10 mg 5-HTP is equivalent to 100 mg tryptophan).

Precaution about serotonin syndrome with tryptophan/5-HTP

If they are using more than one SSRI and/or a combination of psychiatric medications, the use of tryptophan/5-HTP is not advised.

None of the above applied in this situation but it’s important to be aware of.

How GABA also helps and my recommendation about consistent use too

The amino acid GABA, used as a supplement, supports low GABA levels which can cause physical anxiety and tension, and also an inability to stop intrusive thoughts. You can see all the low GABA symptoms here.

Each GABA Calm provides 125 mg GABA and he uses it as needed: “We keep GABA Calm on hand as well and if a bothersome thought enters his mind, he chews a GABA.”

My recommendation is to assess for low GABA symptoms and consider using GABA consistently throughout the day, typically 2-4 x day.

OCD research: glutamatergic and serotonergic pathway dysregulation

This 2011 paper, Nutraceuticals in the treatment of obsessive compulsive disorder (OCD): a review of mechanistic and clinical evidence, states the following:

Current preclinical research investigating nutraceuticals (natural products) for OCD, reveals encouraging novel activity in modulating key pathways suggested to be involved in the pathogenesis of OCD (glutamatergic and serotonergic pathway dysregulation).

With glutamatergic pathway dysregulation, we would expect GABA to help; and with serotonergic pathway dysregulation, we would expect tryptophan (or 5-HTP to help), as this young man found.

However there are no studies that have used tryptophan for OCD and the above paper concludes that “the serotonin precursor tryptophan is unlikely to be of use in treating OCD while 5-HTP may possibly be a more effective precursor strategy.” The authors state this about 5-HTP because it has been used with success for OCD in conjunction with medication (read the study here).

This lack of research on tryptophan for OCD is one of the reasons I feel compelled to share wonderful success stories like this. And until we have tryptophan research, we must use what we see works clinically and recognize that tryptophan and 5-HTP work in very similar ways.

Other nutrients when tryptophan or 5-HTP or GABA doesn’t help

The above paper does mention other nutrients that are tentatively supported by research and which modulate these pathways: N-acetylcysteine (NAC), myo-inositol, glycine, and milk thistle.

These nutrients could be considered when tryptophan or 5-HTP or GABA doesn’t help or doesn’t help enough. I’ve had much success with myo-inositol for OCD and have always used it in conjunction with tryptophan or 5-HTP. We start with tryptophan or 5-HTP and find a good base line and then add inositol, starting with 500 mg and working up to 18 g/day (as reported in the research).

As you can see, in one study, NAC was shown to be helpful for trichotillomania, a behavioral disorder characterized by the recurring or obsessive habit of pulling one’s hair, resulting in secondary alopecia. I blogged about this here.

They tried many approaches and it took 3 years before they used the amino acids

Patricia, the grandmother, also shared what other approaches they had tried from the age of 14-17 years before seeing success with tryptophan and GABA: therapy, tapping, breathing techniques, acupuncture, yoga and tai chi. None of this helped enough and they rejected pharmaceutical approaches.

It breaks my heart that it took 3 years for her grandson to find relief:

I have been reading your information on OCD for several years (in all my reading and searching for all these years, you’re the only one I saw talking about this) and though I thought it was the best hope I’d heard of for stopping OCD and ruminating thoughts, I was afraid to try the amino acids because I knew so little about them.

So I studied and studied and gained confidence by reading the published reports that seemed to back up what you said about amino acids.

Still, since I was hoping to help my grandson, who was 14 at the time, I was overly cautious. I’m not a medical professional and I’m aware that even really safe and effective treatments can change more than just the issue I was hoping to address.

So, more reading and searching ensued. Meanwhile my grandson’s life was deteriorating. He couldn’t function in many ways because he had no peace. Even sleep was difficult because the thoughts wouldn’t rest – the poor kid had no time at all when his mind wasn’t racing. It broke my heart to see him suffer so much.

Finally, I got the strength to trust my gut and try the amino acids.

I admire Patricia for reading, searching and studying and finally being well-informed enough to help her grandson. And then sharing his story with me so I can share it here with you. She was inspired by one of my other blogs and hopefully you will be inspired and motivated by this wonderful success story.

My hope, with stories like this, is that the amino acids and nutritional approaches are considered first and not after all else has failed.

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

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

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.

Have you had success using tryptophan (or 5-HTP) and GABA this way for your OCD and ruminating thoughts or for a loved one? If yes, how much helps?

If you’re a practitioner do you have success using tryptophan (or 5-HTP) and GABA this way with your clients/patients who have OCD and ruminating thoughts?

Feel free to share and ask your questions below.

Anxiety and vomit phobia in an 8-year-old: within a week of starting vitamin B6 she made a complete turnaround

December 1, 2023 By Trudy Scott 15 Comments

Debbie, a mom in the community, shared this wonderful feedback about how vitamin B6 helped her daughter with terrible anxiety and a phobia of vomit:

My youngest (who is 8 now) started exhibiting terrible anxiety about a year ago, specifically around the phobia of vomit. Her anxiety is mostly about other people throwing up. But her anxiety became so strong it was preventing her from going to school or even staying in her classroom, kept her from eating (because her anxiety hurt her tummy) and even from wanting to do extracurricular activities that she previously loved but now was afraid to attend in case a child might throw up there.

We started her on weekly therapy sessions, and I started her on GABA and tryptophan. While the amino acids helped a little, it wasn’t enough to calm the thoughts that plagued her all day at school and home. Most days I still couldn’t get her out of the car for school.

Through your website and some other research, I decided to try supplementing her with vitamin B6. Within a week of her starting B6 she made a complete turnaround. The anxiety would still come when a kid at school would say their tummy hurt, but she was able to calm herself down within minutes and talk through the worry.

We still have some low days (especially if we haven’t taken her supplements in a few days) but overall, she’s a new kid. Even the school asked what we are doing differently to get her to be calm again.

It’s wonderful to hear that within a week of starting vitamin B6 she made a complete turnaround.

This blog addresses some of the possible mechanisms (possible serotonin and GABA support, and addressing pyroluria), how much vitamin B6 she had her daughter use and optimal dosing, plus other factors like a good multi or B complex.

Some of the possible causes and mechanisms: serotonin and/or GABA support

According to the Child Mind Institute, “Emetophobia, or the severe fear of vomiting or seeing others vomit, is surprisingly common. Kids who already tend to be anxious are more likely to develop it. It leads to fear of things they associate with vomiting. Often it starts with avoiding places where they (or someone else) threw up, or places that remind them of it.”

They discuss therapy and medications as solutions whereas I am discussing nutritional solutions that address the root causes. In this case: addressing low vitamin B6 and its impact on serotonin and/or GABA.

This letter, Vitamin B6: A new approach to lowering anxiety, and depression?, published in 2022, mention a few studies concluding that vitamin B6 supplements “significantly reduce feelings of stress, anxiety, and depression.” It does this via an impact on serotonin and GABA production and this results in the calming of the nervous system.

This 2022 paper, High-dose Vitamin B6 supplementation reduces anxiety and strengthens visual surround suppression, also discusses a GABA mechanism: vitamin B6 supplementation “increases inhibitory GABAergic neural influences, which is consistent with its known role in the synthesis of GABA.” (100 mg/day of vitamin B6 was used by the adult participants)

In this blog post you can read about the role of low vitamin B6 and iron in low serotonin, leading to anxiety and panic attacks.

How much vitamin B6 to use and is pyroluria a factor?

Debbie was not sure how much vitamin B6 to give her daughter:

The struggle I still have is knowing how much to dose her. There’s conflicting info out there as to how much is too much for kids. Right now I’m giving her Carlson liquid B6. I give her between 2-3 drops, which, if I’m doing the math correctly, is about 4-6 mg. She seems to be doing alright on that as long as we don’t miss a day. When we do miss, her anxiety becomes immediately irrational again. If you have any insight on dosing, please let me know. Thanks for all you do!

I shared this feedback with her: With phobia of vomiting I immediately think of the social anxiety condition pyroluria and the additional need for zinc, vitamin B6 and evening primrose oil.

This supports the fact that vitamin B6 helps her daughter and that missed days and increased stress means the anxiety returns.

With kids anxiety can often show up as tummy issues and nausea. And “emetophobics are particularly vulnerable to somatic symptoms, especially gastrointestinal symptoms such as nausea. Nausea, as an anxiety symptom, may be misinterpreted as an imminent episode of vomiting causing further symptoms in a vicious circle.” (from this paper about an 8 year old boy with emetophobia)

Debbie mentions her daughter gets a sore tummy when anxious. If she also feels nauseous on her bad days, that would be another clue to consider pyroluria. A common symptom is morning nausea and addressing pyroluria helps kids who experience this and also helps prevent vomiting. The nutrients for pyroluria are also key for neurotransmitter production (as mentioned above).

I shared that I’ve used 10 – 25mg of vitamin B6 in children this age who have pyroluria (plus the other pyroluria supplements and stress reduction).

Good dream recall with no nightmares is a good gauge of vitamin B6 status and a clue that enough is being used and easy enough to ask children and/or observe nightmares.

There are not many papers on the use of vitamin B6 in children. This study, Use of Nutritional Supplements Based on L-Theanine and Vitamin B6 in Children with Tourette Syndrome, with Anxiety Disorders: A Pilot Study used 2.8mg of vitamin B6 but they were also using theanine.

Supportive solutions: a child’s multi with B vitamins and other underlying factors

When an individual B vitamin like vitamin B6 is used, it’s always advised to use a B complex or a good multivitamin that contains all the B vitamins with sufficient amounts. For children I like a product like Klaire Labs Vitaspectrum ® Powder. This product may actually provide enough vitamin B6 in a situation like this – 1 scoop provides 15 mg of vitamin B6 – or it could be used with extra vitamin B6.

It goes without saying that all dietary and other nutritional factors, gut health, blood sugar handling, sleep, toxins, infections etc. may need to be addressed too.

I would also want to do further exploration into why vitamin B6 may be low, other than pyroluria – such as dysbiosis, inflammation, malabsorption, autoimmunity, low dietary intake, leaky gut, high sugar intake, gluten sensitivity or celiac disease and alcohol use disorder (in adults).

Why didn’t GABA or tryptophan help?

Debbie is well versed in amino acids, having used GABA for her PCOS (polycystic ovarian syndrome). It helped ease her lifelong anxiety, wean off anxiety medication, ovulate each month and stop her PCOS meds. She helped her older daughter with GABA too – she calls them her “happy pills.” And Debbie used tryptophan with success when collagen caused her to have panic attacks again. You can read her story on this blog.

I can’t be sure why GABA or tryptophan didn’t help her younger daughter. It’s where I would have started too, but we are all unique and what works for Debbie and her older daughter just didn’t work for her younger daughter.

It’s possible that a higher dose of GABA or tryptophan may have worked better, or other GABA or tryptophan products, or theanine or 5-HTP or inositol may have been an option.

It’s wonderful that vitamin B6 did work and I appreciate Debbie for sharing and allowing me to share as a blog. I love that the school also asked what they are doing differently to get her daughter to be calm again.

Additional resources when you are new to using amino acids or the pyroluria nutrients as supplements

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

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.

As mentioned above, I would start with GABA and tryptophan (like Debbie did) and then start looking for other approaches that may help.

There is also an entire chapter on pyroluria where vitamin B6, zinc and evening primrose oil is addressed in detail.

This includes the products mentioned in this blog: Carlson 100mg B6 and Klaire Labs Vitaspectrum® Powder.

Does any of this resonate with you?

If yes, has vitamin B6 helped your child (or you) with anxiety and vomit phobia?

And is pyroluria also a factor that is being addressed?

Have either tryptophan or GABA or Klaire Labs Vitaspectrum® Powder helped too (alone or in conjunction with vitamin B6)?

Feel free to share and ask your questions below.

Seriphos lowers high cortisol: prevent waking in the night and nighttime anxiety

October 20, 2023 By Trudy Scott 63 Comments

Seriphos is my favorite nutrient for lowering high nighttime cortisol in order to reduce night waking and nighttime anxiety. I’ve used it with success in the past and have just needed it again:

After coming back from Hawaii (I was there for just under 2 weeks), I was still waking a few times each night. Sometimes I would be awake for 2-3 hours! I’m a hot mess when I don’t get sleep through the night. With just 1 Seriphos before bed for 9 days I was sleeping through the night again. It was glorious!

High cortisol can be a temporary issue after international travel i.e. caused by jetlag and out of balance circadian rhythm. I will admit that I have a number of confounding factors – like my loss and grief (my darling mom has just passed away), being sprayed with insecticide on landing in Australia (which I suspect caused severe vertigo the day after I got back), and high blood pressure (and likely higher cortisol too) after drinking too much licorice tea for my voice loss. Whatever the causes of my high cortisol, Seriphos really helped me sleep through the night.

I ran out of Seriphos 2 nights ago and I was awake for 3 hours last night. I’ll be adding it back to my nighttime protocol as soon as my order arrives.

Seriphos is made by Interplexus and is a phosphorylated serine product. It is similar to the more recognized phosphatidylserine which is also used and known for lowering high cortisol – clinically and in the research. However, clinically, I have found Seriphos to be more effective and work more quickly.

UPDATE Feb 2024: I did end up tweaking my Seriphos dose a few times. After a few weeks I decided to trial 2 per night – this worked well. Then a few weeks later I trialed 3 per night – but after a few days I realized that even though it worked well for sleep it made me too tired the next day. For this reason I went back down to 2 Seriphos at bedtime.

UPDATE August 2024: I’m now using just 1 Seriphos at night and have added ox bile supplementation and a bright light panel in the morning because of bile issues. More on this below.

Seriphos for high cortisol due to trauma, loss of beloved cat and more

When I posted this on Facebook, I had a number of folks share how Seriphos has also helped them.

Kathy shared this: “I take two Seriphos at night for high cortisol that causes insomnia. It works well for me and helps me to relax. I have a significant trauma background that keeps me in fight or flight, so Seriphos is a must have at night. I do take a break from time to time if I am going through a less stressful time.”

Hopefully Kathy is also working on the trauma, doing trauma work and even incorporating other nutritional approaches which help so much with recovery – like zinc, vitamin D, a B complex, GABA and tryptophan etc. Taking a break from time to time is a good plan – I share more about this below.

Kim shared this: “Seriphos is a life saver – I started it when I was having cortisol/adrenaline issues a few years ago and have continued using it. I don’t ever want to be without Seriphos. A little over a month ago I unexpectedly lost my youngest cat. She was emaciated when I rescued her over 4 years ago and we turned around health issues. I feel so sad that she was dealt such a bad hand but we got her a loving home. My animals are everything to me and the grief is so difficult. She was a character and I love her so much.”

She uses one capsule in the evening but also uses a capsule during the day if she feels off. Hopefully Kim is also doing trauma work and other nutritional support too.

Janie shared this: “I have used it, years ago when my cortisol was off the charts, morning and at night. I was awake every night until 2am, unable to sleep. Seriphos certainly helped.”

She used 1 Seriphos per day for about 3 months.

Patricia said: “Please remember that there is Original Seriphos and the next gen Seriphos. I was one of thousands of people who had used original Seriphos for sleep and then they changed their formulation without telling us and then so very many of us were wide awake at night until we realized that they had changed the formulation.”

This happened in 2016/2017 and I blogged about that whole fiasco here – Seriphos Original Formula is back: the best product for anxiety and insomnia caused by high cortisol. You can read many other success stories on the blog and in the comments.

Address the causes of your high cortisol: jetlag, grief, toxins, licorice intake

As you can see from my example there can be a number of causes of high cortisol and you always want to address these causes while using Seriphos so you can eventually stop using it:

International travel i.e. caused by jetlag and out of balance circadian rhythm. I’m home so this is no longer a contributing issue.
Loss and grief can have physiological effects and high cortisol is one of many effects: “It appears that cortisol remains elevated for at least the first 6 months of bereavement. For some, cortisol elevation may become chronic”. The loss of my darling mom is going to take time but I am making time for grieving and I’m nurturing myself. As I navigate this period in my life I’ll continue to share what has helped me. I suspect I may need Seriphos for longer than the usual 3 months.
Being sprayed with insecticide on landing in Australia (which I suspect caused severe vertigo the day after I got back). It’s well-recognized that environmental toxins are hormone disruptors and affect the hypothalamic-pituitary-adrenal (HPA) axis and cortisol. I’m addressing this with active detoxification and my portable infrared sauna.
High blood pressure and likely higher cortisol too after drinking too much licorice tea for my voice loss. I have stopped the licorice consumption and my blood pressure is back to normal.

Other possible causes of high cortisol include day to day stresses, food sensitivities such as gluten, high sugar consumption, parasites and so on. Each factor needs to be addressed.

I do recommend Salivary cortisol testing before using Seriphos

Salivary cortisol testing is something I do with all my clients anyway. And I do recommend salivary cortisol testing before using Seriphos and the other cortisol-lowering nutrients mentioned below.

I will admit that I didn’t follow my own recommendation because I’ve had high nighttime cortisol in the past and recognized the symptoms. I had also identified all the above root causes and I desperately needed to sleep. I now have an adrenal saliva test kit on hand and will report back when I get the results.

Seriphos will only work for waking in the night if cortisol is high

One woman shared “I have never slept through the night in years. It would be delightful to get to the morning without waking.” Seriphos will very likely help if her cortisol is high.

Keep in mind there are many causes of not being able to sleep through the night and Seriphos will not help if cortisol is not high. Other root causes for insomnia/waking in the night (and nighttime anxiety) we consider and investigate are:

Low GABA and low serotonin (I always start with these while waiting for salivary cortisol results to come back),
Low melatonin

The following factors need to be addressed as root causes of sleep issues, anxiety and other symptoms (like gut issues, pain etc.), and also keep in mind that they are very possibly contributing to your high cortisol too:

Gluten and other food sensitivities
Caffeine and sugar intake
Oxalate issues and/or toxins exposure affecting bile production (this affected my sleep last year)
EMFs
Parasites and other gut issues like IBS/SIBO etc.
Disrupted circadian rhythms connected to liver/gallbladder/bile issues – more on that and bright light here. (Research does support a connection between high cortisol and cholestasis i.e. “stagnation, or at least a marked reduction, in bile secretion and flow.”)

A few folks reported they had tried Seriphos without success and it may well be that they don’t have high cortisol. Or they would possibly benefit from another approach to lower their cortisol (more on this below).

What are my options if I have high cortisol at night and Seriphos has the opposite effect?

One person said it had the opposite reaction. Joanne shared this: “Seriphos had the opposite effect on me. [One Seriphos] gave me extreme anxiety, kept me awake all night. Saliva tested consistently high cortisol at night so it should have helped. Been trying to work out why it would and how it might inform how I treat my insomnia.”

I’ve had a few clients do better with less than the recommended 3 per day and one not being able to use it at all. I suspect an allergic reaction or that it’s just too high a dose for some folks. The capsule could be opened and less could be used.

If this doesn’t work, other options for lowering high cortisol include lactium/hydrolyzed casein, Relora® (which contains Magnolia officinalis and Phellodendron amurense), essential oils such as bergamot and some herbal adaptogens. You can also read about some phosphatidylserine products I looked into when the Seriphos product was changed.

Forest bathing also helps to lower high cortisol levels and I recommend it for everyone.

Where does using Seriphos fit into everything else that I’m doing to address my insomnia and/or anxiety?

I typically don’t start with Seriphos right away with clients unless we know cortisol is high. As mentioned above I always start with assessing for low GABA and low serotonin and we do trials of the respective amino acids based on the symptoms questionnaire.

I also assess for low blood sugar and dietary factors like gluten, caffeine, sugar, quality animal protein intake etc. as covered in my book “The Antianxiety Food Solution.” More about my book here. It does include a chapter on the amino acids and how to use them too.

Then we start to dig deeper and would consider Seriphos or lactium for anxiety caused by high night time or even high morning cortisol or high cortisol at other times of the day.

With many folks all of the above often applies. And we continue with assessing for each of the 60+ nutritional and biochemical root causes of anxiety/waking in the night (which does include liver/gallbladder/bile issues).

Where do I purchase Seriphos and how much do I use? What about taking a break?

You can purchase Seriphos from my online store (Fullscript – only available to USA customers – use this link to set up an account) and you can also find it on iherb (use this link to save 5%).

The bottle states to use 1 capsule with water 15 minutes before a meal. Clinically, using 1-3 capsules a few hours before the high cortisol seems to be most effective. For 2-4am waking this typically means taking Seriphos right before bed. In some instances, taking 1 on waking in the night can help too (for a maximum of 3).

With high cortisol in the night and on waking, I have clients use Seriphos before bed and lactium on waking.

It is recommended to take a one-month break after 3 months of Seriphos use. Ideally, once the root causes of high cortisol are addressed, you should be able to stop anyway. Or take a break, retest cortisol and then continue.

I’ll share some research and how Seriphos differs from phosphatidylserine in a follow-up blog if there is enough interest.

I appreciate all the feedback from these women in my community.

Have you used Seriphos (a phosphorylated serine product) to help with high cortisol and waking in the night/nighttime anxiety caused by any of the?

What do you suspect the cause(s) of your high cortisol is or was? And have you confirmed high cortisol with a saliva cortisol test?

Have any of the other products mentioned above helped to reduce high cortisol? If yes, have you compared them with Seriphos?

Let me know if you’re interested in a follow-up blog that includes some research and how Seriphos differs from phosphatidylserine.

Feel free to share and ask your questions below.