{"id":10897,"date":"2023-03-17T14:00:21","date_gmt":"2023-03-17T21:00:21","guid":{"rendered":"https:\/\/www.everywomanover29.com\/blog\/?p=10897"},"modified":"2024-10-25T11:00:35","modified_gmt":"2024-10-25T18:00:35","slug":"gaba-lessens-anxiety-agitation-and-defiance-in-98-year-old-mother-who-has-been-sundowning-for-a-couple-of-years","status":"publish","type":"post","link":"https:\/\/www.everywomanover29.com\/blog\/gaba-lessens-anxiety-agitation-and-defiance-in-98-year-old-mother-who-has-been-sundowning-for-a-couple-of-years\/","title":{"rendered":"GABA lessens anxiety, agitation and defiance in 98 year old mother who has been \u201csundowning\u201d for a couple of years"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-10898\" src=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2023\/03\/gaba-and-sundowning.jpg\" alt=\"gaba and sundowning\" width=\"940\" height=\"492\" srcset=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2023\/03\/gaba-and-sundowning.jpg 940w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2023\/03\/gaba-and-sundowning-300x157.jpg 300w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2023\/03\/gaba-and-sundowning-768x402.jpg 768w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2023\/03\/gaba-and-sundowning-610x319.jpg 610w\" sizes=\"(max-width: 940px) 100vw, 940px\" \/><\/p>\n<p>Marsha shared this feedback on one of the blogs, saying that GABA lessens anxiety in her 98 year old mother:<\/p>\n<blockquote><p>My mother is 98 and has been \u201csundowning\u201d for a couple of years. It starts around 3pm, sometimes earlier. Some days it\u2019s no big deal. It is on those other days when she starts and then it goes to anxiety, agitation, then she can get sort of defiant which is so not her. She is a gentle soul, friendly, and kind so this is difficult on her as well as our family.<\/p>\n<p>I just started to use my pestle and mortar to crush up a 125 mg GABA CALM supplement (Source Naturals) and I mix a little into her flavored yogurt when I start to see her having difficulty. I give it to her throughout the day. She only gets the 125 mg amount so I feel safe with that.<\/p>\n<p>I believe that I do notice it lessens her anxiety. I pray that this will be helpful for her because that anxiety can be really draining for her. I will keep you posted. I have not noticed any adverse reactions. Thank you Trudy for all your info.<\/p><\/blockquote>\n<h2>Anxiety, fear and agitation in sundowning syndrome: circadian dysfunction and low GABA<\/h2>\n<p>I responded, saying how wonderful to hear that she is noticing supplemental GABA lessens her mother\u2019s anxiety (and presumably her agitation and defiance too). And I shared that GABA may be involved in sundowning syndrome.<\/p>\n<p>This <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnins.2020.00910\/full\" target=\"_blank\" rel=\"noopener\">paper<\/a> describes \u201csundowning syndrome,\u201d as \u201c<em>a poorly understood (and even controversial) clinical phenomenon in Alzheimer\u2019s and dementia patients that is characterized by agitation, aggression, and delirium during the late afternoon and early evening hours.<\/em>\u201d<\/p>\n<p>The authors are focusing on potential pathways for circadian rhythm &#8211; physical, mental, and behavioral changes that follow a 24-hour cycle &#8211; dysfunction in sundowning. They also mention the presence of fear and anxiety and the fact that there is a circadian aspect of these emotional processes.<\/p>\n<p>What is interesting is that the \u201c<em>master circadian pacemaker<\/em>\u201d i.e. \u201c<em>the suprachiasmatic nucleus of the hypothalamus<\/em>\u201d has impacts on both GABA and serotonin, and also dopamine and orexin (involved in sleep-wake processes).<\/p>\n<p>Given the circadian aspect addressed in the above paper, \u201c<em>properly timed light exposure<\/em>\u201d i.e. early morning sunlight, is also worth exploring.<\/p>\n<p>This paper, <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnagi.2016.00031\/full\" target=\"_blank\" rel=\"noopener\">Implications of GABAergic Neurotransmission in Alzheimer\u2019s Disease<\/a>, focuses onGABA and shares that <em>\u201cof the two major types of synapses in the central nervous system (CNS): glutamatergic and GABAergic, which provide excitatory and inhibitory outputs respectively, abundant data implicate an impaired glutamatergic system during disease progression.\u201d\u00a0 <\/em><\/p>\n<p>The amino acid GABA helps to ease anxiety symptoms and agitation and restlessness, also helping with disturbed sleep.<\/p>\n<h2>GABA Calm dosing in the elderly with sundowning syndrome: my observations<\/h2>\n<p>I also expressed how this is a smart way to use the GABA Calm. I\u2019m going to make some assumptions and share my observations:<\/p>\n<ul>\n<li>Marsha uses GABA Calm herself and has a good level of comfort based on personal results. She knows how she feels after using it and is observing her mother\u2019s symptoms. I have guided many family members in doing the same type of thing &#8211; mom\u2019s working to help a child and a granddaughter helping a grandparent &#8211; and it works well.<\/li>\n<li>Marsha has also started with a low dose of 125 mg. This is a typical starting dose and is a reasonable dose that may suffice for the entire day for someone this age. She may also need more and increasing the dose and observing is the way to go when someone can\u2019t articulate how the amino acid is helping them. For some folks, 125mg may be too much &#8211; making them too sleepy or even more agitated\/anxious &#8211; the dose can be reduced in this case (after using vitamin C as an antidote).<\/li>\n<li>Marsha crushes the GABA Calm chewable\/sublingual and mixes it into her mother\u2019s flavored yogurt, since having her suck on the chewable is not an option. This is a great plan but as she continues to help her, she may see better results using a non-protein source to mix it in &#8211; like apple sauce or mashed banana.<\/li>\n<li>Finally, she gives it to her mother when she starts to see her having difficulty. Again, it\u2019s wonderful she is observing and helping her at the moment, but this could be a clue that she needs more GABA to provide even better results. We also don\u2019t want to wait for the anxiety and then address it. Instead, we want to get GABA levels up and prevent it.<\/li>\n<\/ul>\n<p>You can read more about Source Naturals <a href=\"https:\/\/www.everywomanover29.com\/blog\/source-natural-gaba-calm-anxiety\/\" target=\"_blank\" rel=\"noopener\">GABA Calm product and why I use it with clients here<\/a>.<\/p>\n<h2>Low serotonin, tryptophan and melatonin in sundowning syndrome<\/h2>\n<p>I also told Marsha that when I hear symptoms like agitation and defiance, especially with the 3pm start, I also would also consider low serotonin since it starts to decline afternoon into evening.<\/p>\n<p>Her mother\u2019s anxiety may be a mix of low GABA physical-type anxiety and low serotonin worry-type anxiety. She\u2019ll only really know once she trials the respective amino acids.<\/p>\n<p>I\u2019ve seen low serotonin worry-type anxiety, agitation and defiance symptoms improve with tryptophan and\/or melatonin and share more about this in this blog post &#8211; <a href=\"https:\/\/www.everywomanover29.com\/blog\/sundowning-in-alzheimers-and-dementia-melatonin-tryptophan-for-the-agitation-restlessness-anxiety-disturbed-sleep-and-aggression\/\" target=\"_blank\" rel=\"noopener\">Sundowning in Alzheimer\u2019s and dementia: melatonin\/tryptophan for the agitation, restlessness, anxiety, disturbed sleep and aggression<\/a><\/p>\n<h2>Dietary factors and low dose lithium<\/h2>\n<p>Marsha says some days it\u2019s no big deal. I would recommend keeping a food-mood log and make sure it\u2019s not something in her diet that may be a trigger: hidden gluten, dietary oxalates or even blood sugar swings.<\/p>\n<p>These are mentioned in the above blog, together with low dose lithium orotate which can help keep moods more even.<\/p>\n<p>Microdose lithium is also capable of halting signs of advanced Alzheimer\u2019s and improving cognition. More on that <a href=\"https:\/\/www.everywomanover29.com\/blog\/microdose-lithium-formulation-is-capable-of-halting-signs-of-advanced-alzheimers-and-improving-cognition\/\" target=\"_blank\" rel=\"noopener\">here<\/a>.<\/p>\n<p>It\u2019s with much appreciation that Marsha shared this feedback. I\u2019m thrilled for her and her mother. Hopefully, my feedback on this blog means she\u2019ll be able to fine-tune things. And you get to learn and benefit from this feedback too &#8211; for your loved one.<\/p>\n<h2><strong>A few GABA product options\u00a0 \u2013 a sublingual, a powder and a cream<\/strong><\/h2>\n<p>A product I use and recommend is Source Naturals GABA Calm lozenges. This is one Marsha uses for herself and is using with her mother.\u00a0 It\u2019s a good low dose of 125 mg and is convenient and effective because it\u2019s a sublingual lozenge.<\/p>\n<p>Now GABA Powder is another product I use and recommend. It does need to be measured out to provide a 125 mg typical starting dose or less (as needed), and could be mixed in water in a situation like this. I have clients use a <a href=\"https:\/\/amzn.to\/3Q94nsI\" target=\"_blank\" rel=\"noopener\">handy mini measuring spoon like this one<\/a> (my Amazon link) and share more about <a href=\"https:\/\/www.everywomanover29.com\/blog\/how-to-accurately-measure-a-small-amount-of-powdered-gaba-and-other-gaba-options-when-gaba-calm-is-not-tolerated\/\" target=\"_blank\" rel=\"noopener\">how to measure out GABA powder on this blog<\/a>).<\/p>\n<p>For Source Naturals GABA Calm lozenges and Now GABA Powder:<\/p>\n<ul>\n<li>You can purchase these from my online store (Fullscript \u2013 only available to US customers \u2013 <a href=\"https:\/\/us.fullscript.com\/welcome\/trudyscott\" target=\"_blank\" rel=\"noopener\">use this link to set up an account<\/a>).<\/li>\n<li>If you\u2019re not in the US, you can purchase these at iherb (<a href=\"https:\/\/www.iherb.com\/?rcode=BAN2021\" target=\"_blank\" rel=\"noopener\">use this link to save 5%<\/a>).<\/li>\n<\/ul>\n<p>Somnium GABA Cream is another option that could be considered especially for those with Alzheimer\u2019s or dementia who may struggle with using a supplement. It is available in the US and elsewhere with international shipping. Read <a href=\"https:\/\/www.everywomanover29.com\/blog\/somnium-nighttime-gaba-cream-insomnia-anxiety-bloated-belly-muscle-spasms-ms-arfid-anorexia-alzheimers-and-autism\/\" target=\"_blank\" rel=\"noopener\">more about the product<\/a> and who else may benefit from using a cream, and grab my coupon code to save 15%.<\/p>\n<h2>Resources if you are new to using tryptophan or GABA as supplements<\/h2>\n<p>If you are new to using tryptophan or GABA as supplements, here is the <a href=\"https:\/\/www.everywomanover29.com\/blog\/amino-acids-mood-questionnaire-from-the-antianxiety-food-solution\/\" target=\"_blank\" rel=\"noopener\">Amino Acids Mood Questionnaire from The Antianxiety Food Solution<\/a> (you can see all the symptoms of neurotransmitter imbalances, including low GABA and low serotonin).<\/p>\n<p>If you suspect low levels of any of the neurotransmitters and do not yet have my book, <a href=\"https:\/\/www.everywomanover29.com\/blog\/the-antianxiety-food-solution-by-trudy-scott\/\" target=\"_blank\" rel=\"noopener\">The Antianxiety Food Solution \u2013 How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood, and End Cravings<\/a>, 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.<\/p>\n<p>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 (which include rage\/anger\/irritability\/self-harm).<\/p>\n<p>The book doesn\u2019t include product names (per the publisher\u2019s request) so this blog, <a href=\"https:\/\/www.everywomanover29.com\/blog\/amino-acids-pyroluria-supplements\/\" target=\"_blank\" rel=\"noopener\">The Antianxiety Food Solution Amino Acid and Pyroluria Supplements<\/a>, lists the amino acids that I use with my individual clients and those in my group programs. You can find them all in my online store. The above oral lavender products are available in my online store too.<\/p>\n<p>If, after reading this blog and my book, you don\u2019t 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 <a href=\"https:\/\/www.anxietynutritioninstitute.com\/gabaquickstart\/\" target=\"_blank\" rel=\"noopener\">GABA QuickStart Program<\/a> (if you have low GABA symptoms). This is a paid online\/virtual group program where you get my guidance and community support.<\/p>\n<p>If you are a practitioner, join us in <a href=\"https:\/\/www.anxietynutritioninstitute.com\/balancingneurotransmitters\/\" target=\"_blank\" rel=\"noopener\">The Balancing Neurotransmitters: the Fundamentals<\/a> 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.<\/p>\n<p>Have you found GABA to help in a situation like this?<\/p>\n<p>If yes, which symptoms have resolved and how much GABA\/which product are you using\/did you use?<\/p>\n<p>What time did the symptoms start to ramp up?<\/p>\n<p>And has serotonin support with tryptophan and\/or melatonin also helped?<\/p>\n<p>If you have questions and other feedback please share it here too.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Marsha shared this feedback on one of the blogs, saying that GABA lessens anxiety in her 98 year old mother: My mother is 98 and has been \u201csundowning\u201d for a couple of years. It starts around 3pm, sometimes earlier. Some days it\u2019s no big deal. It is on those other days when she starts and [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":10898,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[663,2555,1181,745],"tags":[127,345,20,46,2807,2804,2803,347,2806,2805,187,59,842,352,883,154,2790,80],"class_list":["post-10897","post","type-post","status-publish","format-standard","has-post-thumbnail","category-gaba","category-lithium-orotate","category-serotonin","category-tryptophan","tag-agitation","tag-alzheimers","tag-amino-acids","tag-anxiety","tag-anxious-gaba-quickstart-online-program-balancing-neurotransmitters-the-fundamentals-program-for-practitioners","tag-circadian-dysfunction","tag-defiance","tag-dementia","tag-dietary-factors","tag-elderly","tag-fear","tag-gaba","tag-gaba-calm","tag-lithium","tag-melatonin","tag-serotonin","tag-sundowning","tag-tryptophan","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GABA lessens anxiety, agitation and defiance in 98 year old mother who has been \u201csundowning\u201d for a couple of years - everywomanover29 blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.everywomanover29.com\/blog\/gaba-lessens-anxiety-agitation-and-defiance-in-98-year-old-mother-who-has-been-sundowning-for-a-couple-of-years\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"GABA lessens anxiety, agitation and defiance in 98 year old mother who has been \u201csundowning\u201d for a couple of years - everywomanover29 blog\" \/>\n<meta property=\"og:description\" content=\"Marsha shared this feedback on one of the blogs, saying that GABA lessens anxiety in her 98 year old mother: My mother is 98 and has been \u201csundowning\u201d for a couple of years. It starts around 3pm, sometimes earlier. Some days it\u2019s no big deal. 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