A Heads-Up Look at Brain Health

Medical advances of today and the very near future — gene therapies, nanotechnology, targeted monoclonal antibodies, cloning, and more — will allow us to “repair” or “replace” damaged and diseased body parts and raise the average life expectancy to 100 years or more. The problem with this magnificent advancement is the studies which suggest that 40% of those reaching 85, and nearly 100% of those reaching 120, will be senile. Of what use is living to a ripe old age if we cannot enjoy it, or even be aware that we’re alive?

Brain Studies

Some 2000 years ago the ancient Greeks attributed all behavior to four temperaments: Hot, Dry, Moist, and Cold. The Romans attributed all symptoms and behaviors to four body fluids, which they called humors: Phlegm, Yellow Bile, Black Bile, and Blood. While Hippocrates, Galen, and hundreds of others slowly advanced the understanding of human anatomy and physiology, the brain sat unstudied for over 1500 years. It was not until the 18th and 19th centuries that brain anatomical science progressed to the point that four distinct lobes were identified, with specific behaviors and body functions ascribed to each.

Over the next 100 years, biochemical and pharmaceutical researchers discovered four separate brain chemicals, called neurotransmitters, that were used by the brain. Somewhat later, four distinct brain waves, or patterns of electrical activity, were discovered and correlated with specific lobes in the brain. Only fairly recently have researchers started to understand this most mysterious organ.

From the 1950s to present, psychiatrists and phychologists have described four broad classifications of human behavior: extroverted or introverted, intuitive or sensing, thinking or feeling, and perceiving or judging. If you suspect that these four primary behaviors can be assigned to a specific lobe, you’d be right!

Brain malfunctions, as manifested by psychiatric problems or unacceptable behavior, can be largely attributed to an imbalance of neurotransmitters within the brain. Unfortunately, discovering these levels within a living brain was not an easy task. (If you think a spinal tap is a risky procedure, just imagine a “brain tap” gone wrong!) What was needed was a simple, noninvasive test to measure the levels of neurotransmitters in a functioning human brain. Various scans of the brain can be employed, but they cannot show actual brain function. For example, an MRI of a patient’s brain right before death and right after death would be identical.

After 25 years of painstaking work, neurological researchers have finally uncovered a long-hidden piece of the puzzle — the relationship between the brain’s chemicals and the brain’s electricity. This discovery allowed clinicians to diagnose brain dysfunction with a simple, noninvasive assessment of the brain’s electrical activity. By measuring the four electrical components of brain activity, doctors can determine the levels of the four neurotransmitters and initiate treatment protocols to correct a deficiency of one or more of them.

Correlation Times Four

Four temperaments; four humors; four neurotransmitters; four lobes; four classes of human behavior; four brain waves; four electrical measurements of brain function. How do these relate? The following table shows the relationship between brain lobes, neurotransmitters, behaviors or personality types, and electrical measurements.

The table above shows the electrical measurements used to determine neurotransmitter levels. As a person ages, his brain goes through a slow decline, or “electropause,” in which the voltage, speed, rhythm, and synchrony change. By measuring these four electrical characteristics, a person’s “brain age” can be determined, which may be younger or older than typical for his chronological age. More importantly, a deficiency in one or more neurotransmitters can be detected and steps taken to restore normal levels.

A computerized diagnostic device called a Brain Electrical Activity Map (BEAM) measures these four values and creates a “picture” of the brain’s electrical activity. It records and tracks the progression of the positive wave created in the brain by an external stimulus, such as a sound (auditory evoked potential) or a flash of light (visual evoked potential).

Speed. A “normal” brain takes about 300 msec (milliseconds) plus a person’s age in years to “think.” This is the measurement of the time delay, or latency, between a stimulus given and the recognition of that stimulus in the brain. As the latency increases (speed decreases), a person moves from mild cognition deficits to severe dementia.

Voltage. A “normal” brain creates an electrical potential of about 10 µv (microvolts). The voltage generated in a person’s brain is related to his ability to concentrate, and low voltage can result in memory impairment, obesity, addictions, or schizophrenia.

Rhythm refers to the regularity of a person’s brain waves. Like cardiac rhythm, the more smooth the rhythm, the better. Brain-wave arrhythmias yield a spectrum of disorders from anxiety and recurring headaches to manic depression and seizures.

Synchrony is a comparison of the electrical activity in each of the hemispheres of the brain. It is common for a person to be dominant in one hemisphere or the other, but a severe imbalance in the electrical activity of the right vs. left hemisphere can lead to sleep disorders, IBS, somatization disorders, or phobias.

Acetylcholine

Review: A “normal” brain takes about 300 msec (milliseconds) plus a person’s age in years to “think.” This is the measurement of the time delay, or latency, between a stimulus given and the recognition of that stimulus in the brain. As the latency increases (speed decreases), a person moves from mild cognition deficits to severe dementia.

Acetylcholine-associated disease states

A diagnostic evaluation of a person’s brain speed can give objective evidence of disturbances in cognition, memory, attention, and behavior. After subtracting the patient’s age, the baseline latency measurement indicates the following: 300 msec is “normal”; 350 msec indicates mild to moderate disturbances in cognitive function (“muddled thinking”); 360 to 370 msec indicates ADD or variability of attention, errors of omission or commission, and delayed reaction time; 380 msec is typically found in Parkinson patients; 420 msec is the threshold for Alzheimer disease, with increasing latency as the dementia progresses. Early detection of deficiencies in the speed at which the brain operates can allow early intervention to slow or reverse the decline, possibly delaying or preventing the onset of Alzheimer and other dementias.

Beyond detecting a frank disease state associated with severe acetylcholine deficiency, physicians can analyze thebalance of the four neurotransmitters to determine a patient’s personality type.

The acetylcholine-dominant personality

Acetylcholine is produced in the parietal lobes, which are responsible for thinking functions such as language processing, intelligence, and attention. People with an excess of acetylcholine (about 17% of the world’s population) are adept at working with their senses and view the world in sensory terms. They are quick thinkers, highly creative, and open to new ideas. Flexibility, creativity, and impulsivity open them up to trying almost anything, as long as it offers the promise of excitement and something new; they are not afraid of failure. They love to travel and have a quest for lifelong learning. These people also tend to be extremely sociable, even charismatic. They love making new friends and put a lot of energy into all of their relationships, whether at work, at home, or in the community. They are eternally optimistic, romantic with their significant other, and attentive to the needs of their children. They are quite popular with a broad range of people. People with extremely high levels of acetylcholine, however, risk giving too much of themselves to others, even to the point of being masochistic. They may feel that the world is taking advantage of them, or they may become paranoid. Too much acetylcholine can drive a person into isolation.

The acetylcholine-deficient personality

Low levels of acetylcholine result when either the brain burns too much or produces too little. Shifts in personality occur at a much milder deficiency than the dementia- producing deficiencies mentioned earlier. These personality traits can, in fact, manifest when the acetylcholine level is only slightly lower than the levels of the other three neurotransmitters. And remember, we’re looking at the relative balance of neurotransmitters. A deficiency in one neurotransmitter is usually offset by an excess of another, which typically produces the personality traits associated with a dominance of that other neurotransmitter.

The eccentric. The absence of thought connections to other people and the world makes this person’s behavior seem odd. The eccentric usually steers away from human interaction and keeps himself isolated. Outwardly, he appears bland and inexpressive. When even mildly stressed, however, he can become a danger to himself and others.

The perfectionist. This person is usually hard working, detail oriented, devoted, and exacting. Self-discipline is a hallmark of this personality type, which can be either a plus or a minus, depending on the severity of the imbalance and which other neurotransmitter is dominant. This person can be an excellent worker, or he can be rigid and obsessive to the point that nothing is actually accomplished. The perfectionist’s life is usually lacking in enjoyment, relaxation, and warmth, which can make that person unapproachable.

Dopamine

Review: A “normal” brain creates an electrical potential of about 10 µv (microvolts). The voltage generated in a person’s brain is related to his ability to concentrate, and low voltage can result in memory impairment, obesity, addictions, or schizophrenia.

Dopamine-associated disease states

A person’s ability to concentrate can be directly correlated with his dopamine level. A diagnostic evaluation of the voltage in a person’s brain can give objective evidence of disturbances in concentration and memory. Low dopamine levels can be involved in difficulty performing routine tasks, a variety of sexual disorders such as loss of libido or anorgasmy, various addictions, from caffeine to opiates, and decreased physical activity due to fatigue. Obesity is a common result of the combination of sugar cravings and low physical activity associated with suboptimal dopamine levels in the brain.

Brain voltage can vary within the range of 0 µv (dead) to 20 µv (super concentration), with 10 µv being classified as “normal.” The voltage range correlates as follows: 0-2 µv is typically found in cocaine babies; 2-4 µv can indicate severe addictions, severe attention deficit disorder, or schizophrenia; 5-6 µv indicates a chronic brain disorder; 7 µv is found in those with moderate addictive behavior, such as caffeine and sugar cravings; 8-9 µv is typical for mild to moderate memory and thinking disturbances, including mild attention deficit; 10 µv is “normal”; and above 10 µv indicates an increased ability to concentrate, even to the rejection of external stimuli at the high end of the range.

Drugs that increase dopamine levels have been used as adjunctive therapy for schizophrenia and opiate addiction. Beyond detecting and treating frank disease states associated with a severe dopamine deficiency, physicians can analyze the balance of the four neurotransmitters to determine a patient’s personality type.

The dopamine-dominant personality

Dopamine is the source of the brain’s power and energy. People with an excess of dopamine (about 17% of the world’s population) thrive on energy. They are likely to be strong-willed individuals who know what they want and how to get it. They are highly rational, more comfortable with facts and figures than feelings and emotions. They can be self-critical, but do not accept criticism or negative feedback from others. These people function well under stress, focusing intently on the task at hand. They are tireless and typically need less sleep than average. Strategeic thinking, invention, and problem-solving are the hallmarks of these individuals. In their personal lives, they like activities related to knowledge and intellect. They can be competitive in sports, but prefer individualized sports over group sports. They tend to establish personal relationships easily, but may have trouble nurturing them. As highly rational people, they have trouble understanding that many people believe feelings are more important than reason. They have a tendency to want to exert control over their spouse and children, and a successful marriage depends on the loyalty and goodwill of the spouse.

People with extremely high levels of dopamine, however, can be overly intense, driven, and impulsive. They may turn to violence as a way of creating controlled environments of excitement and power. Teens may be driven to shoplifting, street racing, or date rape. Criminals — especially repeat sexual offenders — often have extreme dopamine levels and a heightened libido that frequently accompanies it.

The dopamine-deficient personality

Low levels of dopamine result when either the brain burns too much or produces too little. Shifts in personality occur at a much milder deficiency than the disease- producing deficiencies mentioned earlier. Personality shifts can, in fact, manifest when the dopamine level is only slightly lower than the levels of the other three neurotransmitters. And remember, we’re looking at the relative balance of neurotransmitters. A deficiency in one is usually offset by an excess of another, which typically produces the personality traits associated with a dominance of that other neurotransmitter.

Dopamine production determines the brain’s power, as measured by voltage. As the voltage becomes suboptimal, the person literally slows down, mentally and physically. Minor deficiencies can produce a range of mental and physical symptoms, such as mild memory loss, mild depression (“the blues”), panic disorder, PMS, insomnia, fatigue, mild hypertension, nicotine addiction, and obesity. Sexual side effects, such as loss of libido and difficulty achieving orgasm, are common among people with a dopamine deficiency.

The previous two neurotransmitters — acetylcholine and dopamine — can be thought of as the brain’s “on” switch, providing energy, power, and speed. The next two — gamma-aminobutyric acid (GABA) and serotonin — function as the brain’s “off” switch, providing calmness, rest, and sleep. A balance of the “on” and “off” neurotransmitters is necessary for proper brain function.

GABA

Review: Rhythm refers to the regularity of a person’s brain waves. Like cardiac rhythm, the more smooth the rhythm, the better. Brain-wave arrhythmias, or dysrhythmias, yield a spectrum of disorders from anxiety and recurring headaches to manic depression and seizures.

GABA-associated disease states

Gamma-aminobutyric acid (GABA) is the major inhibitory neurotransmitter in the brain. It has a calming, stabilizing effect. It controls the brain’s rhythm, which allows a person to function at a steady pace and prevent him from becoming too “hyper.” As the brain’s GABA level declines, brain waves begin to become less rhythmic. This can bring on a multitude of symptoms, both psychological and physical.

Mild brain-wave dysrhythmias can produce anxiety and its accompanying physical manifestations: restlessness, sweating, cold or clammy hands, butterflies in the stomach, and a lump in the throat. Other physical symptoms that can appear with a moderate GABA deficiency include carbohydrate cravings, an abnormal sense of smell, and unusual allergies. As GABA levels further decrease, anxiety can become more pronounced and produce attention-deficit disorders, PMS, flushing, trembling, hypertension, cystitis, and gastrointestinal disorders. At the most extreme deficiency, this can become full-blown panic attacks, manic depression, migraine headaches, hyperventilation, palpitations, tachycardia, blurred vision, tinnitus, twitching, and seizures. Advanced psychological symptoms can include severe delusions, feelings of dread, and a short temper that can progress into full-blown rage reactions and violence. Chronic marijuana and alcohol abuse can signal an acute GABA deficiency.

Beyond detecting and treating frank disease states associated with GABA deficiencies, physicians can analyze thebalance of the four neurotransmitters to determine a patient’s personality type.

The GABA-dominant personality

People with high GABA levels (about 50% of the world’s population) share the common attributes of stability, consistency, sociability, and concern for others. They are nature’s most dependable people. They can be counted on to show up at work every day and be there when others need them. At work, GABA- dominant people are the ones who set goals, organize projects, schedule activities, and keep others on task. Their punctuality, objectivity, practicality, and confidence make them excellent employees. Organization is paramount to them — at work, at home, and in their social life. It’s no wonder that these people gravitate to careers as administrators, accountants, air-traffic controllers, meeting planners, nurses, EMTs, and yes, medical transcriptionists. They’re the ones in the group who stay focused on the matter at hand. They are the consummate team player, both metaphorically and literally. In their personal life, such people derive pleasure from taking care of their family and friends. They can be a serene island in a sea of chaos. Although they like group activities, they cherish one- on- one relationships. Their friends are forever, and their marriage is a long- term commitment. Nurturing and making others happy is their ultimate goal. They tend to be religious and believe in traditions, especially where friends and family are involved, such as holiday gatherings.

As with the other neurotransmitters, it is possible to have too much of a good thing. People who produce too much GABA can be organizational to the point of setting rigid schedules and micromanaging others, whether as a boss, a coworker, a friend, or spouse. Excess GABA can dramatically increase a person’s nurturing tendencies. They can spend enormous amounts of time and energy looking for opportunities to give love and care to others, at the cost of their own needs not being met.

The GABA-deficient personality

Low levels of GABA result when either the brain burns too much or produces too little. Shifts in personality occur at a much milder deficiency than the disease- producing deficiencies mentioned earlier. Personality shifts can, in fact, manifest when the GABA level is only slightly lower than the levels of the other three neurotransmitters. And remember, we’re looking at the relative balance of neurotransmitters. A deficiency in one is usually offset by an excess of another, which typically produces the personality traits associated with a dominance of that other neurotransmitter.

Unlike a balanced brain that creates energy in a smooth, steady flow, a person with low GABA creates energy in bursts. This brain dysrhythmia can upset the body in a number of ways, but none is more pronounced than in the realm of emotional well- being. Specifically, he can lose the ability to effectively deal with life’s stresses. He may begin to feel nervous, anxious, and irritable. He may demonstrate poor emotional stability, lack impulse control, and resort to childish behavior. It can also manifest as poor verbal memory and difficulty concentrating. Physically, low GABA levels can bring on a variety of subacute conditions such as allergies, transient aches, instability while walking, diarrhea or constipation, and insomnia or hypersomnia. Usually, such physical annoyances occur one after another to the point that a person begins to wonder about his general state of health.

Serotonin

Review: Synchrony is a comparison of the electrical activity in each of the hemispheres of the brain. It is common for a person to be dominant in one hemisphere or the other, but a severe imbalance in the electrical activity of the right vs. left hemisphere can lead to sleep disorders, IBS, somatization disorders, or phobias.

Serotonin-associated disease states

Correlating with delta waves in the brain, serotonin affects your ability to rest, regenerate, and find serenity. Adequate serotonin allows the brain to recharge and rebalance itself each night, so that you can begin each morning with a fresh start. Serotonin is produced in the occipital lobes, which is also the center of sight.

As serotonin levels drop, the right and left hemispheres become desynchronized, producing feelings of being out of control. Moderately low levels can produce depression, mild hypertension, arthritis, poor temperature regulation, sexual disturbances such as premature ejaculation or delayed arousal response, bowel disturbances, mild PMS with emotional outbursts, learning disorders, obsessive- compulsive behavior, and insomnia, which tends to further lower serotonin levels. As levels drop further, hypertension can become uncontrolled, arthritis can intensify, PMS can become severe, and a wide range of perimenopausal symptoms can occur. With a severe shortage of serotonin, physical and psychological disturbances may become life threatening, with bingeing, masochism, severe depression and other serious mood disorders, addictions including alcoholism and drug abuse, somatization disorders, schizoaffective disorders, and schizophrenia with hallucinations. Physically, a severe serotonin deficiency can cause insomnia/ hypersomnia sleep cycles measured in days and increase hypertension to the point of producing a stroke.

Beyond detecting and treating frank disease states associated with serotonin deficiencies, physicians can analyze the balance of the four neurotransmitters to determine a patient’s personality type.

The serotonin-dominant personality

People with high serotonin levels (about 17% of the world’s population) know how to live in the moment. Realistic and impulsive, they are highly responsive to sensory input. They’re active participants in life who thrive on change. They take their vacations at a different spot each year. They try new foods, new hobbies, and new friends, and they have a natural disdain for order, structure, and authority. They’re optimistic, cheerful, easygoing, and the life of the party. A serotonin-dominant person gravitates to trades or professions that offer a variety of tasks, an ever-changing environment, and interactions with different people. Their keen hand-eye coordination makes them well suited to using various tools to accomplish their tasks. Construction workers, truck drivers, military personnel, hairstylists, pilots, surgeons, chiropractors, movie stars, fashion models, photographers, and professional athletes likely owe their skills to ample serotonin levels. Preferred sports can include mountain climbing, hunting, skydiving, hang gliding, scuba diving — just about anything that offers a personal challenge along with a certain level of excitement. They play hard and have the time of their life when doing activities that others would consider too dangerous. In relationships, they can be romantic and passionate, but they also love their independence and often refuse to be tied down. Due to their impulsivity and desire for change, they tend to move away from people before deep relationships develop. In fact, their friendships are typically many and varied — wide instead of deep. They have a fondness for children, but make better aunts and uncles than parents.

As with the other neurotransmitters, it is possible to have too much. An excess of serotonin can make a person extremely nervous. He can become hesitant, distracted, hypersensitive to criticism, and morbidly afraid of being disliked. Excessive serotonin can make a person believe he is inadequate and inferior. Sadness and anger are constant companions, and although he may have a desperate desire for interpersonal interaction, he is too fearful to even make an attempt.

The serotonin-deficient personality

Serotonin deficiency can occur from experiencing too much excitement (thereby metabolizing large amounts of serotonin) and/or not getting sufficient sleep (causing the brain to generate less serotonin). Shifts in personality occur at a much milder deficiency than the disease- producing deficiencies mentioned earlier. Personality shifts can, in fact, manifest when the serotonin level is only slightly lower than the levels of the other three neurotransmitters. And remember, we’re looking at the relative balance of neurotransmitters. A deficiency in one is usually offset by an excess of another, which typically produces the personality traits associated with a dominance of that other neurotransmitter.

A common sign of serotonin deficiency is depression and fatigue. The chronic lack of sufficient sleep means that the brain is unable to rest, regenerate, and resynchronize. This can manifest in the personality as a flat affect (a classic sign of depression) and a lack of pleasure, artistic appreciation, and common sense. The person may become codependent, obsessive- compulsive, or exhibit loner tendencies. He can be impulsive or perfectionistic, painfully shy or masochistic. Someone with multiple phobias is typically serotonin deficient. The frequent use of ecstasy, PCP, and LSD also signals a serotonin deficiency.

Lettin’ the good guys in,
Keepin’ the bad guys out

We have been made with a wonderful mechanism to prevent harmful substances from entering the brain. Not everything that circulates in the blood stream is allowed entry into the brain. There is a barrier between the blood and the brain, logically called the blood-brain barrier, that allows only glucose and certain nutrients selective access to the brain. This membrane protects the brain from toxins and other substances that would cause it damage. It also “holds in” certain substances manufactured by the brain, notably neurotransmitters, that would be lost through diffusion throughout the rest of the body if allowed to pass into the blood stream. Therefore, the same membrane that prevents toxins from passing through also prevents neurotransmitters from passing through. This characteristic of the blood-brain barier is the reason why a Parkinson disease patient, for example, cannot receive an injection of dopamine to restore the dopamine level in his brain and reverse the disease. So the dilemma is how to raise the level of specific neurotransmitters in the brain, when simple supplementation with those neurotransmitters is ineffective.

The answer lies in finding a way to “coax” the brain to produce more endogenous neurotransmitters. It turns out that the answer is fairly simple — give the brain more raw material, and it will make more neurotransmitters. Fortunately, the mechanism by which the brain makes each neurotransmitter is well known. Like most substances in the body, they are made through a series of chemical reactions. Notice that I said the blood-brain barrier allows only glucose and certain nutrients selective access to the brain. It is those “certain nutrients” that the brain uses to make neurotransmitters. If there is a deficiency in any of the nutrients needed to make a specific neurotransmitter, there will be a corresponding deficiency of that neurotransmitter. Supplementing the deficient nutrient(s) will allow the brain to resume full production of the neurotransmitter.

Building a better brain

So what are the “certain nutrients” that the brain must have? Without going into the chemistry of neurotransmitter manufacture, suffice it to say that the brain’s supply of amino acids is the most common limiting step in their production. Amino acids, the basic building blocks of protein, are also the basic raw material the brain uses to function. As such, they easily cross the blood-brain barrier. All amino acids can cross the blood-brain barrrier, in fact, but not all are used to make neurotransmitters. The problem is that all the amino acids circulating in the blood stream at any given time compete for passage through the “amino acid channels” in the blood-brain barrier, and passage of a specific amino acid is granted in proportion to its concentration in the blood. If you eat a steak or other complete protein source, all 20 amino acids are simultaneously competing for entry into the brain. Supplementing with, say, 1 gram of a certain amino acid won’t do much if you chase it with a glass of milk (15 grams of protein in 12 oz.) or take it with a meal. To be effective, amino acid supplements should be taken on an empty stomach with plain water or fruit juice (the fructose in juice helps escort the amino acid to the brain).

In the paragraphs that follow, I will tell you which amino acids are used to boost which neurotransmitter, and the primary food sources for that amino acid. Food sources are complex, however, and foods that boost the production of one neurotransmitter can also contain substances that boost the production of another. Eggs, for example, provide a tremenous boost for acetylcholine, but they also have a component that supports GABA. This is one reason why a change of diet takes longer to produce an effect than supplementation with pure amino acids. You should know that prescription drugs are also available to boost the production of a specific neurotransmitter or slow its destruction, but that is beyond the scope of this article. They are listed in detail in the reference given at the end of the article. (Note: numbers shown after the supplements listed below refer to the relative efficacy in boosting the neurotransmitter, on a scale of [1]=best to [4]=least effective.)

Boosting acetylcholine

  • Pure amino acid precursors: serine, carnitine.
  • Amino acid-boosting supplements: DMAE (dimethylaminoethanol) [1], phosphatidylcholine [1], phosphatidylserine [2], acetyl-L-carnitine [2], GPC (glycerol phosphocholine) [3].
  • Supporting supplements: huperzine A [1], nicotine [1], lipoic acid (alpha-lipoic acid) [3], fish oils [3], manganese [4], conjugated linoleic acid [4].
  • Hormonal supplements: DHEA (dehydroepiandrosterone) [2].
  • Illegal supplements: LSD, PCP, psychotropic mushrooms.
  • Dietary support: choline-rich foods, including avocado, cucumber, zucchini, lettuce, most fruit, bacon, bologna, hot dogs, chicken, turkey, pork, liver, fish, beef, milk, ice cream, sour cream, yogurt, cheese, eggs, and various nuts.
  • Lifestyle support: aerobic exercise.

Boosting dopamine

  • Pure amino acid precursors: phenylalanine, tyrosine.
  • Amino acid-boosting supplements: N-acetyl tyrosine [2], L-tyrosine [3], phenylalanine [3]. (Note: most ingested phenylalanine is hydroxylated to tyrosine in the body. Tyrosine supplements, therefore, need one less chemical conversion step to be used by the body.)
  • Supporting supplements: caffeine [1], guarana [1], yohimbe [1], ephedra[2], nicotine [2], Rhodiola rosea[3], thiamine [4], chromium [4], folic acid [4].
  • Hormonal supplements: DHEA [2].
  • Illegal supplements: cocaine, ecstasy, mescaline.
  • Dietary support: phenylalanine- and tyrosine-rich foods, including wild game, duck, turkey, pork, chicken, luncheon meats, cottage cheese, ricotta, milk, yogurt, walnuts, soybeans, wheat germ, granola, rolled oats, dark chocolate, and eggs.
  • Lifestyle support: sexual activity (for women), weight-bearing exercise, aerobic exercise.

Boosting GABA

  • Pure amino acid precursor: glutamine.
  • Amino acid-boosting supplements: L-glutamine [1].
  • Supporting supplements: inositol [1], alcohol [1], B vitamins [2], glycine [3], kava [3], BCAA (branched-chain amino acids) [4], taurine [4].
  • Hormonal supplements: progesterone [2].
  • Illegal supplements: opioids, ketamine, marijuana, quaaludes.
  • Dietary support: glutamine-rich foods (especially complex carbohydrates), including almonds, walnuts, and other tree nuts, whole-grain wheat and oats, rice bran, brown rice, lentils, potatoes, broccoli, spinach, bananas, citrus fruit, halibut, and beef liver.
  • Lifestyle support: sexual activity (for men and women), sleep, aerobic exercise.

Boosting serotonin

  • Pure amino acid precursor: tryptophan.
  • Amino acid-boosting supplements: L-tryptophan [2], 5-HTP (5-hydroxytryptophan) [3].
  • Supporting supplements: St. John’s wort [2], vitamin B6 [4], fish oils [4].
  • Hormonal supplements: melatonin [1], progesterone [2].
  • Illegal supplements: LSD, PCP, GHB, ecstasy.
  • Dietary support: tryptophan-rich foods, including wild game, pork, luncheon meats, duck, turkey, chicken, wheat germ, cottage cheese, and eggs.
  • Lifestyle support: aerobic exercise, psychotherapy, sleep.

To learn more

This series of articles is a synopsis of the groundbreaking research of Eric R. Braverman, MD, as presented at the American Academy of Anti-Aging Medicine (A4M) Annual Conference, June 2003. Dr. Braverman was a member of the pioneering research team at Havard University that developed the BEAM (Brain Electrical Activity Map), a noninvasive device to measure neurotransmitter levels in functioning brains through electrical activity. For more information, his book, The Edge Effect, is highly recommended reading.

The Importance of Zinc

The human body absorbs approximately 400kg zinc over the average 70-year lifespan and at any one time there should be 2-4 gm zinc in the body. It is the second most abundant mineral ion ( Magnesium is the first) in the body and is the only metal that appears in all enzyme classes The body absorbs 20-40% of zinc in food, zinc from animal foods being more readily absorbed (twice as much ) than zinc from plant foods. Zinc is also more readily absorbed with a protein meal and although the body cannot store zinc and it is needed every day in small amounts (50mg or less), it may be held in metallothionine reserves and transferred in metal transporter proteins. Metallothionines in the intestinal cells are capable of adjusting the absorption of zinc by 15-40%. Thus control of cellular zinc homeostasis is maintained by zinc proteins and zinc binding metallothioneines. Zinc is needed for over 300 enzymes in the body and makes up part of 3000 different proteins in the body. Muscles (60%) and bones (30%) contain 90% of the body’s zinc. High concentrations of zinc are found in the prostate gland and semen and the choroid of the eye.

If bone is reabsorbed or muscle is broken down then some zinc can be reutilised and in cases of zinc depletion changes in immune status alter before any decrease in levels of plasma zinc. There is a small exchangeable pool of zinc (100-200mg ) that depends on recently absorbed zinc and the intestinal excretion of zinc. As with Magnesium, the efficiency of absorption of zinc is inversely related to the amount of zinc present in the body. The greater the level of body zinc, the less absorption occurs. Zinc, Magnesium Calcium and Iron all compete for transporters in the intestine for uptake above a threshold of approximately 800mg so consuming these minerals together below this level should not interfere with uptake Zinc is found in all cells in the body and the daily requirement is dependent on age and activity.

Zinc deficiency is due to

  • Soil deficiency.

  • Some drugs deplete zinc.

  • Vegetarian and vegan diets may be deficient.

  • High cereal based diets, containing high phytate foods which can bind with zinc and impair absorption.

  • Cooking with water can result in leaching of up to 50% of zinc levels of the food.

  • Refined processing of wheat and baked goods can result in up to 75% zinc loss

 

Tetracycline and quinolone antibiotics react with zinc in the intestines inhibiting the absorption of both the antibiotic and zinc. The antibiotic should be taken 2 hours or more before or at least 4-6 hours after the zinc supplement to avoid this. 

In short over 300 enzymes are zinc dependent, including enzymes involved in the synthesis of certain proteins such as collagen and wound healing. Also needed for thymic hormone activation and maintaining a normal immune system, testosterone and oestrogen, fertility and reproduction including cell division. It is involved in gene regulation, maintaining acid/base balance in the body and normal carbohydrate, fat and protein metabolism. It is needed for normal bones, skin, hair and nails and normal brain function including maintenance of normal vision. It can also act as an antioxidant, protecting DNA, lipids and proteins in the body.

Zinc Contributes to

Normal DNA synthesis. Although the exact role of zinc in DNA synthesis is not fully understood but it does play a structural role in zinc fingers, which are finger shaped proteins. Due to their shape, these proteins can bind to DNA and RNA allowing them to function in Gene expression. These proteins are the most common transcription factors in living organisms, transcription factors are proteins that bind to DNA and control the transfer of genetic information to RNA Put simply Zinc is needed for reading genetic instructions and lack of zinc may mean that instructions get misread or not read at all.

Normal acid/base metabolism. Acid/Base balance is the balance between acid and alkaline to keep body fluids as close to a neutral pH (pH7) as possible. Carbon dioxide and water are rapidly converted to bicarbonate and water (and back again) to maintain acid base balance in the blood and other tissues. The enzyme responsible for this is the zinc dependent enzyme Carbonic Anhydrase. Studies have shown that dietary deficiency of zinc reduces red blood cell carbonic anhydrase activity

Normal carbohydrate metabolism. Deficiency of zinc results in a drop of metabolic rate. Zinc dependent messenger RNA is needed to synthesise the enzymes required for carbohydrate metabolism so zinc deficiency may result in lack of these enzymes. Zinc may also interact with insulin by controlling the uptake of glucose by adipocytes (fat cells). Zinc deficiency results in impaired carbohydrate metabolism.

Normal cognitive function Zinc is highly concentrated in the cerebral cortex, pineal gland and hippocampus and zinc deficiency is associated with impaired memory formation and mood disorders. In the hippocampus zinc can reach concentrations of 8% of the total brain zinc. Zinc ions are also NDMA (N-methyl-D –aspartate) antagonists (NDMAs control memory function and excessive NDMA activation results in cell death due to excess calcium influx into neuronal cells ) so zinc becomes important for normal neuronal function and memory and delaying brain cell death . Normal fertility and reproduction. Steroid hormones such as testosterone and oestrogen are derived from cholesterol and zinc plays an important role in cholesterol metabolism. Low dietary zinc is associated with low concentrations of several hormones including testosterone.

Testosterone. Circulating testosterone and free testosterone appears to increase with oral zinc intake. In one study supplementing with 250 mg zinc sulphate for 6 weeks increased testosterone by 85% in people on hemodialysis.

Free Testosterone is converted to DHT (dehydrotestosterone) by the enzyme 5alpha-reductase ) primarily in the prostate gland, testes , adrenal glands and hair follicles. DHT is increased in infertile men and as it has an affinity for the hair follicles can result in male pattern baldness. Zinc has been shown to inhibit ( up to 98%)the enzyme 5 alpha reductase.

Semen: Semen is very rich in zinc. Sperm count, motility and physical characteristics of sperm increase and improve with some groups of infertile men.

Zinc deficiency has also been associated with increased expression of oestrogen receptors. The enzyme aromatase converts testosterone to oestrogen and zinc decreases aromatase activity so preventing excessive conversion of testosterone to oestrogen. Zinc deficiency can cause testicular cell death, increase protein oxidation in the testes, dysregulating other enzymes and proteins resulting in degeneration of testicular structures and impaired testosterone secretion.

Why should I Take A Zinc Supplement?

Normal macronutrient metabolism. Macronutrients are carbohydrates, fats and proteins. Zinc is needed for the enzymes that metabolise carbohydrates, fats and proteins

Normal metabolism of fatty acids- zinc is needed for the conversion of linoleic acid to Gamma Linolenic acid (GLA) and for the synthesis of prostaglandins series 1 ( Anti inflammatory prostaglandins) Zinc also plays an essential role in maintaining a balance between to different forms of prostaglandins.

Maintenance of normal serum testosterone concentrations, so involved in fertility and reproduction. Zinc plays a role in cell signalling, influencing hormone release and nerve function.

Normal metabolism of vitamin A. Zinc is necessary to maintain normal concentrations of vitamin A in the plasma, being essential for normal mobilization of Vitamin A from the liver. Zinc deficiency decreases the synthesis of Retinol Binding protein (RBP) in the liver leading to lower levels of RBP in the plasma.It influences the absorption, transport and utilisation of Vitamin A. . Zinc is also required for the enzyme Alcohol dehydrogenase , responsible for converting retinol to retinal, essential for eye function.

Normal protein synthesis. One of the important zinc dependent proteins is Gustin which is involved in taste and smell. Poor or absent gustin levels results in impaired taste and smell. Other important zinc containing enzymes are carboxopeptidase which helps break down protein. Zinc deficiency also impairs the synthesis of the protein Opsin, the precursor of Rhodopsin, which if decreased, results in abnormal dark adaptation of the eye. Zinc is also required for the enzyme alcohol dehydrogenase , responsible for converting retinol to retinal, essential for eye function. Haemoglobin is a protein and zinc s important in haemoglobin synthesis.

Maintenance of normal bones. Zinc regulates the secretion of calcitonin from the thyroid gland and therefore influences bone turnover. Zinc appears to regulate the bone matrix calcification in osteoblasts. Zinc deficiency decreases the activity of matrix proteins, type 1 collagen and alkaline phosphatase decreasing Calcium and Phosphorus accumulation. Therefore zinc deficiency may become a risk factor for poor extra cellular matrix calcification.

Maintenance of normal hair and nails Zinc is needed for building keratin and formation of collagen and for facilitating cell division that makes hair growth possible.

Maintainance of normal skin. Collagen in skin is produced by zinc dependent enzymes , the collagenases. Type 1 collagen is produced in the skin and is a structural long lived protein produced by fibroblasts. Collagen constitutes 70% skin mass and give the skin its structure and resistance to traction and strains. Total collagen decreases 1% a year resulting in decreased elasticity and aging skin. Zinc is essential not only for the enzymes producing collagen but also the cross linking that give collagen its stability. Human studies have shown that decreased zinc resulted in decreased total collagen.

Maintenance of normal vision Zinc supplementation alone significantly reduced the risks of developing AMD in subjects at higher risk. Zinc deficiency also impairs the synthesis of the protein Opsin, the precursor of Rhodopsin, which if decreased, results in abnormal dark adaptation of the eye. Zinc is also required for the enzyme alcohol dehydrogenase , responsible for converting retinol to retinal, essential for eye function.

Contributes to normal function of the immune system. Plays a central role in the immune system affecting cellular and humoral immunity. It is essential for thymic dependent T cells . Zinc deficiency results in decreased levels of all types of white blood cells. It is also required for the production of Thymulin (thymic hormone) Zinc ions also exhibit direct anti microbial activity.

Contributes to protecting the cells from oxidative damage, protecting the DNA, lipids and proteins . Loss of zinc from biological membranes increases their susceptibility to oxidative damage. Zinc is also necessary for the antioxidant enzyme Super Oxide Dismutase (SOD)and low levels of zinc supplementation resulted in increased levels of glutathione peroxidase , SOD and decreased lipid peroxidation.

The process of cell division. Zinc contributes to normal DNA synthesis and cell division. Zinc appears to be essential for Insulin like growth factor (IGF) which induces cell proliferation. Reduced zinc availability appears to affect membrane signalling and secondary messengers that coordinate cell proliferation. Ref : The Role of Zinc in Growth and Cell Proliferation by Ruth MacDonald published In The American Society for Nutritional Sciences Reference

What Are The Symptoms Of A Mild Zinc Deficiency?

  • Loss of appetite.

  • Poor growth.

  • Weight loss.

  • Diminished taste or smell.

  • Poor wound healing.

  • Skin problems, acne, psoriasis atopic dermatitis.

  • Poor vision, night blindness.

  • White spots on finger nails.

  • Depression, apathy.

What Are The Symptoms Of A Severe Zinc Deficiency?

  • Delayed sexual and bone maturation

  • Skin lesions

  • Diarrhoea

  • Loss of appetite

  • Hair loss

  • Increased susceptibility to infections

  • Behavioural changes

The passage of zinc into the body

Studies involving direct comparison of bioavailability of different forms of zinc in humans are few. The important fact is that the form of zinc needs to become dissociated into zinc ions which then bind to ligands ( proteins ) that transport the zinc into the cells of the small intestine. There are specific transport proteins that carry zinc across the cell membrane into the portal circulation where it is transported directly to the liver before being released into the circulation for delivery to all tissues. Approximately 70% of zinc is bound to serum albumin ( a plasma protein ) and factors altering serum albumin in turn affect serum zinc levels. Serum zinc has a rapid turnover to meet tissue demands.

Zinc is lost through the skin and kidneys (combined loss of 0.5-0.8mg/day) , more zinc being lost when the body sweats more, as in hot climates and during strenuous exercise. Approximately half of all zinc eliminated from the body is lost through the shedding of epithelial cells in the gastro intestinal tract (0.5- 3mg/day) and although a considerable amount is secreted through both biliary and intestinal secretions, most of the secretions are reabsorbed regulating the zinc balance. Starvation and muscle breakdown also increase zinc loss through the urine.

As already mentioned, protein enhances the absorption of zinc and a phytate rich diet (from cereals, grains, corn and rice) inhibit the absorption of zinc.

There is a very fine balance between zinc and copper. Zinc reduces the amount of copper your body absorbs because copper competes with zinc to bind with metallothionein, the binding protein that brings zinc into the intestinal cells. The ratio of zinc : copper is arguably more important than the concentration of either copper or zinc, a common problem being excessive copper in water from copper pipes or copper cookware.

Zinc also competes with iron to bind with blood transferring, illustrating the importance of a balance of these minerals. The ECRDA for zinc is 10 mg less is required for babies, children and teenagers and more for pregnant and breastfeeding ladies.

Recommended Daily Allowance For Zinc Supplements

Bioavailability Of Different Forms Of Zinc Supplements

There are many forms of zinc compounds. 

  • Zinc Picolinate 20%

  • Zinc Ascorbate 15%

  • Zinc Chloride 48%

  • Zinc Sulphate 22%

  • Zinc Carbonate 52%

  • Zinc Citrate 31%

  • Zinc Bisglycinate 25%

There is not much substantial evidence of greater effectivity of one form of zinc over another as absorption of zinc in the body is subject to so many variables.

However, a small research study (15 healthy young adults in a randomised, double blind three way cross over study, receiving 10mg of elemental zinc as a supplement without food just published (20 November 2013) found that the bioavailability of zinc citrate was 61.3% , of zinc gluconate was 60.9% and of zinc oxide was 49.9 % Previous zinc intake may affect zinc bioavailability studies. Variables include;

  • Existing zinc status of the individual. The lower the zinc status of the individual, the greater the absorption of zinc.

  • People that sweat a lot are subject to more zinc loss, for example athletes, those in hot climate, menopausal ladies experiencing night sweats.

  • Dosage of zinc- as zinc intake in dosages is increased , percentage absorption decreases probably due to the saturation of the transport mechanisms.

  • Zinc absorption appears to be decreased in the elderly.

  • Zinc absorption is increased with dietary protein intake.

  • The type of protein in a meal affects zinc bioavailability. Animal protein enhances absorption.

  • Phytates in cereals and soy inhibit absorption of zinc by binding with it ( except zinc bisglycinate found in Metabolics zinc formula).

  • Caesin in milk and calcium inhibit absorption by binding with zinc ions.

  • Iron inhibits absorption of zinc.

  • Copper ( in high amounts ) inhibits Zinc absorption. In studies using 15mg zinc combined with 2mg copper no inhibition of absorption was found.

  • Cadmium- toxic levels of cadmium can inhibit zinc absorption

Conclusion

Types of zinc supplements may remain a personal preference, although generally zinc should not be taken on an empty stomach (as it can result in nausea) should be taken with an animal protein meal , away from cereals and taken in conservative doses to increase absorption. Long term zinc intake is recommended with copper (see zinc formula) as this is zinc bisglycinate, the only form not affected by phytates and balanced with a small amount of copper.

 

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Resistance Training’s Effect on Endurance Performance

Research shows that the appropriate integration of resistance training into the endurance athlete’s training can result in significantly better performance when compared to classic endurance training plans that focus only on aerobic endurance.

Research shows that the appropriate integration of resistance training into the endurance athlete’s training can result in significantly better performance when compared to classic endurance training plans that focus only on aerobic endurance.

The following is an exclusive excerpt from the book Developing Speedpart of the NSCA’s Science of Strength and Conditioning Series with Human Kinetics.

Endurance athletes who are stronger can generally perform at a much higher level.

This suggests that training modalities that stimulate increases in muscular strength without compromising endurance capacity may be beneficial for the endurance athlete. Support for this contention can be found in the scientific literature; research shows that the appropriate integration of resistance training into the endurance athlete’s training plan can result in significantly better performance when compared to classic endurance training plans that focus only on aerobic endurance training.

When looking closely at endurance performance, several key factors—including the athlete’s maximal aerobic power (V˙ O2max), lactate threshold, and movement efficiency—contribute to performance (see figure 7.1). The training modality selected influences these factors by inducing changes to the athlete’s aerobic power and capacity, anaerobic capabilities, and neuromuscular function.

Aerobic training exerts a strong influence on both aerobic power and capacity, but it does not exert a great impact on the athlete’s anaerobic or neuromuscular abilities.

Conversely, resistance training exerts a strong influence on the athlete’s neuromuscular function and a moderate influence on anaerobic power and capacity, while offering only a minimal influence on aerobic power and capacity. By influencing the athlete’s anaerobic abilities as well as neuromuscular function, resistance training can elevate the athlete’s lactate threshold, movement efficiency, and ability to engage in high-intensity activities.

The ability of resistance training to improve endurance performance is likely related to several key factors, including the specific physiological and mechanical adaptations that are stimulated by the resistance training regimen. The integration of resistance training into the overall training plan appears to be central to creating these specific performance-enhancing adaptations.

Traditionally, endurance athletes and coaches have believed that resistance training either does not affect or negatively affects endurance performance. However, this view may be partially explained by a design flaw in many of the training programs that include both resistance and endurance training. The flaw is that resistance training is simply added to the endurance training plan. Athletes who undertake this approach often experience excessively high levels of fatigue that can negatively affect overall performance.

If athletes reduce their endurance training load to account for the addition of resistance training, then resistance training has a positive effect on the athletes’ endurance performance. The athlete who performs both resistance and endurance training in an integrated and appropriately planned fashion will perform at a higher level than the athlete who performs only classic endurance training.

Understanding Methylation

Methylation is a key biochemical process that is essential for the proper function of almost all of your body’s systems. It occurs billions of times every second; it helps repair your DNA on a daily basis; it controls homocysteine (an unhealthy compound that can damage blood vessels); it helps recycle molecules needed for detoxification; and it helps maintain mood and keep inflammation in check.

To keep methylation running smoothly you need optimal levels of B vitamins. Without enough B vitamins methylation breaks down, and the results can be catastrophic. In these cases we see more birth defects like spina bifida, more cases of Down’s syndrome, and more miscarriage.

A breakdown in methylation also puts you at higher risk for conditions like osteoporosis, diabetes, cervical dysplasia and cancer, colon cancer, lung cancer, depression, pediatric cognitive dysfunction ( mood and other behavioral disorders), dementia, stroke and may put you at a higher risk of heart disease.

To avoid all of these problems, the key is to maximize methylation. That means avoiding the things that cause your methylation to break down, testing to find out how well your methylation is working, and including the things that support proper methylation. Let’s look at how to do that.

8 Factors that Affect Your Methylation Process

  1. Genetics – Like an estimated 20 percent of us, you could be genetically predisposed to high homocysteine
  2. Poor diet – The word “folate” comes from “foliage.” You need to eat plenty of leafy greens, beans, fruit, and whole grains to get adequate levels of vitamins B6 and B12, betaine, and folate. Egg yolks, meat, liver, and oily fish are the main dietary sources of vitamin B12 — so long-term vegan diets can be a problem. Plus, certain compounds can raise levels of homocysteine and deplete the B vitamins. These include excess animal protein, sugar, saturated fat, coffee, and alcohol. Irradiation of food depletes nutrients, so foods treated this way may be lower in B vitamins, too
  3. Smoking – The carbon monoxide from cigarette smoke inactivates vitamin B6
  4. Malabsorption – Conditions like digestive diseases, food allergies, and even aging can reduce absorption of nutrients
  5. Decreased stomach acid – Aging and other conditions can reduce stomach acid — and therefore absorption of vitamin B12
  6. Medications – Drugs like acid blockers, methotrexate (for cancer and arthritis and other autoimmune diseases), oral contraceptives, HCTZ (for high blood pressure), and Dilantin (for seizures) can all affect levels of B vitamins
  7. Other conditions – These include hypothyroidism, kidney failure or having only one kidney, cancer, and pregnancy
  8. Toxic exposures – Some toxins can interfere with vitamin production

Watch out for these factors and you will go a long way toward protecting your methylation.

Measuring Your Own Methylation Process

To find out if your methylation process is optimal, ask your doctor for the following tests:

  • Complete blood count – Large red blood cells or anemia can be a sign of poor methylation. Red blood cells with a mean corpuscular volume (MCV) greater than 95 can signal a methylation problem
  • Homocysteine – This is one of the most important tests you can ask for. The normal level is less than 13, but the ideal level is likely between 6 and 8
  • Serum or urinary methylmalonic acid – This is a more specific test for vitamin B12 insufficiency. Your levels may be elevated even if you have a normal serum vitamin B12 or homocysteine level
  • Specific urinary amino acids – These can be used to look for unusual metabolism disorders involving vitamins B6 or B12 or folate, which may not show up just by checking methylmalonic acid or homocysteine

12 Tips to Optimize Your Methylation Process

Just as there are many causes of poor methylation, there are lots of things that support its proper functioning. Here’s how to maximize methylation — and prevent conditions like heart disease, cancer, dementia, depression, and more.

  1. Eat more dark, leafy greens – You want to eat l cup a day of vegetables like bok choy, escarole, Swiss chard, kale, watercress, spinach, or dandelion, mustard, collard, or beet greens. These are among the most abundant sources of the nutrients needed for optimal methylation
  2. Get more Bs in your diet – Good food sources include sunflower seeds and wheat germ (vitamin B6); fish and eggs (vitamin B6 and B12); cheese (B12); beans and walnuts (vitamin B6 and folate); leafy dark green vegetables; asparagus, almonds, and whole grains (folate); and liver (all three)
  3. Minimize poor quality animal protein, sugar, and saturated fat – Animal protein directly increases homocysteine. Sugar and saturated fat deplete your body’s vitamin stores
  4. Avoid processed foods and canned foods – These are depleted in vitamins
  5. Avoid caffeine – Excess amounts can deplete your B vitamin levels
  6. Limit alcohol to 3 drinks a week – More than this can deplete your B vitamin levels
  7. Don’t smoke – As noted above, smoking inactivates vitamin B6
  8. Avoid medications that interfere with methylation – See notes on this above
  9. Keep the bacteria in your gut healthy – Take probiotic supplements and use other measures to make sure the bacteria in your gut are healthy so you can properly absorb the vitamins you do get
  10. Improve stomach acid – Use herbal digestives (bitters) or taking supplemental HCl
  11. Take supplements that prevent damage from homocysteine –Antioxidants protect you from homocysteine damage. Also make sure you support methylation with supplements like magnesium and zinc
  12. Supplement to help support proper homocysteine metabolism – Talk to your doctor to determine the best doses and forms for you.  Here are a few suggestions:
    Folate (folic acid): Amounts can vary based on individual needs from 200 mcg to 1 mg. Some people may also need to take preformed folate (folinic acid or 5 formylTHF) to bypass some of the steps in activating folic acid
    Vitamin B6: Take 2 to 5 mg a day. Some people may need up to 250 mg or even special “active” B6 (pyridoxyl-5-phosphate) to achieve the greatest effect. Doses higher than 500 mg may cause nerve injury
    Vitamin B12: Doses of 500 mcg may be needed to protect against heart disease. Oral vitamin B12 isn’t well absorbed; you may need up to 1 or 2 mg daily. Ask your doctor about B12 shots
    Betaine: This amino acid derivative is needed in doses from 500 to 3,000 mg a day, depending on the person

Understanding Cholesterol

Cholesterol is one of the least understood molecules and truly gets a "bad rap." Although people understand that cholesterol is only present in animal-based foods, what many do not know is that we produce cholesterol just like any other animal, and it is a very necessary molecule used to form all of the cell membranes in the body. Cholesterol is also the building-block molecule from which all of the steroid hormones are made. If there is more cholesterol in the diet than is needed, then the body synthesizes less. If the diet does not provide enough cholesterol then the body makes more.

Since cholesterol is used by the body to manufacture hormones such as cortisol, we can look at what cortisol is and make some logical connections. Cortisol is widely regarded as a "stress hormone" since the body needs and produces more of it in response to stress. This stress response takes many forms; one of them is lowering inflammation--useful if your version of stress involves hand-to-hand combat with large carnivores or fighting for your life. The lowering of inflammation is why the pharmaceutical versions of cortisol (Hydrocortizone and other glucocorticoids) are used to reduce inflammation in cases of massive trauma or major surgery. Other effects of cortisol are the elevation of blood pressure, release of glucose from the liver, inhibition of the immune system, retaining of water/reducing kidney function (probably useful if the combat with the large carnivores leads to bleeding form flesh wounds, as retaining water would help to maintain blood volume when bleeding profusely) and other effects. Taken together, when stress levels remain high, lots of cortisol is produced. It would then make sense that making a lot of cortisol requires a lot of what is made from, which is cholesterol. Therefor, during periods of high stress (a lifetime for many people), the levels of cholesterol can become very elevated. When the stress is long-term, the stress will end up raising the inflammation level through other mechanisms; effectively, stress reduces inflammation in the short-term only. Cholesterol has many other uses in the body, including the formation of myelin--the insulating/speeding sheath that wraps around the nerves, like rubber coating surrounding a copper wire, that increases their conduction velocity (and is damaged in multiple sclerosis).

Dietary modifications to reduce cholesterol has been met with mixed results. Some people can follow a strict no-cholesterol diet and achieve a lowering of their plasma cholesterol levels, while other are not able to accomplish this. This failure of dietary regimen to achieve the desired goal may be because of the body's production of cholesterol to meet the necessary levels for the amount of stress the individual is experiencing. The failure may also be because of reduced utilization of cholesterol. The gut bacteria play a role here also with Lactobacillus bacteria actively consuming cholesterol. Lactobacillus not only consumes cholesterol, but it makes bile acids that aid in the digestion of fats out of the cholesterol that it consumes. It therefore makes sense that if a person has altered gut bacteria demographies and Lactobacillus are in the minority, that person will not use up as much cholesterol and the cholesterol levels may accumulate. Elevated levels of stress reduce the levels of Lactobacillus, providing the pathway for stress to reduce the beneficial effects of a healthy diet. The same imbalance may also predispose the person to inflammation, which is the real cause of heart disease.

The use of probiotics in dairy products to control cholesterol greatly predates modern science, as the Maasai tribe in Kenya use a probiotic fermented milk in their diet. The Maasai diet is composed almost entirely of meat, milk and blood. This diet includes several times the recommended level of cholesterol, and yet the Maasai have no problems with atherosclerosis or other degenerative diseases that could be related to their diet. What has been found is that their fermented milk (no refrigeration, so it all gets fermented if not immediately consumed!) contains probiotic bacterial population s that help to consume and lower cholesterol. Other sources of probiotics, such as yogurt, have been found to lower cholesterol levels also. 

Many people incorporate yogurt into their diet because they like it or they think that it is healthy--but what makes it healthy? Much of the yogurt on store shelves has no bacterial colony whatsoever, so it is important to read the ingredients! If it has no "live active cultures," then it has little if any health benefit to our good bacteria and subsequent immune function.

Eggs have often been the poster child of high cholesterol food, if the yolk is used. However, consuming eggs may not have as much to do with elevated cholesterol level as initially thought. Similarly, fats were implicated in the disease process, as it has been observed that people with high triglycerides (fats) in their blood are at increased risk of developing heart disease. There are other variables in this equation, as is often the case. For example, abnormal populations of gut bacteria promote atherosclerosis by causing inflammatory changes and altered metabolism of lipids. The presence of abnormal gut bacteria that cause irritable bowel syndrome is directly linked to the development of thickening of the wall of arteries, which is of course the actual structural change that is at the center of what we call atherosclerosis.

Excerpt from The Symboint Factor by Richard Matthews DC DACNB FACFN

Healthcare: Treating the Symptoms and Not the Problem

We experience symptoms of illness (ie high blood pressure or dysbiosis)  as a sign that something within the body is not working as it should. The presence of symptoms should alert a person that the body has become imbalanced in some way, so that action can be taken to restore balance and function. Instead, most people are taught to treat the symptoms only. Examples would be taking pain relievers to control pain or using muscle relaxers for muscle spasms or even blood pressure pills and statin drugs to help with risk factors for heart disease. This unfortunately does not correct the underlying imbalance that caused the dysfunction and symptom to result. The true problem may continue creating imbalances in the body's system until more serious conditions manifest. 

There are few cases of "one cause, one cure" that happen in the human body. Pursuing health means maximizing the function of all the body's intrinsic systems as well as the brain. This is a completely different concept than what we usually encounter in healthcare. Often asked is the question: "will my insurance cover that?" when explaining health-building strategies, and the answer is almost always a "no." The reason is that insurance companies sell disease care policies, not health care policies. The number of pure health building interventions that are covered, if any, can often be counted on one hand. For example, does insurance cover nutritional supplements, gym memberships, yoga classes, new bicycles, probiotic foods, kitchen tools such as a VitaMix and similar items? Perhaps some of these are covered items in some countries, but not in the United States. Nothing that prevents cancer is covered, but annual early detection is, to see if your have it yet. The "system" is geared toward specific treatment for a specific disease, and yet almost all diseases have several factors or circumstances as causes. If a person falls and breaks a wrist, the doctor that treats that wrist has a very specific job. If the patient instead has arthritis and migraines, what are the causes? Inflammation, poor diet, biomechanical issues, lifestyle, genetics--four out of five of these are variables that we have control over and yet often do nothing about.

Adapted from The Symboint Factor by Richard Matthews DC DACNB FACFN

Avoid the Worst Ingredients

Flavor enhancers, preservatives, sweeteners, synthetic colors and manmade fats and chemicals commonly hide out in the ultra-processed foods we eat. If you want to stay away from putting harmful chemicals on your table, it’s necessary to learn how to identify the worst ingredients and find healthier alternatives. Let’s take a look at how to get started.

1. Identify and avoid these seriously dangerous additives

It’s not easy to remember all of the worst ingredients to steer clear of, but learning to avoid the most toxic ones commonly found in the food supply can drastically improve your health. A common food additive is monosodium glutamate (MSG) that is very dangerous and affects human body in a variety of ways. Headache, nausea, vomiting, pain in the back of the neck, numbness and heart palpitations are common side-effects of consuming MSG. Monosodium glutamate is an excitotoxin that overexcites the cells in your body to the extent where they are so heavily damaged that they die. MSG also leads to a range of neurological diseases on prolonged exposure. (12)

It’s not easy to find processed foods that are completely free of MSG. Other food ingredients often mask the presence of MSG, including:

  • autolyzed yeast
  • hydrolyzed protein
  • hydrolyzed vegetable protein
  • sodium caseinate
  • yeast nutrient or yeast extract
  • Torulo yeast
  • natural flavoring
  • glutamic acid

Soy sauce, seasonings, powdered milk, stock, malt, maltodextrin, pectin and anything protein often contain MSG.

2. Avoid the toxic heart attack ingredient

Trans fats are very harmful. These artificial trans fatty acids lower the level of good cholesterol (HDL) and increase the level of bad cholesterol (LDL) in your body. Primarily used in processed foods, trans fats are formed when food manufacturers add hydrogen to liquid oil to solidify it. (They do this to increase shelf life.) Unfortunately, trans fats have been blamed for up to 50,000 premature heart attack deaths a year. (3)

In the hydrogenation process, oil is heated to an extremely high temperature of about 500 to 1000 degree Celsius. Hydrogenated oil is a fabulous preservative because all the natural enzymes are destroyed by the high heat, rendering the end product as an unhealthy sludge. If you see terms like hydrogenated oil, partially hydrogenated oil or fractionated oil on food label, do not buy the products.

3. Steer clear of metabolism-sinking sweeteners

Artificial sweeteners may seem like a good choice if you’re watching your calories, but science shows us it’s really one of the worst ingredients when it comes to your metabolic health. High-fructose corn syrup (HFCS) is a sweetener that leads to weight gain, heart complications and obesity.

Some artificial sweeteners result in headaches and mood swings as well. Aspartame, saccharin and sucralose are widely used artificial sweeteners and can exert a bigger load on your metabolic system than plain old sugar. They also trick your brain into feeling less full, prompting you to eat more, which in turn can lead to weight gain. So monitor your intake of artificial sweeteners to stay fit.

4. Beware of these 3-letter cancer causers

Butylated hydroxyanisole (BHA) and Butylated hydroxytoluene (BHT) are processed food preservatives that have been found to have carcinogenic properties by the International Agency for Research on Cancer. BHA has been declared safe by FDA, but it is termed ‘reasonably anticipated to be a human carcinogen’ by U.S. Department of Health and Human Services. (45)

BHA has been shown to act as an endocrine disruptors, interfering with healthy hormone production, too. (6) BHA and BHT preservatives are commonly found in cereals, potato chips, chewing gum and cereal snack mixes. (Read your cosmetics labels, too. They often hide out in personal care products.)

5. Don’t assume soy is safer

Is soy bad for you? In the majority of cases, particularly as it pertains to soy as an ingredient in processed foods, it is unhealthy. While many of us think that soy and soy products as healthy and protein-rich, this is not always true. A majority of soy used in processed food products is genetically engineered. That means the crop has been tinkered with on a genetic level to receive applications of glyphosate, the main ingredient in Roundup weedkiller, without killing the plant. This has led to “excessive” levels of glyphosate turning up in the food we eat. (7) In 2015, the World Health Organization declared glyphosate “probably carcinogen to humans.” That makes conventional soy one of the worst ingredients.

Consuming GMO ingredients in considerable quantity over a long period of time is suspected to lead to infertility, gluten disorders, allergies and even cancer. Though the jury is still out on this controversial topic, with several studies showing that GMO ingredients are safe, I suggest practicing the precautionary principle, meaning it’s always best to consume processed foods that rely the least on GMO ingredients, staying as natural as possible. (8)