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5-HTP - Prozacs true alternative
by James South MA
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5-hydroxytryptophan (5-HTP) is the less well known
cousin of serotonin (5-HT), one of the most important brain neurotransmitters. Tryptophan
is first converted to 5-HTP in nerve cells by a vitamin B3 dependant enzyme, and then
5-HTP is converted to 5-HT by a vitamin B6 dependant enzyme. Yet thanks to modern science,
we can now take preformed 5-HTP, with many consequent advantages.
5-HTP passes through the blood brain barrier into
the brain far more easily than tryptophan, and getting tryptophan through the blood brain
barrier is the main bottleneck, which in many people leads to inadequate brain serotonin
levels.
Also, 5-HTP is not used to make proteins in the
body, while tryptophan is, so there isnt competition by cells outside the brain for
5-HTP, as there is for the bodys scare tryptophan supplies.
The body often uses tryptophan to make vitamin B3,
at a very high cost of 60mg tryptophan to make just 1mg B3! 5-HTP is not wasted to
make vitamin B3.
Tryptophan can be broken down in the liver by
pyrrolase, an enzyme that converts tryptophan to kynurenine and its metabolites, which can
be mildly liver toxic at high levels. 5-HTP is not metabolized through this pathway.
Because of this, tryptophan supplementation
especially in chronically stressed people should be kept to 1 gram (1000mg) per day or
less, because the stress hormone- cortisol activates pyrrolase.
The work of HM van Praag, SN Young and others over
the last 20 years, shows that serotonin is a key brain neurotransmitter involved in mood
regulation (anti-anxiety and antidepressant), impulse control (inhibits aggression and
obsessive compulsive disorders [OCD], pain control and sleep).
Serotonin is also the precursor for our pineal
glands production of melatonin. Human clinical studies show that 5-HTP is a far more
efficient increaser of brain serotonin than tryptophan.
Further, when 5-HTP has been compared to tryptophan
in human studies, 5-HTP has been a far more successful antidepressant, even when the
tryptophan dosage used is 10 to 15 times higher than the 5-HTP dosage. Also, relapses back
into depression are more common with tryptophan than with 5-HTP.
Unlike tryptophan, 5-HTP has been shown to increase
brain dopamine (DA) and noradrenaline (NA) activity. These are two key mood and
alertness regulating neurotransmitters, and when tyrosine, the amino-acid precursor for
brain DA/NA is given along with 5-HTP, the effect is even more powerful.
Van Praags and Youngs work suggests that
5-HTP is more likely to be effective for those suffering an anxious, agitated, aggressive,
irritable depression and is rarely effective for those suffering from a severe,
vegetative, total "blahs" type depression.
5-HTP may also be helpful in some cases of
compulsive carbohydrate overeating, alcohol addiction and compulsive gambling (specific
forms of OCD), as well as for insomnia.
Side effects of 5-HTP are occasional
gastrointestinal upset, hypomania and euphoria. Even though 5-HTP is a natural substance
normally made by the brain, without medical supervision prudence suggests limiting daily
dosage to 100mg to 200mg, a dose shown to be effective in human clinical studies.
Research also shows that both
tryptophan, and even more so 5-HTP, increase the activity of MAO inhibitor
drugs, tricyclic antidepressants and selective serotonin inhibitor (SSRI) drugs,
such as Prozac, Paxil and Zoloft. Therefore tryptophan and especially 5-HTP,
should only be used by anyone taking any of these drugs ONLY with their
prescribing physician’s consent and supervision.
ALL INFORMATION IS EDUCATIONAL AND
SHOULD NOT REPLACE THE ADVICE OF
YOUR PHYSICIAN.
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