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| Tryptophan / 5 HTP |
Last updated: Jul 17, 2008 |
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An essential amino acid, tryptophan is the least abundant amino acid found in foods. It is used by the brain to produce serotonin; it is a natural relaxer, helps alleviate insomnia, reduces anxiety and depression and helps treat migraine headaches.
The richest dietary sources include fish, meat, dairy, eggs, nuts and wheat germ, but tryptophan tends to be deficient in most dietary proteins. High corn diets have been associated with outright deficiency symptoms. The RDA for tryptophan is 0.2gm per day, while the average daily intake is 1-1.5gm per day. The therapeutic range is up to 4gm per day, and medical supervision of treatment can be helpful.
Tryptophan is often given with vitamin B6 and magnesium away from meals with a small amount of carbohydrate to facilitate uptake by the brain. To aid in sleep, much of the dose is given before going to bed. If more of a daytime action is being sought, the bulk can be given in the morning. Tryptophan is metabolized into niacin, melatonin and serotonin and has relaxing and calming effects.
5HTP (5-hydroxy tryptophan) is considered by many to be more effective than tryptophan for depression. L-Tryptophan (which is the desired form) is converted to 5HTP before becoming serotonin; taking 5HTP bypasses this first step of the process. The effectiveness of 5HTP may be increased with gingko biloba, St. John's Wort, B-complex vitamins with magnesium, tyrosine, flax seed oil, and ginger. Vitamin B6 and folic acid may assist in the conversion to serotonin. An equivalent dose of 5HTP (compared to 1gm of tryptophan) is about 100mg. Doses of 100mg tid have been used, but it may be best to start at a lower dose and slowly increase as the side-effect of nausea can occur at higher doses. Starting at a lower dose reduces the likelihood of nausea, which usually disappears in less than 2 weeks.
Chromium picolinate helps to promote conversion of tryptophan to serotonin. It accomplishes this by facilitating absorption into muscle tissue of the amino acids that compete with tryptophan for access to the brain.
For depression, 1000-1500mg bid raises serotonin levels but it may take 2 weeks to produce results. If a patient has insomnia along with depression then tryptophan would appear to be even more effective, possibly because both conditions may be due to this deficiency. Care must be taken when using more that one anti-depressant at the same time; a doctor's supervision should be sought when considering switching or combining depression medications.
Tryptophan can still be difficult to obtain but can be ordered over the Internet for veterinary purposes. Fine Bios Nutrients offers it.
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Tryptophan / 5 HTP can help with the following: | |  | | | | Autoimmune | Not recommended for:
Lupus, SLE (Systemic Lupus Erythromatosis) | Some doctors caution against the use of tryptophan in patients with SLE. Because of abnormal tryptophan metabolism and the possibility of promoting auto-antibody production SLE patients should avoid supplementation with tryptophan or 5HTP unless determined to be tolerated by any particular patient. |
| Environment / Toxicity |
Seasonal Affective Disorder (SAD) | Research has shown tryptophan to be as equally effective as light therapy in treating SAD (Lam et al. 1997). The clinical use of L-tryptophan has also specifically been shown to improve response to light therapy (Ghadirian et al. 1998). In clinical studies, SAD patients who were deprived of tryptophan were vulnerable to a relapse of SAD even in summer months (Neumeister 1997, 1998; Kasper 1998).
One study that attempted to separate the effectiveness of light therapy vs. tryptophan found that without adequate levels of tryptophan in the system, the light therapy alone did not provide relief. |
| Hormones |
Low Serotonin Level | Tryptophan is the dietary amino acid precursor for production of serotonin in the body. First it is converted into 5HTP, and then into serotonin. Both supplements are available, but tryptophan may require a doctor's prescription. It is recommended that these be taken under a doctor's supervision. |
Night Eating Syndrome | Taking Tryptophan or 5-HTP orally causes an increase of serotonin in the brain. It is proven that more than 70% of the nighttime eating is about carbohydrates - foods which are believed to increase the amount of tryptophan available for conversion to serotonin, the calming neurotransmitter in the brain. |
Not recommended for:
Histapenia (Histamine Low) | Mental |
Obsessive-Compulsive Disorder (OCD) | OCD may be related to a central disturbance in serotonin metabolism, a hypothesis which appears to explain the efficacy of serotonin reuptake-blocking drugs. L- tryptophan and 5-HTP are serotonin precursors.
Side effects were mainly drowsiness and headaches in those whose daily doses of L- tryptophan exceeded 6,000mg. [Clinical Psychiatry News, September, 1981] Supplementation may be contraindicated in OCD patients with a history of aggressive behavior since it may increase |
Anxiety | Tryptophan (or 5-HTP), the precursor of the sleep-inducing neurotransmitter serotonin, also has relaxing and calming effects. Serotonin levels are often low among people with anxiety disorders. A recent study found that 44% of alcoholics suffer from anxiety. You can be pretty sure that you are low on tryptophan if you have ever blacked out from drinking. It has been established that low tryptophan stores trigger blackouts.
A combination product called Amoryn contains St. John's Wort, 5HTP, and small amounts of B6, B12 and folic acid. This product may help with anxiety. |
Depression | Tryptophan is a precursor to serotonin, a neurotransmitter that is frequently imbalanced in cases of depression. Conventional antidepressants work to increase neurotransmitter levels by blocking their breakdown. Depression associated with menstrual cycles and postpartum depression sometimes respond very well to tryptophan supplementation. Postpartum women usually have high estrogen levels and it has been found that high estrogen levels increase the conversion of tryptophan to niacin. Progesterone and hydrocortisone decrease its conversion. Women on birth control pills, when given vitamin B6 and tryptophan, generally tend to metabolize tryptophan more normally. |
Tendency Toward Postpartum Depression | Tryptophan at 1 to 3gm per day can be used to treat a variety of depression syndromes. It is especially effective when treating depression which is accompanied by insomnia. Depression associated with menstrual cycles and postpartum depression sometimes respond very well to tryptophan supplementation. Postpartum women usually have high estrogen levels and it has been found that high estrogens increase the conversion of tryptophan to niacin. Progesterone and hydrocortisone decrease its conversion. Women on birth control pills, when given vitamin B6 and tryptophan, generally tend to metabolize tryptophan more normally. |
| Metabolic |
Anorexia / Starvation Tendency | Post-meal plasma amino acids in 13 female patients with anorexia nervosa (mean age 24 yrs.) who were 72% of ideal body weight were compared to those of healthy controls. The data suggest that post-meal brain tyrosine availability was probably improved, while post-meal brain tryptophan was reduced, especially following a protein-rich diet. This may explain the low serotonin metabolism noted in anorectic patients. Since serotonin has been implicated in the control of appetite and macronutrient selection, this may be a self-perpetuating mechanism. [Metabolism 35( 10): pp.938-43, 1986]
Brain tryptophan levels may be reduced in patients who are markedly underweight, which normalizes after weight is gained. [Biol Psychiatry 23: pp.102- 5, 1988]
Evaluation of serotonin and tryptophan metabolism suggest that biological differences may contribute to the higher prevalence of eating disorders among women. [Psychol Med 17( 4): pp.839-42, 1987] |
Problem Caused By Being Overweight | Although used chiefly as an antidepressant, preliminary evidence from three small double-blind placebo-controlled clinical trials suggests that 5-HTP may also help people lose weight. It is thought to work by raising levels of serotonin, which in turn may influence eating behavior. A typical therapeutic dosage of 5-HTP is 100 to 300mg 3 times daily. |
Bulimic Tendency
Insomnia | Due to the fact that the synthesis of serotonin and melatonin within the brain is dependent on the availability of the amino acid tryptophan, supplementing the diet with tryptophan before going to bed may produce good results in relieving insomnia. Tryptophan tends to work better for acute insomnia (sleep-onset insomnia) than for chronic sleep problems since its greatest effect is to shorten the time it takes to fall asleep after going to bed.
Some 1000 to 2000mg of L-tryptophan are needed in order to increase blood levels sufficiently to induce sleep. However, the lowest dose (often as little as 500mg) that works as a sleep aid should be maintained to continue benefits. The dose may be repeated if one wakes during the night. Doctors often recommend starting with 1gm of L-tryptophan 30-45 minutes before bed, which will reduce the time it takes to fall asleep. If 1000mg is insufficient, the dose may be increased by 500mg each night until either the desired effects are achieved or a total of 3000mg is reached.
Results treating insomnia with tryptophan have been mixed. A 1986 study suggested that L-tryptophan is an effective hypnotic agent only for people with a sleep maintenance problem that is characterized by 3-6 discrete awakenings during the night. [Sleep 1983;6: pp.247-256] |
| Musculo-Skeletal |
Restless Leg Syndrome (RLS) / Periodic Limb Moveme | Tryptophan, a serotonin precursor, has been shown to help a small percentage of RLS sufferers. [Am J Psychiatry 143(4): pp.554-5, 1986] |
| Nervous System |
Tourette's Syndrome | The low blood serotonin and tryptophan levels seen in Tourette's syndrome (TS) are consistent with the wide range of behavioral disorders expected in such cases [ Am J Med Genet, Aug 1990;36(4): pp.418-30]. As far as we know, tryptophan therapy for Tourette’s syndrome has not yet been explored. However, TS is quite similar in many respects to obsessive/compulsive disorders which do respond to tryptophan supplementation. This observation provides a ray of hope for individuals trying to cope with the symptoms of TS. |
| Nutrients |
Tryptophan Need | Respiratory | Not recommended for:
Asthma | Foods high in tryptophan and supplemental tryptophan should be removed from the diet as some children with asthma have a defect in tryptophan metabolism and reduced platelet transport of serotonin - a known broncho-constricting agent in asthmatics. Alternatively vitamin B6 could be used to supplement the diet as this aids in the metabolism of tryptophan. |
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KEY |  | May do some good |  |  | Likely to help |  |  | Highly recommended |  |  | May have adverse consequences |
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