Psycho-Babble Medication Thread 102300

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SAM-e users and people in the know

Posted by johnj on April 7, 2002, at 19:17:05

I have just recently been reading about this and have heard Dr. Kramers responses about it too. I have unipolar depression and am on a low AD (pamelor) dose since I cannot tolerate any higher than that. However, when I excercise (aerobic only) the side effects seem to triple in force. Dry mouth, depression, dizziness etc. I am on some lithium, but I hydrate like mad all day and after running, but the next day or so I feel like crap. Something weird is going on. If I don't excercise I feel better. Well, I wonder what SAM-e can do for me? Does anybody know of any websites that are medically based, not just trying to sell the stuff, that may help me understand it better? I am also interested in "sublingual vitamin B" or something to that effect. What does Sublingual mean? I will post the B question separately. Thanks for the help.
John

 

SAM-e users and people in the know-JohnJ

Posted by Bekka H. on April 7, 2002, at 20:43:37

In reply to SAM-e users and people in the know, posted by johnj on April 7, 2002, at 19:17:05

Hi John,

I don't take SAM-e, but I know that one of the people who has done a lot of research on it is a doctor named Richard P. Brown, M.D. I think he's at Columbia in New York. He's written a book on SAM-e. There is another author, but I can't remember the co-author's name. Perhaps you can locate the book on SAM-e by Richard Brown, M.D.

I hope that helps.
Bekka

 

Re: SAM-e users » johnj

Posted by Ron Hill on April 8, 2002, at 12:01:35

In reply to SAM-e users and people in the know, posted by johnj on April 7, 2002, at 19:17:05

>Does anybody know of any websites that are medically based, not just trying to sell the stuff, that may help me understand it better?
----------------

John,

Here are some links to get you started. Much more is available; use a search engine for the term "SAM-e".

http://www.mdsg.org/same.html

http://www.psycom.net/depression.central.same.html

http://www.biopsychiatry.com/sameart.html

http://www.immunesupport.com/news/SAMe2txt.htm

http://www.sam-e.com/clinicalstudies/clinicalStudies.asp

http://www.boehringer-ingelheim.es/workshop-methionina/anglesa/cap25.htm

http://www.boehringer-ingelheim.es/workshop-methionina/anglesa/cap26.htm

http://more.abcnews.go.com/sections/living/inyourhead/allinyourhead_36.html

http://www.macleans.ca/xta-asp/storyview.asp?viewtype=print&tpl=story_print&vpath=/2001/11/12/cover/59674.shtml

http://www.iherb.com/same2.html

http://content.health.msn.com/content/article/1700.50735


>I am also interested in "sublingual vitamin B" or something to that effect. What does Sublingual mean?

Sublingual means "under tongue". Some (most?) people do not effectively absorb B-12 when it is taken orally (down-the-hatch). To solve this problem, B-12 can be administered intravenously (B-12 shots) or sublingually. By holding the sublingual B-12 tablet under the tongue, a portion of the B-12 dose is transferred directly to the blood stream and, thereby, the low oral absorption problem is circumvented. Shop for the bioactive form of B-12 (methylcobalamin).

Some research data indicate that it is not advisable to take supplements of any one of the B vitamins independent of the others. In other words, also take a good B-complex vitamin (down-the-hatch) when supplementing with sublingual B-12.

B-6, B-12, and folic acid are very important, particularly when taking SAM-e. Here is an article that explains what I mean:

12-01-1999 - Homocysteine is a sulfur-containing amino acid involved in several important methyl and sulfur transfer reactions, and is actually beneficial in small amounts. When homocysteine levels begin to rise in the body, excessive accumulation of homocysteine in the body fluid compartments is normally prevented by degradation through two enzymatic reactions called transsulfuration and remethylation. These two processes have to be functioning for homocysteine to be kept in control and for SAM-e to function in the body. Importantly, these same enzyme reactions cannot occur without proper levels of folate, vitamin B 6 (pyridoxal 5- phosphate), and vitamin B12 (cobalamin). If you take SAM-e to promote better health (lighter mood, comfortable joints and a detoxed liver), you also need adequate levels of B vitamins and folic acid to help the SAM-e do its job.

When the body has proper levels of folic acid, Vitamins B6 and B12, the enzymatic break-down of homocysteine occurs either through remethylation, which converts it into methionine, the SAM-e building block; or through transsulfuration, which turns it into glutathione, a powerful antioxidant.

But when those processes become sluggish, the homocysteine levels in the body begin to rise. Large homocysteine levels left unchecked in the body, become an invitation to disease, including heart attack, stroke, cancer, birth defects, depression and perhaps CFS and FM.

A published Swedish study showed results of which demonstrate consistently high homocysteine levels and low concentrations of vitamin B12 in the cerebrospinal fluid (CSF) of patients meeting established clinical criteria for Chronic Fatigue Syndrome and Fibromyalgia.

Those taking SAM-e should be aware that the healthy benefits they experience are not due to SAM-e alone. SAM-e may be the “team leader” however, folic acid, vitamin B6 and vitamin B12 are crucial members of the team that contribute to its success. It is only by incorporating the entire team that one can achieve the victory of better health and well-being.

Source:
Evarts, Jeremy Lucius. “New Study Links Fibromyalgia and Chronic Fatigue Syndrome to Low Vitamin B12 and High Homocysteine in Cerebrospinal Fluid.” Healthwatch, August 1998.
Cowley, Geoffrey and Underwood, Anne. "What is SAMe?" Newsweek, July 5, 1999.
Brown, Richard, M.D., Bottigileri, Teodoro, Ph.D., Colman, Carol. Stop Depression Now. New York, 1999.


-- Ron

 

SAM-e continued - JohnJ

Posted by Bekka H. on April 9, 2002, at 0:59:49

In reply to SAM-e users and people in the know, posted by johnj on April 7, 2002, at 19:17:05

Hi John,

I got the full title of that SAM-e book for you. It is STOP DEPRESSION NOW by Richard Brown,M.D., Teodoro Bottiglieri, PhD, and Carol Colman.

Bekka

 

Thanks Bekka! nfm

Posted by johnj on April 9, 2002, at 19:53:46

In reply to SAM-e continued - JohnJ, posted by Bekka H. on April 9, 2002, at 0:59:49

n


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