If you are using targeted individual amino acids for anxiety and/or depression and doing well on them, you’ll likely get to the point when you’re asking questions like how to discontinue them and does the right dose ever change or need a tweak, especially after some stressful life events. Amy posted this question in the comments section of the blog on using tyrosine to create a sense of calm energy (paraphrased and formatting for ease of reading)
Trudy you are a God send! I stumbled upon your work after following Julia Ross. I have depression and anxiety. I’m currently taking:
1000 mg tyrosine 2x daily
500 mg glutamine morning, 1000mg mid-morning and afternoon
500mg DPA (Endorphigen) 3 x daily (previously I was using DLPA but your recommended DPA was so much better and less stimulating)
50 mg 5-HTP afternoon and
1500mg tryptophan at night
I used the amino acids to treat what used to be referred to as “atypical” depression: loss of motivation, tiredness, lethargic, intense carb craving, feelings of guilt and hopelessness. I would become paralyzed with depression, barely able to get through the days. When I was younger I treated these episodes with antidepressants but as I got older could no longer tolerate the side effects. I’m also still on birth control pills at the age of 46 and believe I may be in perimenopause but can’t stop the pills for medical reasons.
Tyrosine gave me my energy back, glutamine cut the carb cravings. DPA and True Calm work wonders for my anxiety.
I watch my sugar intake and always consume lots of animal protein. I’m so grateful for this solution.
After trialing this seems to be the right combo. I always get confused when is it time to discontinue supplements? Do you stop or slowly reduce or taper?
Does the “right” dose ever change? I’ve been on this combo about 2 months. I’ve felt great but some anxiety/panic creeping back up …. wondering if supplements need a tweak or is this just the result of some stressful life events. Advice appreciated!
I was really pleased to hear the wonderful results she was having and glad that she had trialed the amino acids to find the correct amount for her unique needs and situation. I don’t see this happening often enough and it really is the most effective way to get results. It’s what I do with all my clients – methodical, step-by-step trialing of each amino acid, one at a time and carefully documenting results (both good and bad) in order to find the optimal dose of each one.
When and how to discontinue the amino acids?
To answer her question about when and how to discontinue this is my feedback:
Once you are feeling back to your old self with no more anxiety, panic attacks or depression, you may choose to stop everything at once, but I prefer to slowly lower the amount of one amino acid at a time and add back if your symptoms come back. They don’t need to be “tapered” but doing it this way it helps with preventing your original anxiety and depression symptoms going back to really bad in one big swoop and having to start all over again.
I will add that I have had feedback from someone saying when she stopped tryptophan abruptly she felt the same withdrawal effects as when she weaned off meds but based on my experience this is very rare.
After posting her question Amy made some adjustments – taking less of all of them. As I mentioned above I find it better to lower the amount of one amino acid at a time – kind of reverse of the trialing method you use when starting the amino acids. Also, since she mentioned she felt anxiety/panic creeping back up, I would have expected her to increase some of the calming amino acids.
Does the right dose ever change or need a tweak?
And to answer Amy’s other question: does the right dose ever change or need a tweak?
Yes, the “right dose” can change based on stressful life events especially if you have pyroluria – stressful life events can cause you to dump more zinc and vitamin B6 affecting serotonin and GABA production and increasing the social anxiety.
Amy does mention that she’s on the birth control pill and this depletes zinc and vitamin B6 and hence serotonin) and has an impact on the microbiome – so this may well be playing a role in the need to tweak doses.
There are many other factors that could lead to the need to adjust the amino acids (or other supplement protocols):
- hormonal changes like PMS, perimenopause or menopause
- something contributing to leaky gut like adding back gluten or accidental exposure to gluten
- antibiotics (affecting the microbiome and serotonin/GABA levels)
- artificial sweeteners (because of their effect on the microbiome and hormones)
- starting on other medications (since many cause nutritional depletions)
- adding in a new food like collagen/gelatin (for some people collagen and gelatin may lower serotonin levels)
- running a marathon (it likely depletes zinc and may ramp up cortisol)
- a formulation changing completely without you knowing (one example is Seriphos – used to lower high cortisol – where the core ingredient changed completely and the labeling stayed the same)
- a product changing from using gelatin to cellulose capsules (this may be problematic if you have SIBO)
- you move into a new home and get mold exposure
- you get a new dog or cat and start using Frontline Plus for fleas (fipronil, the active ingredient, targets GABA receptors and recent research points to increased anxiety, aggressive behavior, memory problems)
- you have started using a sauna (depletion of zinc and other minerals, as well as stirring up toxins)
- your need for serotonin support increases as you head into winter-time (some low serotonin folks are more susceptible to the winter blues)
- a recent course of fluoroquinolone antibiotics (impacts on magnesium and GABA levels and the mitochondria)
- you may no longer need them
This is not a complete list of reasons that could impact you but this will give you an idea of what to start to think about.
Hopefully this shows how important it is to monitor how you’re doing and adjust as needed (either up or down) and think about what is changing in your life.
If you’d like to read about the amino acids products Amy uses – the same ones I recommend and use with clients – you can find them listed on my supplements blog.
We appreciate Amy for allowing me to share her results and posting these questions which are a great learning opportunity for you. She shared this with me:
I hope my “story” is helpful. Keep doing this important work! I work in the behavior health field. My colleagues think this is radical thinking and continue to only support the medical model. I’ve done a lot of my own research and trial and error. I wish there were more-open minded clinicians.
Hopefully with success stories like this, all the nutritional psychiatry research and behavioral health practitioners like Amy who have experienced it first hand and/or with clients/patients and family, we’ll change how mental health care is approached.
Do success stories like this lead you to be more open-minded about anxiety nutrition solutions? Have they worked for you?
And have you found the ideal dose of amino acids and then needed to adjust them up or down based on any of the above? How methodical were you in doing your adjustments?
Paula Wick says
Is it absolutely essential to put the amino acid powder in the mouth? I find they are extremely bitter and unpleasant and difficult to use that way. I want to get the maximum benefit, but that is hard to do.
Trudy Scott says
Paula
Which ones do you find taste bad and what have you done to try and help?
I have clients trial them both ways to see what works best. GABA is one we always try to open and this one doesn’t taste at all bad.
Mary says
My name is Mary and I have Bipolar. I take Geodon, and Ativan and Klonopin. I take Hops and Niacin, 3x daily. I have only cut the Klonopin 1mg in half, during the day. On 2 mg at night. I take 1 mg Ativan, 3x daily. I don’t know how to get off the benzo’s. I have been on them 35 years. Please help. What do you think of lithium orotate, instead of Geodon. I will talk to my Dr., about this. I have never taken amino acids?
Trudy Scott says
Mary
Benzodiazpines like Ativan and Klonopin need to be tapered really really slowly and GABA and other nutritional approaches help many do this. With regards to lithium orotate I would check out Dr. James Greenblatt’s work https://www.greatplainslaboratory.com/articles-1/2017/1/23/lithium-the-untold-story-of-the-magic-mineral-that-charges-cell-phones-and-preserves-memory
I have these blogs on bipolar – light therapy https://www.everywomanover29.com/blog/midday-bright-light-therapy-bipolar-depression/ and toxoplasma gondii https://www.everywomanover29.com/blog/toxoplasma-gondii-schizophrenia-bipolar-disorder-ocd-unresolved-anxiety/ and junk food https://www.everywomanover29.com/blog/bipolar-disruptive-mood-or-gluten-and-junk-food/.
I recommend working with a functional medicine or integrative psychiatrist who can do a full functional workup.
Cheryl says
Hi Trudy,
It’s interesting to me that you indicate that cellulose capsules may cause problems (for individuals with SIBO). We have, over the past few months, studiously avoided gelatin capsules. (This is because I read recently gelatin may–depending on what processes it may have gone through in manufacture–be problematic for those for whom free glutamate is overexcitatory; see, for example, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859338/, https://chriskresser.com/beyond-msg-could-hidden-sources-of-glutamate-be-harming-your-health/, and http://americannutritionassociation.org/newsletter/free-glutamic-acid-msg-sources-dangers).
Anyway, I am always learning and applying more in our my own health journey with my daughter, and would be interested to know your take on this. (I have learned to have great respect for your knowledge and perspective!)
Thanks!
Cheryl
Tracy says
Hi Trudy
I suffer from depression and anxiety for years, tried numerous anti-depressants which don’t help I think they add to my anxiety and dull my brain and feel no good emotions. I am currently taking Paxil and Pregabalin (currently weaning off Pregabalin) I have no motivation and feel angry and on edge all the time. I’m in the uk and none of my docs know about amino, I recently bought a trial pack, interested to take DPA. I self medicated for years with codeine, which helped my mood and anxiety but stopped them a few years ago. Sorry for the long email, I would really appreciate your advice. Tracy x
Trudy Scott says
Tracy
The amino acids are wonderful for providing relief quickly but we also need to address all the other factors too – like diet, gluten, blood sugar, gut healing, the microbiome, digestion, adrenals etc. I recommend getting a copy of my book “The Antianxiety Food Solution” so you can understand and address the fundamentals and be smart about using the amino acids. Many people are able to use this book and do everything on their own. Once you have all this dialed in, if you’re still having challenges you could consider my online group program which I’m relaunching in the new year.
Tracy says
Thanks you so much for your reply, i’ll Definitely join your group programme
Tracy
Zoe says
Hi Trudy, when do we know if we have ‘had enough’? When I 1st used tryptophan it had an amazing effect, now I feel it might actually make me more anxious! Do you think this is because I’ve had enough now? It’s a shame because it made me feel so fantastic when I 1st used it! Thanks again for all your care and advice, you have created a wonderful community
Trudy Scott says
Zoe
Too much can do this and we always need to be tweaking based on our individual needs and circumstances
Sandy says
Hi Trudy! I’m asking how many different amino acids should I try before I can safely say that they’re not going to work for me?
I’ve used l-theanine ,tryptophan and gaba. In general they make me tired, out of it and irritated/angry when I take them. And my anxiety overall has gotten noticeably worse. I was still considering trying 5-HTP and tyrosine.
Do you recommend still trying the 5-HTP and /or tyrosine? Or do you think they’re going to have the same reaction? Thank you very much for your response. I appreciate very much what you do.
Sandy
Trudy Scott says
Sandy
I cannot answer this without knowing what symptoms you are trying to resolve, what products you used, how much you used and how you used them (swallowed or sublingual). Did you trial each one at a time? And did you start low and increase? Any benefits at all or adverse effects from the first dose? And all caused the same adverse effects listed above?
Sandy says
Thank you Trudy.
Anxiety, specifically OCD.
I trialed each one individually.
No benefits at all and adverse reactions from the first dose.
All three ( theanine, tryptophan ,gaba)
Made me tired from the first dose. Theanine( I started with) and it took a few days before the irritation kicked in. tryptophan (second thing I tried )and irritable immediately.
They all made me feel out of it, tired and unable to focus.
Ok…dosages–I started with thorns 200 mg capsules theanine. (This was before I came across you and your information). I took 200 mg three times a day (swallowed whole and not away from food)for 3 weeks and it just continued to make me more and more tired so I stopped.
One week later started on lidtke tryptophan 100 mg chewables twice a day and worked my way up to 500 mg worth twice a day(for about 5 days) and all it did was continue to make me more tired, irritable and unable to focus.
About 1 week later I started on source naturals gaba calm 125 mg lozenges three times a day for about 4 days and then I stopped because I was only feeling miserable.(extra tired and extra out of it).
The tryptophan and gaba calm chewables I would chew and leave in my mouth for 2 minutes before I would swallow.
Thank you so very much Trudy
Sandy
Trudy Scott says
Sandy
When the amino acids don’t work as expected we look at the quality of the actual products, dosing (were they increased until an optimal dose was found or was too much used), were they used between meals/away from protein and vitamin C, were they used sublingually (this is often more effective), concurrent use with collagen (it can lower serotonin), and thyroid health (they are less effective with an underactive thyroid).
We also always consider current or past use of SSRIs, benzos, fluoroquinolone antibiotics and other medications. Also Lyme, heavy metals, TBI/head trauma, mold toxicity, environmental toxins, implants, dental health/cavitations and past/current trauma must all be considered. Neurotransmitters are often low in the above scenarios and the amino acids typically help to some extent.
In complex cases working with a knowledgeable practitioner is invaluable.
Re quality the products you list are ones I use. Perhaps too much was used – some people do well on tiny tiny doses. I would also not continue when there are any adverse effects.