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L-Tryptophan


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L-Tryptophan - Wikipedia, the free encyclopedia

Differential Behavioral Effects of Plasma L-Tryptophan Depletion and Loading in Aggressive and Nonaggressive Men

Metabolism of L-L-Tryptophan to kynurenate and quinolinate in the central nervous system: effects of 6-chloroL-Tryptophan and 4-chloro-3-hydroxyanthranilate.

Fibromyalgia and serotonin


Serotonin in Chronic Fatigue Syndrome & Fibromyalgia Townsend Letter for Doctors and Patients - Find Articles

L-tryptophan in the treatment of impaired respiration in sleep.

Role of tryptophan supplementation in the treatment of chlamydia | Cpnhelp.org - Chlamydia Pneumoniae Treatment

TRYPTOPHAN NO TURKEY IN BOOSTING IMMUNE SYSTEM, STANFORD STUDY SHOWS - Office of Communications & Public Affairs - Stanford University School of Medicine

*Sal-Free
L-Tryptophan is one of 20 essential amino acids.  Essential amino acids cannot be made inside the body and therefore must be supplied in the diet or through supplements. 
 
L-Tryptophan is a pre-curser to serotonin (a nuerotransmitter), melatonin (a neurohormone) and niacin (also known as nicotinic acid or vitamin B3). Dietary L-Tryptophan is converted to niacin in the body.

Serotonin is a nuerotransmitter that helps control functions related to mood, behavior, appetite and sleep. Neurotransmitters are chemicals that carry messages from nerve cells to other cells. Melatonin is a hormone manufactured from serotonin. It regulates the human biological clock. The human biological clock (circadian rhythm) signals the secretion of various hormones at certain times in order to regulate body functions.


L-Tryptophan is known to be safe because it has been used in the research field for decades as a control when testing other drugs. One should not take L-Tryptophan with other medications or supplements that alter serotonin without the supervision of a medical professional.  Please see warnings below for further information.

It is now available over the counter again but during the 1990's it was pulled by the FDA and banned for use.  It turned out that the problems associated with L-Tryptophan were related to one product manufacturer who produced a single contaminated batch.  Some think that the FDA over-reacted in part due to influence from pharmaceutical companies whose anti-depressant drugs were in direct competition with tyrptophan.


Adequate amounts of vitamin B6, vitamin C, folic acid and magnesium are needed for the formation of tryptophan.11

Anxiety
Some people get relief of anxiety with supplementation of L-tryptophan.  A study that induced L-tryptophan depletion concluded that females tend to show anxiety as a result of depletion.10

Blood Sugar
L-Tryptophan decreases cravings for carbohydrates.  Carbohydrates convert to sugar and thus, eating less carbohydrates will help control blood sugars.

Depression
L-Tryptophan is well-known to help relieve depression because it increases serotonin.  Serotonin helps alleviate depression and related disorders such as PMS (premenstrual syndrome).  Unlike antidepressant drugs known as selective serotonin reuptake inhibitors (SSRIs) that only preserve the amounts of serotonin already in circulation, L-Tryptophan actually changes into additional serotonin.

Pain
L-Tryptophan has been shown to decrease pain sensitivity.6 In a double blind study, L-Tryptophan (500 mg every four hours) taken the day before a dental procedure significantly decreased the pain intensity experienced by patients.7 In a preliminary trial, 3 grams of L-Tryptophan taken daily for four weeks significantly decreased pain in people with chronic jaw pain.8   In another study on pain tolerance levels were significantly higher in the group receiving tryptophan.

Sleep
 L-Tryptophan helps initiate sleep because it raises serotonin.  L-Tryptophan is effective for insomnia.4 Increasing L-Tryptophan may help to normalize sleep patterns.
 
Chronic Fatigue Syndrome
A review of articles found by searching eight medical search engines looking for information regarding pain and CFS, concluded that some researchers theorize that L-Tryptophan may be related to pain in CFS.3

In one study designed to measure L-Tryptophan availability to the brain of CFS patients, two sub-groups were identified, one with normal serotonin levels and the other with a high serotonin status.4  Anyone with a diagosis of CFS should be cautious when supplementing with L-Tryptophan until more is known about the relationship between L-Tryptophan and CFS.


Additional reading:
Serotonin in Chronic Fatigue Syndrome & Fibromyalgia Townsend Letter for Doctors and Patients - Find Articles

 Fibromyalgia
Animal and human studies show a relationship between reduced brain serotonin metabolism and pain reactivity.  Plasma-free L-Tryptophan is shown to be inversely related to the severity of pain in a small group of patients who fulfilled fibromyalgia criteria in this older study.5

Additional reading:
Wong: Fibromyalgia, Depression, Sleep Disorder, Overeating

Lyme
Infections in the brain can cause more quinolinic acid to be produced. Lyme causes elevated quinolinic acid.
Neuroactive kynurenines in Lyme borreliosis. [Neurology. 1992] - PubMed Result

Quinolinic acid is a metabolite of tryptophan and it appears that in the presence of CNS inflammation, tryptophan may be converted to quinolinic acid.  If you have lyme disease, please use tryptophan with caution.
A mechanism of quinolinic acid formation by brain ...[Brain. 1993] - PubMed Result

Other information:
Neopterin production and L-Tryptophan degradation in acute Lyme neuroborreliosis versus late Lyme encephalopathy.
 
Tryptophan metabolism - Borrelia burgdorferi


Aids
Tryptophan Metabolism in Chronic Disease and AIDS
In cell cultures, L-Tryptophan depletion has been found to be the mechanism by which IFN-gamma acts against replication of such parasites as Toxoplasma gondii, Chlamydia trachomatia and Clamydia psittaci. Supplemental L-Tryptophan reverses this inhibition [Brown, et al., 1991].

As alternatives to L-Tryptophan, 5-hydroxyL-Tryptophan (5-HTP), serotonin, N-acetylserotonin and melatonin may be used to fortify the serotonergic nervous system.

Tryptophan supplementation is not advised due to a potential increase in circulating concentrations of neurotoxic intermediates.
Tryptophan depletion and HIV infection: a metaboli...[Lancet Infect Dis. 2003] - PubMed Result


High-dose niacin in the form of oral nicotinamide may be a safe way to increase plasma tryptophan.
Increased plasma tryptophan in HIV-infected patien...[Nutrition. 2001 Jul-Aug] - PubMed Result

Dietary Sources of Tryptophan:
Brown rice, cottage cheese, meat, peanuts and soy nuts.  


Warnings:
Too much L-Tryrptophan can cause headaches, sinus congestion or constipation.1 It is thought that L-Tryptophan may worsen migraine headaches..2

L-Tryptophan should not be taken with any other medications that increase serotonin in the brain without supervision from a qualified medical practioner due to the risk of a serious problem called serotonin syndrome.  Serotonin syndrome is caused by an excess amount of serotonin in the brain.  It is rare but can be life threatening so anything that increases serotonin should be taken with caution especially if combined with other medications or supplements that alter serotonin. 

This is not an all inclusive list but medications and supplements that alter serotonin are: 
L-Tryptophan increase serotonin synthesis 
MAOIs decrease serotonin metabolism
SSRI's a class of anti-depressants that increase serotonin release; inhibit serotonin uptake ; and stimulate certain serotonin receptors


Possible symptoms of serotonin syndrome include mental confusion, hypomania, hallucinations, agitation, headache, coma, shivering, sweating, fever, hypertension, tachycardia, nausea, diarrhea,  myoclonus/clonus (muscle twitching), hyperreflexia, tremor.


 

Before taking any supplements, consult with your health care provider.    This information is not intended to diagnose, treat, cure or prevent any disease.  We do not accept any responsibility for the accuracy of the information or the consequences arising from the application, use, or misuse of any of the information contained herein.


References
1. Durk Pearson and Sandy Shaw, "Life Extension, A practical scientific approach", Warner Books

2. Skye Liniger, D.C., Editor in Chief, Jonathan Wright, M.D., Steve Austin, N.D., Donald Brown, N.D., Alan Gaby, M.D. "The Natural Pharmacy",  pg 91

3.  Meeus M, Nijs J, Meirleir KD., "Chronic musculoskeletal pain in patients with the chronic fatigue syndrome: A systematic review.", Eur J Pain. 2006 Jul 12; [Epub ahead of print]
Entrez PubMed


4.  Badawy AA, Morgan CJ, Llewelyn MB, Albuquerque SR, Farmer A., "Heterogeneity of serum L-Tryptophan concentration and availability to the brain in patients with the chronic fatigue syndrome",  J Psychopharmacol. 2005 Jul;19(4):385-91
Entrez PubMed

5.Moldofsky H, Warsh JJ., "Plasma L-Tryptophan and musculoskeletal pain in non-articular rheumatism ("fibrositis syndrome")", Pain. 1978 Jun;5(1):65-71..
Entrez PubMed

6.  Leiberman HR, Corkin S, Spring RJ, et al., "Mood, performance and pain sensitivity: changes induced by food constituents" J Psychiatr Res 1982;17:135–45.
Entrez PubMed

7.  Shpeen SE, Morse DR, Furst ML. "The effect of L-Tryptophan on post-operative endodontic pain." Oral Surg Oral Med Oral Pathol 1984;58: 446–9.
Entrez PubMed

8.  Seltzer S, Dewart D, Pollack RL, Jackson E., "The effects of dietary Tryptophan on chronic maxillofacial pain and experimental pain tolerance.", J Psychiatr Res 1982–83;17(2):185–6.
Entrez PubMed

9.  Seltzer S, Stoch R, Marcus R, Jackson E., "Alteration of human pain thresholds by nutritional manipulation and L-tryptophan supplementation.", Pain. 1982 Aug;13(4):385-93.
Entrez PubMed

10.Monteiro-dos-Santos PC, Graeff FG, dos-Santos JE, Ribeiro RP, Guimaraes FS, Zuardi AW., "Effects of tryptophan depletion on anxiety induced by simulated public speaking.",  Braz J Med Biol Res. 2000 May;33(5):581-7
Entrez PubMed

11.  Phyllis A. Balch, CNC, "Prescription for Nutritional Healing, A practical A-To-Z Reference to Drug-Free Remedies Using Vitamins Minerals, Herbs and Food Supplements"

 

*Sal-FreeTM and *Sal-SafeTM are trademarked terms and are used with the permission of Tesa Marcon of the Guai-Support Group

 

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