Showing posts with label folic acid. Show all posts
Showing posts with label folic acid. Show all posts

Sunday, October 23, 2011

Glutathione

Oxidative stress impairs the body's ability to readily detoxify offending substances such as free radicals or to easily repair the resulting damage. It is oxidative stress that is linked to atherosclerosis, cell aging and neurologic disorders in Down syndrome.

On the other hand, glutathione is an powerful antioxidant. It helps remove free radicals and deal with oxidative stress. Studies show that levels of all forms of glutathione is low in children with Down syndrome. (And would make sense that it's low in adults as well.) This is caused by the overexpression of the SOD-1 gene.

Studies show that supplementing with B12 and folic acid can help, but you may want to look into a more direct source of glutathione.

Qadoshyah Fish has more information on glutathione and studies related to DS at her blog post: http://www.gotdownsyndrome.net/glutathione&acetaminophen.html

Glutathione - Your Brain's Master Antioxidant Defense

Apr-16-2004

Copyright 2004 Priya Shah

_____________________________________________

This article was first published in the May 2004 issue of The Glutathione Report, a newsletter featuring regular updates on the health benefits of glutathione.

Free radicals and oxyradicals play an important role in the development and progression of many brain disorders such as brain injury, neurodegenerative disease, schizophrenia and Down syndrome.

Glutathione is the brain's master antioxidant and plays an important protective role in the brain.

According to Dr. Jimmy Gutman, "The brain is particularly susceptible to free radical attack because it generates more oxidative by-products per gram of tissue than any other organ."

Many neurological and psychiatric disease processes are characterized by... abnormalities in glutathione metabolism and antioxidant defenses."

Generation of reactive oxygen species (free radicals) and oxidative damage are an important cause of neuron (brain cell) death from brain injury.

Chemicals that cause toxicity to certain brain cells are known to decrease cerebral glutathione (GSH), making the cells more vulnerable to reactive oxygen species (ROS). (1)

On the other hand, over-expression of the glutathione peroxidase (GPX) enzyme potently decreases cell death from brain injury. (2)

Brain Injury and Glutathione - The Gender Difference

Researchers at Children's Hospital of Pittsburgh have found that males and females respond differently to brain injury. (3)

In animal models, levels of glutathione remain constant in females who have suffered a brain injury, but drop by as much as 80 percent in males with the same injury.

When glutathione levels drop, brain cells die much more quickly. This suggests that boys with brain injuries may require different life-saving treatments than girls.

N-acetyl-cysteine (NAC), a precursor of glutathione, already approved for use by the U.S. Food and Drug Administration to treat people who have overdosed on acetaminophen, may be an effective treatment for brain injury in boys whose brains are deprived of oxygen.


Brain Disorders and Glutathione - A Genetic Cause?

Genetics researchers have found that the glutathione S-transferase gene controls the onset of Alzheimer's, Parkinson's disease and determines, not if we get these diseases, but when. (4)

The glutathione S-transferase gene has previously been linked to the risk for Parkinson's disease among people who used pesticides.

Alzheimer's Disease and Glutathione

Free radicals and oxidative damage in neurons is known to be a primary cause of degenerative diseases like Alzheimer's disease.

Amyloid- peptide (A) accumulation in senile plaques, a pathological hallmark of Alzheimer's disease (AD), has been implicated in neuronal degeneration.

Amyloid plaques encroaching on the brain increase the production of free radicals, or oxidative stress. Antioxidants, such as vitamin C and E "mop up" the damaging free radicals.

Glutathione (GSH) precursors can prevent death of brain cells induced by amyloid plaques in Alzhiemer's disease, while substances that deplete GSH increase cell death. (5)

Evidence has been piling up over the link between the amount of an amino acid called homocysteine in the blood and the chance of developing Alzheimer's.

For people not genetically predisposed to developing Alzheimer's, cholesterol and homocysteine, largely caused by an unhealthy lifestyle, are the core causal factors.

Welsh GP, Andrew McCaddon, showed that the more homocysteine that patients with Alzheimer's had, the worse their mental performance, and the worse their "cognitive impairment," the less they had of the antioxidant glutathione. (6)

Glutathione and Mood Disorders

Studies have found that the mood stabilizing drug, valproate, used to treat epilepsy and bi-polar disorder, regulates expression of the genes that make glutathione-S-transferase (GST).

In addition, chronic treatment with lithium, another commonly prescribed mood stabilizer used in treating manic-depression, also increased levels of GST.

These findings led researchers to conclude that glutathione S-transferase may be a novel target for mood stabilizing drugs. (7)

Alcohol Consumption and Glutathione

Alcohol abuse is known to impair memory and other brain functions and increase brain cell death. A new study in rats has shown that alchol consumption causes fewer new brain cells to form and results in greater cell death. (8)

But rats that were fed alcohol along with Ebselen - a glutathione peroxidase mimic that acts as a free radical scavenger - showed no similar reduction in brain-cell formation and no increase in cell death.

Substances that Boost Glutathione Levels and Protect Brain Cells

Taking glutathione itself as a supplement does not boost cellular glutathione levels, since it breaks down in the digestive tract before it reaches the cells. (Unless you take the reduced l-glutathione form, sublingually, or under the tongue. Good brands include Douglas Laboratory [the kind without NAC] or Klaire Lab. Liquid is supposed to be bioavailable as well, such as www.gshnow.com . The dosage is 75 mg/day for a child. -Andi)

However, intravenous glutathione therapy and glutathione precursors or dietary supplements are effective in boosting intracellular levels of glutathione.

Intravenous Glutathione Injections: Intravenous glutathione injections have been shown to produce amazing and rapid results, in patients with Parkinson's disease. Following even a single dosage of intravenous glutathione, many of the symptoms of Parkinson's disease rapidly improve, often in as little as 15 minutes.

Glutathione Precursors: In the Alzheimer's study conducted by Welsh GP, Andrew McCaddon, adding the glutathione precursor, N-acetyl-cysteine (NAC) to a protocol that lowered homocysteine levels by simple supplementation with B12 and folate, resulted in prompt, striking, and sustained clinical improvement in nearly all the patients. (9)  (N-acetyl-cysteine may cause leaky gut syndrome after extended use and has been seen to increase oxidative stress in those with DS, so weigh your options carefully.-Andi)

Excerpt from Treatment Options for Mercury/Metal Toxicity in Autism and Related Developmental Disabilities:  Consensus Position Paper by Autism Research Institute
  ...a study by James et al.7 found that 800 mcg of folinic acid and 1000 mg of TMG
partially raised levels of glutathione in children with autism, and the addition of
subcutaneous injections of methyl-B12 (75 mcg/kg, 2x/week) normalized glutathione
levels.  Note that the dosage of methyl-B12 was suggested by Dr. J. Neubrander, based
on injecting it into the adipose tissue of the buttocks. (Note that Dr. Neubrander now
recommends a dosage of 64.5 mcg/kg every three days)8  The addition of vitamin B6 (a
necessary co-factor) is likely to raise levels further.  The addition of methionine may be
helpful, but it should be done with extreme caution after methyl-B12 has been given to
prevent negative reactions.8  
Vitamin C:  a study by C. Johnston9 of college students found that the addition of 500
mg/day of vitamin C raised glutathione levels 50%.  Raising the vitamin C to 1000 mg
had no additional benefit.

Cucurmin (turmeric): Studies have shown that the Indian curry spice, cucurmin, has neuroprotective effects because of its ability to induce the enzyme, hemeoxygenase-1 (HO-1), which protects neurons exposed to oxidant stress. Treatment of brain cells called astrocytes, with curcumin, increases expression of HO-1 protein as well as glutathione S-transferase. (10) (The most bioavailable brand is Longvida Curcumin.)

Ebselen: Ebselen is a glutathione peroxidase mimic and potent synthetic antioxidant that acts as a neuroprotective agent and an inhibitor of free-radical induced apoptosis (cell death). It can protect brain cells from the neuro-toxic effects of alcohol consumption. (8)

Undenatured Whey Protein: Undenatured whey protein provides glutathione precursors, has been shown to raise intracellular glutathione levels in clinical trials, and has anecdotally been reported to improve the symptoms of Parkinson's disease.

References

1. Journal of Neurochemistry, Vol. 88, No. 3, 2004 513-531

2. Journal of Neurochemistry, Vol. 87, No. 6, 2003 1527-1534

3. Researchers Find Brain Cells Die Differently in Males and Females; Pediatric Academic Societies Press release; 21-Apr-2004

4. Human Molecular Genetics, 2003, Vol. 12, No. 24 3259-3267

5. The Journal of Cell Biology, Volume 164, Number 1, 123-131; 5 January 2004

6. Biol Psychiatry. 2003 Feb;53(3):254-60

7. Journal of Neurochemistry, Vol. 88, No. 6, 2004 1477-1484

8. Proc Natl Acad Sci U S A. 2003 Jun 24;100(13):7919-24. Epub 2003 Jun 05.

9. Am J Geriatr Psychiatry. 2003 Mar-Apr;11(2):246-9

10. Can Curry Protect Against Alzheimer's?; American Physiological Society (APS) Press Release;

Glutathione in Brown Rice

Whole article here: http://www.whole-body-detox-diet.com/brown-rice.html

Rice bran (tocotrienols) has glutathione peroxidase. It is also available in brown rice / whole grain rice, but not in white.

“Brown rice is high in dietary fiber, vitamins, minerals, essential oils and protective antioxidants. Rice bran lowers high blood sugar and has been found to be one of the most nutrient dense substances ever studied. It contains over 70 antioxidants, protects against cellular damage, and preserves youthfulness.

Rare forms of vitamin E that lower excess of fat and cholesterol have also been discovered in rice bran. It is also calming to the nervous system due to an abundance of B vitamins and trace minerals.

Gamma-oryzanol is a rare and powerful antioxidant found only in rice bran. It strengthens muscles and converts fat into lean body mass. The antioxidant Alpha Lipoic Acid in brown rice promotes liver restoration, slows the aging process and converts glucose to energy.

Glutathione peroxidase (GPx) is an enzyme antioxidant in rice that reduces mucous excesses, boosts respiratory function and helps detoxify the body. The CoQ10 it contains burns fat into energy helping you lose weight and protecting your heart. Unrefined rice also contains proanthocyanidins that are additionally protective against poisons and toxins in the blood, lymph and organ systems.

Related Posts

Tuesday, September 27, 2011

Why B12 & Folinic Acid for Down syndrome?

Studies suggest that an inadequate amount of vitamin B12 may be a risk factor for brain atrophy (shrinking) and possible cognitive impairment. Studies also show that individuals with Down syndrome commonly have low levels of B12 and Folic/Folinic Acid (or folate). In one study, typical seniors who took B12 supplements did a better job of holding cognitive declines at bay than placebo. Since the brain of a person with DS has similar qualities of a brain of an elderly person, we need to pay attention to studies about seniors. Supplementing with B12 and Folinic Acid also helps to normalize metabolism. 

Folic/Folinic Acid (or folate) is particularly important within our population since it is needed for the synthesis of DNA and RNA, which are the building blocks of cells. They also help prevent changes to the DNA that could lead to cancer such as leukemia, which our population is particularly susceptible to. It is also needed in both children and adults to be able to make normal red blood cells and prevent anemia. Specifically, B12 and Folinic Acid are used in a metabolic cycle called the SAM cycle.
 
Please visit Changing Minds Foundation's page on B12 and Down syndrome for more details.

Dr. Oz recently did a great show on B12, not specific to T21, but a nice overview: http://www.doctoroz.com/episode/americas-b12-deficiency 

Types of Folic Acid, Folinic Acid and Folates

Folic acid, actually, should be avoided in the DS population, those with the MTHFR variation (much more common in the DS and autism population and in mothers of children with DS) and older moms who want to have children. See   How to Prevent DS in Your Next Child in 60% of Moms for details as to why folic acid is difficult to process and properly use in our bodies. For this population, folic acid should be avoided in enriched foods such as breads and cereal as well.

Folinic acid also known as Calcium Folinate has been shown to have positive effects on children with DS whether or not they have the MTHFR variation.

Folate is a broad term, it may refer to Calcium Folinate, "naturally occuring folate" which may be folinic acid or could be a form of l-5-methylfolate. If it's not clear on the label, I'd contact the company to make sure of the source. 

Calcium Folinate has been shown to have positive effects on children with DS whether or not they have the MTHFR variation. It's not recommended for the typical population who has the MTHFR variation.

L-5-MTHFR, l-5-methyltetrahydrofolate, 5-methylfolate, etc. is the folate of choice for those with the MTHFR variation. (This is what I take. Jett has both DS and MTHFR so I give him both, just in case. Hopefully I'll eventually learn which is best but I'm covering my bases.)

For more info on types, see Cerebral folate deficiency in Down syndrome 

Dosage

B12
Birth to 2 years: 200-400mcg
Children 2- 12 years old: 400-1000mcg
Teen/Adults: 1000-2000mcg

Folinic Acid
Birth to 2 years: 200 mcg
Children 2- 12 years old: 400-800 mcg
Teen/Adults: 800-2000 mcg
 
For products, see the DS Day to Day Store
 
B12

Different children need different forms of B12. If your child has one or more of the MTHRF mutation, the methylcobalamin is preferable (40% of the typical population has this mutation. Jett does). With some kids, if you give the full dose the first day, it causes hyperactivity. If you see this happening, reduce the dose and slowly increase each day until you reach the full dose. If problems still occur with methylcobalamin, look into the hydoxocobalamin form (see healthy awareness article below).

B12 can be difficult to metabolize so you don't want to give it in food or have them shallow it. Instead, buy sublingual drops or mouth or nose spray or other easy to assimilate form. It also needs to be taken on an empty stomach, 
first thing in the morning works well. If your child still has low levels of B12, you can look into the B12 shots (watch out for extra ingredients in the shot, however).

Methylcobalamin B12 

B12 drops
This is what I use for myself. I just put the drops under my tongue first thing in the morning and try not to swallow, rather allow it to dissolve in my mouth.

B12 spray
This is what I use for Jett first thing in the morning. It sprays a fine film all over his mouth so that it's more likely to be absorbed in his mouth rather than to go down his throat.

More B12 Liquid versions


Designs for health super liquid folate

This one has BOTH good types of folinic/folate AND B12: Methyl Protect by Biogenesis Nutraceuticals

My stepson, with ASD, uses the sublingual lozenge that he sucks on while getting ready for school in the mornings. (I don't necessarily trust that he won't swallow the liquid and spray.)

Hydoxocobalamin B12
(The brand ProHealth has sorbitol in its tablets so I haven't included them in this list.)

sublingual drops $40
Revelation Health Hydroxo-B12
(I've sent them an email for their list of ingredients to see if this product can stay on this list.)

Sublingual spray $60 for 3 month supply
Blue Rock Holistics Hydroxade
(I've sent them an email for their list of ingredients to see if this product can stay on this list.)

Here's a great page that gives more information about the different forms of B12: http://www.healthyawareness.com/articles/about-vitamins-minerals/about-vitamin-b12.aspx

Calcium folinate

Source Naturals MegaFolinic™ -- 800 mcg - 120 Tablets

Kirkman's Folinic Acid

L-5MTHF

Metagenics FolaPro® -- 60 Tablets is the l-5MTHF type of folate.

Neurobiologix Methyl Folate with Activating Co factors
I haven't tried this yet, but it sounds good. It has both
5-methyltetrahydrofolate and folinic acid as well as niacinamide which helps with the symptoms you may get from using a lot of 5-MTHF. I did get the adverse symptoms when I first took l-5-MTHF and this product would have been nice to have then.

Seeking Health's l-5-mthf

Articles

Brain Takes Multiple Hits from Low B12 Levels
By Crystal Phend, Senior Staff Writer, MedPage Today

Published: September 26, 2011
Reviewed by Zalman S. Agus, MD; Emeritus Professor
University of Pennsylvania School of Medicine.
Excerpts:
Low levels of vitamin B12 may contribute to cognitive problems for older adults in more than one way, according to a cross-sectional study…. 
...Note that previous studies have suggested that poor vitamin B12 status may be a risk factor for brain atrophy and possibly cognitive impairment.
Note that in this study, concentrations of vitamin B12–related markers (methylmalonate, cystathionine, homocysteine) were associated with global cognitive function and with total brain volume…. 
...Although her group's observational study couldn't say whether boosting B12 would prevent or reverse cognitive effects, a prior randomized trial demonstrated that high-dose B complex supplements could slow down brain atrophy in older adults.
In that study, dubbed VITACOG, supplements did a better job of holding cognitive declines at bay than placebo among those with high homocysteine levels.
"So at least from this one clinical trial it appears that [supplementation] may have some benefit," Morris argued.
Her group dug deeper into their Chicago Health and Aging Project (CHAP), measuring vitamin B12-related markers in relation to brain MRI and neuropsychological test results 4.6 years later in 121 residents of Chicago's South Side, ages 65 and older.
After adjustment for age, sex, education, race, and serum creatinine levels to control for renal function problems that could have an impact on homocysteine, all of the B12-related markers affected global cognitive scores….

..."You might be in the normal range, say in the low normal range, of vitamin B12 in your blood but still have evidence of insufficient vitamin B12 based on these biomarkers," she told MedPage Today….
Primary source: NeurologySource reference:Tangney CC, et al "Vitamin B12, cognition, and brain MRI measures: A cross-sectional examination" Neurology 2011; 77: 1276–1282.
Also:

Low Vitamin B12 Tied to Brain Atrophy, Cognitive Impairment


Study

Total blood mercury and serum measles antibodies in US children, NHANES
pubmed/21992842>
Gallagher CM, Smith DM, Meliker JR.
Sci Total Environ. 2011 Dec 1;410-411:65-71. Epub 2011 Oct 10.

Background: Environmental toxins, pathogens and host susceptibility cofactors may interact to contribute to disease. In vitro mercury exposure inhibited antiviral cytokines in human cells; however, little is known about the relationship between mercury and viruses in children. Children are susceptible to mercury toxicity; lower vitamin B-12 and folate levels and higher homocysteine levels may represent susceptibility cofactors.
This study aimed to evaluate associations between total blood mercury (Hg) and measles antibodies in children, and the influence of these susceptibility cofactors.

Design: Cross-sectional data on serum measles antibodies, Hg, homocysteine, methylmalonic acid (MMA, indicator of B-12 deficiency), and folate were obtained from the 2003--2004 NHANES for children aged 6--11 years with measles seropositivity (n=692). We used linear regression to evaluate relationships between measles antibodies and Hg, stratified by sex, MMA ?, folate b, and homocysteine?sample medians, adjusted for demographic, nutritional and environmental cofactors.

Results: Hg (range: 0.10--19.10 ?g/L) was inversely associated with measles antibodies (range: 1.00--28.24 units) in non-stratified analysis (n=692), yet positively associated among the subset of boys with higher MMA and lower folate (n=98). Among this subset with higher homocysteine levels (n=61), correlations were positive across all Hg quartiles relative to Q1 (Hg?0.20 ?g/L): Q2:?=6.60 (3.02, 10.19); Q3:?=8.49 (6.17, 10.81);
Q4 (HgN0.80 ?g/L):?=4.90 (2.12, 7.67) (ptrend=0.077).

Conclusion: Stratification by susceptibility cofactors revealed opposing directionality for correlations between Hg and measles antibodies, with positive effect estimates at lowest exposures only among boys with higher MMA, lower folate and higher homocysteine levels.


Related Posts


Folic Acid Cut Alzheimer's Risk by Half

Alzheimer's Disease & Down syndrome

Jett's Supplement List

Thyroid Issues & DS Go Hand in Hand

Which Multivitamin?

Anemia Causes & Cures

Natural Ways to Help with ADD

Cerebral folate deficiency in Down syndrome





Friday, June 17, 2011

Natural Ways to Help with ADD & Hyperactivity

People with T21 have a greater incidence of ADD (attention deficit disorder) than the typical population. According to http://www.ds-health.com/add.htm, "ADHD is characterized by consistent demonstration of the following traits: decreased attention span, impulsive behavior, and excessive fidgeting or other nondirected motor activity." Jett is only 2 1/2 so I'm not sure that he has it. 

I have ADHD (attention deficit hyperactivity disorder). In me, it manifests itself with bursts of anger, sleeplessness, forgetfulness and disorganization. Following this formula has worked great for me. If I don't follow it, the symptoms come right back (okay, so the disorganization hasn't been completely conquered!). Those with DS can not usually follow all of these suggestions. I've indicated in notes what differences you may need to consider with them. 


This formula is an adaption by Kay Ness, Neurodevelopmentalist,  from the Willis list.


From my experience, there are eight things that reverse inattention and hyperactivity every time.


A 2003 study listed these causes:

  1. Food and additive allergies
  2. Environmental toxicity
  3. Dietary deficiencies of protein
  4. Excess of simple sugars
  5. Mineral imbalances, particularly iron deficiency
  6. Deficiencies in cell membrane components (Fatty acids and Phospholipids)
  7. Thyroid disorders
  8. Deficiencies in B-vitamins

What to do:


First: NO sugar, fruit juices, aspartame (NutraSweet), Splenda, MSG, and limited and controlled amounts of High-Glycemic Indexed foods (basically foods high in sugar/starch).


Second: NO phosphates (meaning processed meats, soft drinks, prepared cakes and baked goods with phosphates/phosphoric acid or bromine added).


Third: Eliminate all allergens.


Fourth: NO colors, dyes, or high salicylate foods (Feingold diet).


These four cost nothing, yet often solve the problem.


Fifth: supplement 100 mg Vitamin B6 (with 50 mg vitamin B2) both 3 times a day. This alone has proven more effective than Ritalin, with no side effects.*


Sixth: supplement 50 mg zinc (at evening on empty stomach with a little oil) and supplement 100 mg magnesium 3 times a day. Always supplement 50 mg vitamin B1 three times a day with the magnesium.


Seventh: Introduce fatty acids into the diet: Evening Primrose Oil and cod-liver oil (DHA alone will not work).


Eighth: Underneath all this place a good multivitamin/mineral. (I use Optimal Multivitamin - Andi.)


Other supplements known to help with the hyperness are calcium, **iron, chromium, boron, lithium orotate, folic acid, glutathione, the amino acid tyrosine (builds dopamine and the stimulating hormone norepinephrine), taurine and ***GABA (calming amino acids), and Saccharomyces boulardii and colostrum to build Immunoglobulin-A (IgA) to overcome allergies.


Children with blood lead levels above 10 micrograms per deciliter were nearly three times as likely to show hyperactivity and anti-social behavior as children whose blood lead levels were between 0 and 2 micrograms per deciliter. Detoxifying lead naturally.


Chembalance.com addresses minerals and specific vitamin deficiencies that you can test yourself every day. Oh, I'd also look at iodine. I don't believe the 'every time' thing but certainly this is a good and basic list.



*Those with DS often can't properly use extra B6. I get around this by supplementing Jett with a natural, synergistic form of B6 through Royal Jelly which has a wide range of B vitamins. I also supplement with B12, for other reasons. -Andi
**Since DS causes complications with iron, I wouldn't supplement our kids with it until you have tried altering diet to help metabolize iron in food better. To help Jett utilize the iron he does ingest, I give him large doses of  Vitamin C. This has been working for him.-Andi
***Since DS causes an overexpression of GABA, I wouldn't supplement our kids with it, unless you know specifically that your child needs it. Some of our kids do need GABA, most do not. One way to tell is how s/he reacts to Gingko. Jett reacts well to Gingko so does not need extra GABA.-Andi


Here's an article by Kay on the neurodevelopmental approach to treating ADD: http://senc.us/ADD_ADHD.html


Another article on treating ADD naturally found here: http://intelegen.com/nutrients/add.htm


Natural Control of ADD & ADHD Billie J. Sahley, Ph.D., CNC

Excerpt:


Six million children in this country suffer some type of learning disability, ADD, or ADD with hyperactivity (ADHD). Over two million children currently take Ritalin for ADD/ADHD. ADD and ADHD may be caused by psychological problems, including trauma and abuse, nutritional deficiencies, chemical imbalances, allergic responses to food and chemicals, or a poor diet. A failure in the brains inhibitory system (the ability of the brain to inhibit and control itself) may also cause ADD/ADHD.
Ritalin, the most commonly used drug for ADD and ADHD, is an amphetamine and a Schedule II class drug (other Schedule II drugs are morphine, opium, and medicinal cocaine). Doctors prescribe Ritalin for many children who do not need it, causing a number of adverse mental and physical side effects. Yet this potent, toxic drug is being used as a quick fix to quiet children. Surprisingly, prescription rates for Ritalin doubled between 1992 and 1996. 
Children demonstrating symptoms of anxiety, ADHD or ADD often have an imbalance in their brains biochemistry. A biochemical imbalance results from a deficiency of neurotransmitters, the chemical messengers of the brain. If a biochemical imbalance goes untreated, a child can display maladaptive behavior, followed by possible long-term physical and emotional problems.
A child's state of health reflects his or her state of nutrition. When minerals, vitamins, amino acids, enzymes, or even hormones are deficient in a child's system, the result can be a disturbed biochemical homeostasis causing impaired functions in the brain. This, in turn, can cause an inability to focus, concentrate, and stay on task. (I believe this is the problem in those with Down syndrome. -Andi)
At the Pain and Stress Center in San Antonio, we have successfully treated numerous children with orthomolecular therapy. Orthomolecular therapy corrects the brains biochemical imbalance, without toxic drugs that can produce adverse side effects. ADD/ADHD presents a major problem facing parents today. Most people think of hyperactivity as some type of behavioral problem (a child who is impatient, impulsive, and constantly moving); but not all hyperactive children are aggressive. Some are very passive, withdrawn, and find it hard to communicate their feelings. 
ADD/ADHD is not a condition that can be measured in precise scientific terms. Nor is it a situation with a quick fix, especially with powerful and addictive drugs such as Ritalin. ADD/ADHD is a complex and intricate condition in which children demonstrate maladaptive or disorganized behaviors, which put them out of sync with the world around them.
Numerous clinical studies established that hyperactive children often have low serotonin levels. A proper combination of tryptophan or 5-HTP and B6, elevates the serotonin level and balances the brain; the child's symptoms diminish. The dosage, of course, depends on the child's age, weight, and the degree of hyperactivity. (I think this is also the issue in those with T21. I supplement Jett with tryptophan every night. Be wary of 5-HTP is your child has any signs of a seizure disorder. -Andi)
Effectiveness of Amino Acids 
Neurotransmitters affect behavior and learning. A neurotransmitter deficiency consequently has a dramatic effect on childrens or adults abilities to learn and function in an orderly manner. Most hyperactive and ADD children are born with a shortage of neurotransmitters, establishing a genetic link, most often on the male side. These children also do not manufacture the needed amount of these chemical messengers. 
Where do we get neurotransmitters? From the amino acids, GABA, glycine, taurine, tyrosine, glutamine and tryptophan. Do children or adults get enough aminos through diet? NO! Balanced amino-acid doses, in the right combination and formulas, produce the needed neurotransmitters naturally. Using a stimulant medication to try to produce neurotransmitters is like a shotgun going off in the childs brain. Our children were not born with Ritalin in their brain, so how can they have a Ritalin deficiency? (I also supplement Jett with tyrosine in the morning and afternoon. The other amino acids: GABA, glycine, taurine and glutamine I find questionable or I'm uncertain about for those with DS. -Andi)
Approximately fifty different neurotransmitters exist in the human brain, but communication between brain cells uses only ten (approximately) major neurotransmitters. How we feed the brain directly affects our production of neurotransmitters. With proper nutrition and supplementation, we can correct or enhance mind, mood, memory, and behavior.
All major neurotransmitters are made from amino acids and dietary protein. One of the dangers of a low-protein diet is not ingesting enough amino acids to make adequate brain neurotransmitters. Apathy, lethargy, difficulty concentrating, loss of interest, and insomnia all result when the diet does not include adequate amounts of amino acids. Drugs do not produce or increase production of neurotransmitters. Drugs only address symptoms. Amino acids restore the balance nature intended. 
Some of the major symptoms of neurotransmitter deficiencies are ADD, ADHD, brain fog, mood swings, increased stress, anxiety, depression, insomnia, irritability, and aggression. Stress plays a major role in the depletion of neurotransmitters. Inhibitory neurotransmitters are the keys to behavior, emotions, and pain. Inhibitory amino acids include tryptophan, taurine, GABA, and glycine.
Millions of people have turned to drugs known as SSRIs (Selective Serotonin Reuptake Inhibitors). These drugs, such as Prozac, Paxil, Zoloft, and Effexor work by selective enhancement of serotonin levels. SSRIs prevent the presynaptic nerve from reabsorbing serotonin that it previously secreted. Prozac causes an increase in brain serotonin levels; but Prozac and other prescription drugs do not increase neurotransmitters. 
5-HTP is synergistic with other supplements that enhance neurotransmitters such as GABA, glutamine, tyrosine, phenylalanine, and glycine. (Caution--15% of children with DS had seizures on 5-HTP. -Andi) Magnesium prolongs the benefits of 5-HTP. Chronic stress depletes available serotonin, as well as interferes with serotonins ability to control behavior. Research demonstrates that low serotonin levels can change brain function and impair learning. Low serotonin may be responsible for an increase in depression and drug use among teens and children. Most teens with low serotonin levels are more prone to try recreational drugs or even prescription drugs, for relief. A low brain serotonin level impairs the ability to focus and reason. 5-HTP shows a lot of promise as a natural answer to a multitude of problems that plague adults and children. Use caution with 5-HTP if your child is taking prescription antidepressant medications.
GABA (Gamma-aminobutyric acid)
(Not usually recommended for people with DS. -Andi) GABA, an inhibitory neurotransmitter, is found throughout the central nervous system. GABA assumes an ever-enlarging role as a significant influence on ADD, ADHD, stress, anxiety, and depression, as well as stress-induced illnesses. According to Candace Pert, a neuroscientist who discovered the GABA receptor, every cell in the body has a GABA receptor, which is one reason why GABA has such positive effects. GABA inhibits the cells from firing, diminishing anxiety-related messages.
Tranquilizers provide only temporary relief. We have seen many patients on Xanax that still experience anxiety. They have been told it is not addictive: it is! THERE IS NO SUCH THING AS A TRANQUILIZER DEFICIENCY! Nutrient deficiencies do occur, however; and they can and do change behavior. GABA, glutamine, and glycine prove vital for energy and the smooth running of brain functions. We have successfully used these three amino acids with patients to ease anxiety, irritability, and ADD.
Research demonstrates a large number of children who display ADD/ADHD behavior actually experience anxiety. If they use all available GABA, then the receptors in the brain become empty, allowing the brain to be bombarded with random firings of excitatory messages. However, when adequate amounts of GABA are present, the reception of multiple random firings are blocked, so the brain does not become overwhelmed. At the Pain & Stress Center we regularly combine GABA and other amino acids to achieve positive results. Dose amounts vary, depending on the age and weight of the child. 
GABA now takes its place as a major influence on those taking drugs, and in many cases, replacing the drugs. We have found that, when combined with other amino acids, GABA works exceptionally well with ADD children.
L-Glutamine 
(Not recommended for people with DS. -Andi) Glutamine, along with GABA and Glycine, is rapidly becoming an important therapeutic amino acid of the 21st century. Glutamine, found in many foods, is the third most abundant amino acid in the blood and brain. It also provides a major alternative fuel source for the brain when blood sugar levels are low.

Glutamine functions as an inhibitory neurotransmitter, and is the precursor for GABA, the antianxiety amino acid. The amino acid trio of Glutamine, GABA, and Glycine plus B6 are among the major inhibitory neurotransmitters in the brain. Glutamine is found in the nerves of the hippocampus, the memory center of the brain, in the cranial nerves, and in many other areas of the brain. These three amino acids work together as inhibitory neurotransmitters. Anyone taking amino acids must take B6 to metabolize the amino acids.

Intellectually impaired children and adults often show an increase in IQ after taking glutamine in combination with Ginkgo biloba and B6. Dr. Roger Williams demonstrated that children and adults diagnosed with ADHD showed a marked improvement when taking 250 mg to 1,000 mg of glutamine daily.

GABA and glutamine are not only found in the brain, but also in the receptor sites throughout the body. Glutamine is the memory and concentration amino acid. Seventy five percent of hyperactive and ADD childrens blood tests showed low levels of glutamine.

Dr. C. Fredericks research also demonstrated a definite increase in the IQs of children given glutamine. When glutamine was given daily, children showed impressive improvements in their abilities to learn, to retain, and to recall. Glutamine is a major part of my orthomolecular program for hyperactive and ADHD children. Glutamine is one of the amino acids that create the neurotransmitters in the brain that enhance learning and memory. Hyperactive and ADD children have low neurotransmitter levels, especially glutamine. Adding glutamine increases the level of neurotransmitters. Start with 500 mg of glutamine and gradually increase until you reach the optimal dose for your child, to a maximum of 3,000 mg per day.
Glycine
Glycine is a nonessential amino acid, with the simplest structure of all the amino acids resembling glucose (blood sugar) and glycogen (excess sugar converted in the liver for storage). Glycine is sweet to the taste, can be used as a sweetener, and can mask bitterness and saltiness. Pure glycine dissolves readily in water. As the third major inhibitory neurotransmitter in the brain, glycine readily passes the blood-brain barrier. Studies by the late Carl Pfeiffer, MD, Ph.D., demonstrated glycine as an important factor in psychiatric disorders.

Glycine decreases the craving for sugar, and, in many cases, can replace sugar on foods such as cereal. Glycine calms aggression in both children and adults. When combined with GABA and glutamine, glycine influences brain function by slowing down anxiety-related messages from the limbic system.

As a very nontoxic amino acid, both children and adults can use glycine. Glycine can be mixed with other amino acids. Doses for a child range between 500 to 2,000 mg daily, divided.

Glutamine functions as an inhibitory neurotransmitter, and is the precursor for GABA, the antianxiety amino acid. The amino acid trio of Glutamine, GABA, and Glycine plus B6 are among the major inhibitory neurotransmitters in the brain. Glutamine is found in the nerves of the hippocampus, the memory center of the brain, in the cranial nerves, and in many other areas of the brain. These three amino acids work together as inhibitory neurotransmitters. Anyone taking amino acids must take B6 to metabolize the amino acids. 
Intellectually impaired children and adults often show an increase in IQ after taking glutamine in combination with Ginkgo biloba and B6. Dr. Roger Williams demonstrated that children and adults diagnosed with ADHD showed a marked improvement when taking 250 mg to 1,000 mg of glutamine daily.
GABA and glutamine are not only found in the brain, but also in the receptor sites throughout the body. Glutamine is the memory and concentration amino acid. Seventy five percent of hyperactive and ADD childrens blood tests showed low levels of glutamine. 
Dr. C. Fredericks research also demonstrated a definite increase in the IQs of children given glutamine. When glutamine was given daily, children showed impressive improvements in their abilities to learn, to retain, and to recall. Glutamine is a major part of my orthomolecular program for hyperactive and ADHD children. Glutamine is one of the amino acids that create the neurotransmitters in the brain that enhance learning and memory. Hyperactive and ADD children have low neurotransmitter levels, especially glutamine. Adding glutamine increases the level of neurotransmitters. Start with 500 mg of glutamine and gradually increase until you reach the optimal dose for your child, to a maximum of 3,000 mg per day.
Taurine 
Taurine is now classified as a conditionally essential amino acid in the adult. In infants and children, however, taurine is an essential amino acid. As one of the sulfur amino acids, adults synthesize taurine from cysteine and methionine, provided B6 and zinc are present. Taurine is found abundantly throughout the body in the heart, olfactory bulb, central nervous system, and brain (hippocampus and pineal gland). 
As an inhibitory neurotransmitter, taurine, after GABA, is the second-most important inhibitory transmitter in the brain. Taurines inhibitory action in the brain equals that of GABA and glycine. Its inhibitory effect is one source of taurines anticonvulsant and antianxiety properties. 
Some children with Down syndrome have shown an increase in IQ levels when taurine was added to their diet along with glutamine, B6, and vitamin E. The need for taurine increases whenever you experience more stress than usual, or have an illness.

Tyrosine 
Tyrosine is the amino acid and inhibitory neurotransmitter that often helps overcome depression. Clinical studies show that tyrosine controls medication-resistant depression. 
In a 1980 issue of the American Journal of Psychiatry, a study by Dr. Alan Gelenberg of Harvard Medical School discussed the role of tyrosine in the control of anxiety and depression. Dr. Gelenberg postulated that the lack of available tyrosine results in deficiency of the hormone norepinephrine at a specific location in the brain that relates to mood problems such as depression. Children given tyrosine supplementation demonstrated a marked improvement in mental performance and mood stability.

Tyrosine, because of its role in assisting the body to cope physiologically with stress and building the bodys natural store of adrenaline, deserves to be called the stress amino acid. Stress exhaustion requires tyrosine. During periods of stress, in order to continue coping with stress physiologically, the brain requires tyrosine. Tyrosine aids children and young teens, as well as adults, with recurrent depression and mood disorders. In children, dosage ranges from 200 to 500 mg daily. (See L-tyrosine: Building Block for Neurochemicals for more information. -Andi)
Magnesium 
Hyperactive or ADD children are almost always deficient in magnesium. Magnesium proves necessary for proper brain energy and is the first mineral depleted when anyone (child or adult) is under stress. Magnesium is a stress mineral, and deficiency can lead to hyperactive or ADD behavior.
Magnesium plays a significant role in sugar metabolism and in the proper utilization of carbohydrates to create energy. Magnesium is so very important in a childs diet, especially if he displays hyperactive behavior, ADD, or other behavioral problems. Magnesium can be taken in liquid form, tablet, or capsule.
When added to the ADD/ADHD diet, calming effects sometimes occur immediately. Most magnesium exists inside the cells where it activates enzymes necessary for the metabolism of carbohydrates and amino acids. In 1988, a study published in Alternative Medicine Review linked the development of ADHD to low blood-serum magnesium levels. A group of children followed for six months were given 200 mg of magnesium a day. Researchers noted remarkably decreased hyperactivity in the children. 
As a major nutrient needed by ADD/ADHD children and adults, magnesium is the number one stress mineral needed by the body. Magnesium is responsible for over three hundred enzyme functions. It cannot be stored by the body, and it must be taken daily. Symptoms of magnesium deficiency include asthma, migraines, eye twitches, anxiety, confusion, muscle spasms, irritability, depression, nervousness, fatigue, mood swings, PMS, hypertension, and insomnia. (Click for more on Magnesium and DS. -Andi)

Calcium 
A calcium deficiency can also induce ADD/ADHD behavior. A child deficient in calcium exhibits irritability, sleep disturbances, anger, and inattentiveness. The first signs of a calcium deficiency include nervous stomach, cramps, tingling in the arms and legs, and painful joints. A calcium deficiency can also lead to ADD/ADHD behavior. Children sensitive to dairy products must receive daily calcium supplementation in capsule, chewable, or liquid form. Children up to 10 years of age need 1000 mg of calcium daily; adolescents need 1,200 to 1,500 mg daily. For those involved in sports activities, calcium supplementation is a must. 
Huperzine 
Recent research reports that Huperzine A improves mental function and learning in adolescents. Chinese researchers designed a study to determine the efficiency of Huperzine on memory and learning. The clinical study included 34 matched pairs of junior middle school students that had significant complaints of poor memory and difficulty in learning. In the double blind trial, half of the students received a placebo while the other half received Huperzine A for four weeks. Academic performance was measured before and after the clinical trial. The Huperzine group scored significantly better on standard memory tests without side effects.
Huperzine A is an extract derived from Chinese club moss. Huperzine can be combined with amino acids and other nutrients. The suggested dosage is one 50 mcg capsule in the morning and in the evening for children aged 12 and over.
This information is excerpted from my book Control Hyperactivity/ADD Naturally. Other resources include Is Ritalin Necessary?
Both are available through:
Pain & Stress Center5282 Medical Dr. #160San Antonio, TX 78229-6023


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Sunday, May 29, 2011

Folic Acid Cut Alzheimer’s Risk in Half

September 7, 2005 by Jean Carper

If you want to keep your mind sharp and avoid Alzheimer’s as you get older, don’t forget to take your folic acid daily. It can slash your chances of Alzheimer’s in half, says new research.
Getting 400 micrograms or more of folic acid a day cuts your risk of developing Alzheimer’s an astonishing 55 %, according to a large new study from the Institute for Brain Aging and Dementia at the University of California at Irvine.
Folic acid appears more powerful than antioxidants, such as vitamin E, and other B vitamins in slowing brain aging, say researchers Maria Corrada and Dr. Claudia Kawas who studied the impact of several dietary factors on the risk of Alzheimer’s among 579 people age 60 and older who participated in the Baltimore Longitudinal Study of Aging.
Those who got high vitamin E and vitamin B6 also had lower rates of Alzheimer’s. But only folic acid was associated with a significantly decreased risk.
Corrado, an assistant professor of neurology, noted that most people who got the amounts of folic acid needed to cut Alzheimer’s risk dramatically took folic acid supplements. The dose in food alone was not enough.
A recent Dutch study also found that older people who took 800 mcg of folic acid daily slowed brain aging by 5 years, compared with those on a placebo, as measured by scores on memory tests. For example, someone age 60 who took 800 mcg of folic acid daily had the memory of someone age 55.
Folic acid also helped prevent toxic deposits of beta amyloid, a marker for Alzheimer’s, in the brains of lab animals in tests at the National Institute on Aging. One theory is that high homocysteine due to a lack of folic acid (and other B vitamins) may damage the DNA of brain cells, promoting beta amyloid accumulation, leading to cognitive decline and Alzheimer’s.
Source: Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, August, 2005)

To save your brain from decline as you age, be sure to get B vitamins, particularly folic acid.
That’s the message from two major new studies finding that older people with diets and blood levels low in B vitamins are more apt to suffer cognitive decline, dementia and Alzheimer’s disease. Such individuals are also more apt to have higher blood levels of homocysteine, a protein tied to heart disease and dementia. .
Of all B vitamins, folic acid is most potent in protecting the brain from the ravages of aging–such as memory loss, dementia and Alzheimer’s–according to the new studies–one from Tufts University and the other from the University of Bologna in Italy. Both have just been published in the September issue of The American Journal of Clinical Nutrition.
Italian researchers found that older men and women with low folate (folic acid) blood levels were nearly twice as apt to develop dementia and Alzheimer’s over a four-year period as those with higher blood folate.
Subjects with the least folic acid in their diets and blood also performed worst on a number of tests of memory and cognitive function in the Tufts study. Those low in B6 also scored poorly on the cognitive tests.
What’s the reason? Scientists have long speculated that B vitamins, mainly folic acid, protect the brain by reducing toxic levels of homocysteine in the blood. Some believe homocysteine directly damages brain cells and function.
However, for the first time, these two new studies say that folic acid has powers to protect the brain independently, regardless of its ability to suppress homocysteine levels.
Bottom line: Both low intake of folic acid and/ or high blood homocysteine, predict brain decline as you age.
---
Folinic vs. Folic Acid

http://www.tahomaclinic.com/folate.html

June 2010 Nutrition & Healing

Is the mainstream still cheating you out of the best health possible—with folic acid?!

Discover the stunning truth behind this essential “vitamin”—and the simple switch that’s much, much better for you

Do you remember a few years ago, when “mainstream” print and broadcast media were telling us that vitamin E was bad for our cardiovascular systems, and would increase our risk of heart attack? Turns out the whole thing was based on -you guessed it- researchers not copying Nature!

They weren’t using Nature’s own of vitamin E—a combination of alpha-, beta-, delta- and gamma-tocopherol, sometimes with alpha-, beta-, delta-, and gamma-tocotrienol—in the same percentages and combinations found in Nature. Instead, they had used alpha-tocopherol only in their research—and reported an increase in cardiovascular risk.

Fortunately, since then it has been pointed out that gamma-tocopherol is more important in protecting the heart than alpha-tocopherol. In fact, supplementing alpha-tocopherol alone depresses levels of gamma-tocopherol, so increased risk to the heart isn’t altogether surprising. What can we learn from this? It’s pretty obvious—using a natural substance in a way that goes against Nature’s perfect design can cause problems.

Given the news, responsible vitamin suppliers quickly replaced alpha-tocopherol-only forms of vitamin E with “mixed tocopherols,” combinations of alpha-, beta-, delta, and gamma-tocopherols.

In a similar turn of events, recently accumulating research has found that supplemental folic acid, incorrectly identified as a vitamin (it’s actually an oxidized vitamin) since its synthetic crystallization in the 1940s, may actually accelerate cognitive decline in some older individuals. It’s also being linked to increased risk of colon and rectal cancers, increased risk of childhood asthma born to folic-acid supplemented mothers, and accelerated growth of pre-existing cancers.

There’s enough research that Reader’s Digest magazine recently published an article warning readers about the dangers of too much folic acid. Unfortunately, the article showed that not only journalists, but even medical professionals still haven’t figured out that folic acid is not the same as the naturally occurring vitamin folate.

Six of one is NOT half a dozen of the other

According to the article, a university-affiliated medical doctor stated: “We’ve known for years that getting too little folate can promote cancer. Now it looks like getting too much folic acid could be harmful too.”

Like much of the medical mainstream, he used folic acid and folate as interchangeable terms.

But folic acid is not the same as folate!

Folic acid is a single type of molecule, crystallized in 1943 by a scientist working for the patent medicine company Lederle Laboratories, then a subsidiary of American Cyanamid Corporation. Folic acid is the fully oxidized form of naturally occurring folates, which are found in leafy and green vegetables such as spinach, asparagus, turnip greens, romaine, lettuce, broccoli, Brussels sprouts, and bok choy. Other sources include corn, beets, tomatoes, dried or fresh beans and peas, fortified sunflower seeds and some fruits, including oranges, grapefruit, pineapple, cantaloupe, honeydew melon, banana, raspberries, and strawberries. Liver (only organic, of course) and brewer’s and baker’s yeasts are good sources of folate, too.

But—and this is important to understanding the difference between folic acid and the various naturally occuring folates—none of these vegetables, fruits, liver or yeast naturally contain even one molecule of folic acid.

How the mainstream convinced us we need folic acid, and not folate

So why is folic acid so firmly entrenched in the public and mainstream professional mind as a vitamin? For the same reasons that mainstream professionals, science writers (who should know better), and the majority of the public think that horse estrogen and human estrogen are the same thing. It’s a combination of a sloppy understanding of biochemistry and some clever patent-medicine-company-

supported and -promoted psychology.

First, the biochemistry. (Stay with me, it’s relatively easy.) Folate was originally isolated from brewer’s yeast and spinach in the 1930s. Once isolated and exposed to air it becomes unstable and breaks down, and is generally no longer useful in nutrition. But a small amount of natural folate can be transformed by oxidation (a natural process) into folic acid, a much more stable form with a very long shelf life.

While human and animal cells cannot use the folic acid molecule itself in their normal metabolic processes, human cells (principally the liver) can transform folic acid back into many of its metabolically useful folate forms. That’s why folic acid—despite not being found in food—can do so much nutritional good, the best-known example being the prevention of birth defects including spina bifida, cleft lip, and cleft palate.

As we grow older, though, our bodies are increasingly slow at transforming folic acid into usefully metabolized folates. That’s probably why scientists are finding that folic acid (not folate) is associated with cognitive decline in the elderly. Some of these studies have shown significantly elevated levels of un-metabolized (and therefore not useful) folic acid building up in the bloodstreams of supplemented older individuals.

In addition to worsening folic acid metabolism with age, there are also a significant number (as high as 5 percent or more in some populations) of survivable human genetic defects of folate metabolism which make it more difficult or, in some circumstances, impossible for sufferers to make metabolic use of folic acid.

Now, the psychology. Imagine you’re the sales and marketing arm of a patent medicine company. Which would you rather produce and sell: A then-process-patentable substance (folic acid) or an un-patentable substance (folate)? A substance with a longer shelf life (folic acid), or a substance that breaks down very rapidly on exposure to heat, cold, or light—even from “just sitting there” (folate)? A substance that’s less expensive to manufacture and process (folic acid), or a more expensive substance (folate)? The answer is pretty obvious—from a marketing point of view, folic acid wins every time.

And in this case, by great good luck, folic acid does do some good. It can be re-metabolized into various metabolically useful forms in most people—particularly younger people. So of course folic acid is promoted as a vitamin—even though it’s not found naturally in food—and manufacturers happily encourage everyone to speak of it interchangeably with folate, just as the Wyeth company so successfully confused Premarin with human estrogen in the public mind.

As usual, the mainstream way does more harm than the natural way

So since the 1940s, when physicians wanted to give their patients supplemental folate, they were taught to start with folic acid under one or another brand name. Even I was taught that at the University of Michigan in the 1960s. Supplement companies have sold folic acid, too, as it appeared to do the job, and there were for years no reports of harm. In fact there was very little, if any, research into potential harm.

But now that there is enough evidence of potential harm from folic acid, it’s time for all of us who want the benefits to switch back to the forms of folate found in food, which our bodies can use more efficiently and effectively than folic acid. Of course, we should always start by eating as much folate-containing food as possible, and as fresh as possible, too.

Remember, naturally occurring folates break down quite rapidly with heat, cold, light, even when they’re still in the food. Because of this naturally rapid breakdown, even the most avid vegetable and fruit eaters often need folate supplementation. (For a simple way to find out if you’re among them, see “Overlooked blood test could be the key to your good health” below.) Fortunately, about a year or two ago, responsible supplement suppliers began to make individual folate (not folic acid) supplements available. Some suppliers have just started to include various forms of folate in multiple vitamins and other combinations.

So it’s time to make folic acid supplements a part of history, and use only forms of naturally occurring folate when we use supplements. A little bit of folic acid (100 to 200 micrograms, the amount found in many multiple vitamins at present) is not likely to be a problem, but more taken daily for years just might raise your long-term risk of colorectal cancer or cognitive decline. If higher amounts are unavoidable (for example, until all prenatal vitamins switch from folic acid to folate), taking additional folate will very likely offset the folic acid still found in the multiple. If you’re apprehensive, consult a physician skilled and knowledgeable in nutritional and natural medicine.

It’s very likely that within a relatively short time enough responsible supplement suppliers will switch from folic acid to folate in all their supplements, individual and combination, so you won’t need to read all the labels so closely to make sure you’re getting folate and not folic acid.

One last point you may be wondering about: Is there such a thing as “too much of a good thing” when it comes to naturally occurring folate supplementation?

Unless you have vitamin B12 deficiency or cancer, it’s very unlikely to be a problem. In the case of vitamin B12 deficiency, supplemented folate—even naturally occurring folate—can “cover up” some of the deficiency signs in blood tests. But preventing that is simple: Take extra vitamin B12 whenever you take extra folate! Some suppliers even combine the two, or put them with the rest of the B-complex vitamins.

But if you have cancer, it’s of course best to discuss folate (not folic acid) supplementation with a physician skilled and knowledgeable in nutritional and natural medicine. To find one in your area, contact the American College for Advancement in Medicine. JVW

Where to get it: Naturally occurring folate in supplements

At present, two types of folates that occur naturally in foods are available as over-the-counter supplements. One is folinic acid, usually sold over-the-counter as “calcium folinate.” Calcium folinate is also available by prescription as Leucovorin®, which, unfortunately, is considerably more expensive and also contains FD&C yellow #10 and FD&C blue # 1, neither of which improves clinical results.

The other over-the-counter naturally occurring folate presently available is 5-methyltetrahydrofolate. It’s more expensive than over-the-counter calcium folinate, but more likely to be effective for individuals with “hidden” genetic defects in folate metabolism.

There’s also at least one B-complex and one multiple vitamin-mineral combination containing calcium folinate and methylcobalamin (the more metabolically active form of B12) available over-the-counter. By the time this newsletter is printed, it’s very likely more than one of each of these will be available, too.

The availability of supplemental folates that occur naturally in foods has solved another problem I’d been observing in a minority of individuals since the 1970s. Although the large majority of people who tested poorly for individually optimal levels of folate on a test called the neutrophilic hypersegmentation index (see “Overlooked blood test could be the key to your good health” below) significantly improved their levels by taking folic acid supplements, a small but significant number had little to no improvement at all. For this group, all I could tell them was to eat as much folate-containing food as possible, and forget the folic acid supplements.

But since supplemental calcium folinate and 5-methyltetrahydrofolate have become available, nearly every patient with a previously abnormal neutrophilic hypersegmentation index has improved with their use.

Overlooked blood test could be the key to your good health

If you’re serious about good health and longevity, or if you have any chance at all of becoming pregnant, there’s an inexpensive but critically important blood test that’s too often overlooked. Although it’s simple, quick, and easy to do, many clinical laboratories don’t do it because there’s “no demand.”

It’s called the “neutrophilic hypersegmentation index.” It is a mouthful to say, but for decades it has been—and still is—the best test of your personal folate status. Not how your folate level compares with other peoples’, but how optimal your own level is.

To do that, the neutrophilic hypersegmentation index (NHI) determines what percentage of your neutrophils—a type of white blood cell—were supplied with an optimal amount of folate while they were growing and maturing. Of course, optimal is 100 percent. But before we get into how to boost your own score, it’s important to know some of the scientific background that explains why this test is so important.

When neutrophils are “born” and “incubate” in bone marrow, their chromosomes—DNA—arrange themselves into five segments. A final step in neutrophil DNA maturation is re-arrangement of those five segments into three. Normal folate metabolism is a key to this final step. Very shortly after the five-to-three segment DNA re-arrangement, the fully mature neutrophil is released from the bone marrow into the bloodstream, where it lives out its months-long life doing its job—one very important part of which is defending our bodies against germs.

But if there isn’t enough folate, the neutrophil’s DNA stays in five (instead of three) segments. When the neutrophil is needed, it’s released into the bloodstream anyway, where it’s called a hypersegmented (too many segments) neutrophil. Fortunately, a hypersegmented neutrophil can still fight germs as well as a “regular,” three-segmented neutrophil.

Planning a family? Why you MUST have this test

After a blood sample is drawn, a technician with a microscope can easily see and count the number of DNA segments in each neutrophil. The “hypersegmentation index” is the percentage of five-segment neutrophils counted in a total of one hundred neutrophils.

Neutrophils, other circulating blood cells, and the cells that line our gastrointestinal tracts are the most rapidly dividing cells in our bodies. So if there’s a shortage of any of the three key nutrients for keeping cell division normal—folate, vitamin B12, and/or zinc—these rapidly dividing cells are likely to show the effects first. So the “neutrophilic segmentation index” actually tells us whether the most rapidly dividing cells in our bodies have enough folate. If these cells do, then it’s very likely that every cell in our bodies has enough folate.

One of the saddest test reports I’ve had to share with anyone was an NHI of 47 percent reported for a woman who was already pregnant. As you may have expected, her baby was born with a birth defect.

Every woman who has any chance at all of becoming pregnant should have this test done! If it’s abnormal, and she’s planning on a pregnancy soon, she should take a series of folinic acid injections (see above “Where to get it: Naturally-occurring folate in supplements”. ) right away, preferably with the methylcobalamin form of vitamin B12, so there’s enough folate (and B12) immediately available for any newly conceived infant.

Why the rush? Well, the most common birth defect—neural tube defect—occurs on days 27–29 after conception, before many women are even certain that they are pregnant.

For the rest of us (as well as newly-folinic-acid-injected potential moms) an abnormal NHI means you need to take a closer look at your diet and make some necessary adjustments—most notably adding in more sources of folate, particularly green vegetables, beans, peas, brewer’s yeast, and (organic only!) liver. A folinic acid or methylfolate supplement is important, too, at least until the test normalizes.

A basic nutrient for cancer and heart disease protection

But pregnancy—or the possibility of pregnancy—isn’t the only time folate levels are important. Folate (along with vitamin B12 and zinc) are all critical to normal cell division and DNA repair, which means they’re all essential tools for cancer prevention. Adequate folate lowers the risk of a variety of cancers, particularly in the gastrointestinal tract, but also breast, pancreatic, cervix, and lung.

It’s almost certain further research will add other cancers to this list. However, for those who already have cancer in any form, it’s not yet clear whether or not supplemental folate may accelerate cancer growth as fully oxidized folic acid has been found to do in some studies.

Along with vitamins B6 and B12, folate helps keep levels of the natural human metabolite homocysteine low in our bodies. Considerable research shows that increasingly higher homocysteine levels are associated with increasingly higher levels of cardiovascular disease and atherosclerosis.

It’s true that in 2008, researchers reported that supplemental folic acid (not folate), B12, and B6 were effective at lowering homocysteine but were ineffective in reducing “major cardiovascular events” and deaths, but (once again) it’s very likely that this study used folic acid—which isn’t as easily metabolized in older individuals (rather than methylfolate)— along with less-than-optimally active forms of vitamin B12 and B6.

So, despite this (likely flawed) study, if your homocysteine levels are high, I still recommend eating more folate-containing vegetables, and, if necessary, taking enough supplemental methylfolate, methylcobalamin, and pyridoxal phosphate to keep your level low. If you do, your risk of cardiovascular disease and atherosclerosis will likely be lower, too.

Research indicates that other benefits of supplemental folate may include reduction of stroke risk and macular degeneration, and improvement in depression, as well as improvement in memory and mental agility in older individuals.

When enough is enough

I’ve been using this test as part of routine “good health” testing for nearly everyone for over 30 years, and rarely see a result of under 5 percent (which shows insufficient folate). So the goal is always to bring that level as close to 0 percent as possible.

But if you want to be really “engineering precise,” a level of 1 to 2 percent hypersegmented neutrophils—meaning that 98 to 99 percent of those white cells received enough folate—may be the best outcome to aim for. Why isn’t 0 percent even better? An engineer friend once explained it like this: “Once I get to 0 percent, there’s no -10 or –20 percent reading to tell me that it’s 10 or 20 percent more than I really need, so I’m going to keep mine very slightly under rather than go over.”

It’s a good point—and leads to the next question: Is there any danger of “overdose” with folate? Except when cancer is already present, it’s not very likely. I’ve never seen it happen in over 35 years of practice. But no one knows for certain. So keeping your NHI at a level of 1 to 2 percent ensures that your folate levels are optimal without “overdoing” it.

And increasing folate-containing foods in the diet and (in the majority) adding supplemental folate almost always brings the test to that optimal level.

The NHI is simple enough to be done by any laboratory with a microscope and a skilled technician, but many labs still don’t do it. Why? Well, it requires a smear of blood on a microscope slide and isn’t done by machine. However, blood specimens can also be sent to Meridian Valley Laboratory in Washington state, where state law makes it possible for individuals to order their own lab tests.

JVW 

Products 

Be sure to get $10 off your first VitaCost vitamin order.

Jett & I take: http://www.vitacost.com/Source-Naturals-MegaFolinic It divides well with a pill cutter & then I crush it to make sure he can ingest it.

and I also take:
http://www.vitacost.com/Metagenics-FolaPro-60-Tablets but, it's a tablet and gets destroyed if you want to divide it, so next time, I'm getting this one:

I included both of these because folinic acid is used for some ARN and ADN synthesis and methylfolate is mainly used for methionine regeneration so both are needed see: http://www.knowyourgenetics.com/The%20Methylation%20Pathway_files/supplmentation-1.jpg
Supposedly moms with MTHFR mutation or methionine sintasa mutation will benefit more from methylfolate. (I don't know if I have it, but I'm just assuming I do because of the symptoms and the fact that Jett has DS.)


Children with DS who don't have the same mutation as the mother will benefit more with folinic acid, but some of them also carry the same mutation as the mother and some of the father too.
Some with DS react adversely to folinic acid because they seem to have the mother and or father's mutation because folinic acid converts back to folic acid. (But you would know if it caused a problem by now.)

So you can test your child for those mutations too or check how s/he reacts to folinic acid and other methyl donors if s/he is ok with that, probably just folinic acid is best for him rather than methylfolate because if he does not have the mthfr mutations his methylfolate can accumulate.

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