Author Topic: Vitamin supplementation WORKS - start taking them!  (Read 175385 times)

Daveman

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #100 on: August 13, 2012, 08:57:50 AM »
I tried for the first time real niacin yesterday before O and so far, it don't work...I'm about 100% POIS.

I took this niacin  :

http://www.leaderpharma.co.uk/niacine-500-mg.html

I took about 300mg had a flush and waited for 1 hour

I've also been taking  this B complex for 5 days

http://www.leaderpharma.com/vitamine-b-complex-50mg.html

I had a good result one time with niaciniamide (1,5g)

Is there something wrong in the product i choosed ?


The product looks fine. Pure Niacin.

I bought a 500mg capsule from amazon (different brand), but it didn't work for me. Don't know why, but the Nature's Way 100mg capsule works very well.

Very important not to eat before, at least 3 hrs hopefully more. But your procedure sounds like it was properly executed.



I've only ever seen 500mg as niacinamide or sloniacin which is a special formulation where the niacin is encased in a polymer gel which is gradually digested. The end result is that it doesn't trigger the same flush that a 100mg of straightforward niacin would. I'm not sure it would be a good idea to take 500mg of pure niacin as the instantaneous release and subsequent flush could be very painful but it's possible that a smaller amount (100 mg) of pure niacin which produces the flush (via prostaglandin release) is actually more beneficial than a larger amount of niacin with less flush.

When I took my capsule of 500mg, even though it said pure niacin, it felt "buffered". Not at all the same effect and a slower release of the niacin. But there was NO indication on the bottle that it was slow release.

WITHOUT RESEARCH THERE WILL BE NO CURE!
Sessions 5 to 9 days, mostly Flu-like, joints, digestion problems, light cognitive.
Niacin has changed my lif though, now 1 day MAX.
Somewhere in this interaction with Niacin is the answer!

LAPOISSE

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #101 on: August 13, 2012, 10:11:24 AM »
by the way, I openend the capsule and put 2/3 in a glass of water...I though 500mg would be too much for the first time. I felt tingles and intense warm after 15min.

Don't know if i did right

kurtosis

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #102 on: August 13, 2012, 11:01:12 AM »
Kurtosis, do you think I can take the C-Enzyme B-Complex http://www.nowfoods.com/Supplements/Products-by-Category/Vitamins/Vitamin-B/M046554.htm
together with the daily multivitamin I'm taking? It's GNC Mega Men Sport http://www.gnc.com/product/index.jsp?productId=4033437&cp=3593185.12961109

I went ahead and took them today. Let's see...

Sorry, thought I'd responded. That seems like a lot to take. Having said that I do take the b complex at night every 2nd day with some zinc and magnesium. Perhaps you could do the same.

Daveman

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #103 on: August 13, 2012, 12:44:10 PM »
by the way, I openend the capsule and put 2/3 in a glass of water...I though 500mg would be too much for the first time. I felt tingles and intense warm after 15min.

Don't know if i did right


Sounds right. Also 15 min is about the right timing for the flush to start. If it were buffered or no-flush it would take a lot longer and probably 300 mg wouldn't be enough (or produce a flush)

Intense warm, sort of like sunburn on the skin? And you turned all red!?
WITHOUT RESEARCH THERE WILL BE NO CURE!
Sessions 5 to 9 days, mostly Flu-like, joints, digestion problems, light cognitive.
Niacin has changed my lif though, now 1 day MAX.
Somewhere in this interaction with Niacin is the answer!

kurtosis

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #104 on: August 13, 2012, 01:55:11 PM »
I tried for the first time real niacin yesterday before O and so far, it don't work...I'm about 100% POIS.

I took this niacin  :

http://www.leaderpharma.co.uk/niacine-500-mg.html

I took about 300mg had a flush and waited for 1 hour

I've also been taking  this B complex for 5 days

http://www.leaderpharma.com/vitamine-b-complex-50mg.html

I had a good result one time with niaciniamide (1,5g)

Is there something wrong in the product i choosed ?


The product looks fine. Pure Niacin.

I bought a 500mg capsule from amazon (different brand), but it didn't work for me. Don't know why, but the Nature's Way 100mg capsule works very well.

Very important not to eat before, at least 3 hrs hopefully more. But your procedure sounds like it was properly executed.



I've only ever seen 500mg as niacinamide or sloniacin which is a special formulation where the niacin is encased in a polymer gel which is gradually digested. The end result is that it doesn't trigger the same flush that a 100mg of straightforward niacin would. I'm not sure it would be a good idea to take 500mg of pure niacin as the instantaneous release and subsequent flush could be very painful but it's possible that a smaller amount (100 mg) of pure niacin which produces the flush (via prostaglandin release) is actually more beneficial than a larger amount of niacin with less flush.

When I took my capsule of 500mg, even though it said pure niacin, it felt "buffered". Not at all the same effect and a slower release of the niacin. But there was NO indication on the bottle that it was slow release.



Yeah, I'd worry that someone would take more of the buffered niacin to get the flush. This is hard on the liver so if it's a flush you want then 100mg of "pure" niacin might be the best option.
The co-enzyme is NAD trihydrate. It doesn't produce the flush but it seems to work for me. However, the body also tries to make its own b3. There's a few reasons why this mechanism could be compromised but the raw ingredients are an amino acid called tryptophan and vitamin b6.

Eggs, dairy and spirulina are very good sources of these amino acids.

Have a look at the quote from http://www.whatislife.com/reader2/Metabolism/pathway/aminoacid.html
Quote
"Aromatic amino acids include phenylalanine, tyrosine and tryptophan. Phe and Tyr are closely related. They contain a benzene ring which is hydroxylated in tyrosine. Tyrosine is synthesized directly from the essential amino acid phenylalanine. Tryptophan contains a conjugated indole ring and its metabolism is linked to that of vitamin B (niacin C00253). These metabolic relations give rise to an intricate nutritional dependence. For example, a high level of dietary tyrosine relieves the need for essential phenylalanine. Also, metabolic disorders like the impairment of synthesizing tyrosine from phenylalanine makes the former an essential amino acid. This lack of amino acid biosynthetic pathways in humans is the cause of many diseases associated to malnutrition. Pellagra is a vitamin deficiency syndrome caused by an inadequate supply of niacin (vitamin B) because of problems in the pathway leading from tryptophan to niacin synthesis. Vitamin C (C00072), which is a necessary coenzyme in tyrosine metabolism, or vitamin B6 (C00250), which is required for tryptophan metabolism, cause deficiencies in the metabolism of aromatic amino acids."

So vitamin C + spirulina give the raw ingredients for synthesising catecholamines (including dopamine) while b6+spirulina is good for synthesis of niacin. Ironically, the body needs niacin to transport amino acids including tryptophan which it uses to synthesis niacin so you need some supplementary niacin to help the process out. Otherwise the tryptophan just gets "stuck". Most is urinated and the rest sits in the gut causing problems.
But it's a balance. Enough tryptophan sees niacin created in sufficient amounts to enable rest of the tryptophan to be converted into serotonin so you're happy. Too much serotonin will make you anxious and reduce testosterone levels.
This in turn can be balanced by taurine which increases testosterone levels. Pretty soon your diet can start to resemble the story of the old lady and the fly :)
http://www.rhymes.org.uk/there_was_an_old_lady.htm

This is a common problem with supplements. You notice an improvement and increase the dosage to the point where the effect is now detrimental. When you notice an improvement you should hold the dosage steady, calm down and try to observe what's happening over a few days. Taking more can actually take you from a good result to a bad one and cause you to write off what may be a beneficial treatment.

demografx

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #105 on: August 13, 2012, 08:05:45 PM »


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« Last Edit: August 14, 2012, 12:20:12 PM by demografx »
10 years of significant POIS-reduction, treatment consisting of daily (365 days/year) testosterone patches.

TRT must be checked out carefully with your doctor due to fertility, cardiac and other risks.

40+ years of severe 4-days-POIS, married, raised a family, started/ran a business

Daveman

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #106 on: August 14, 2012, 08:28:33 AM »
From Kurtosis:

"Yeah, I'd worry that someone would take more of the buffered niacin to get the flush. This is hard on the liver so if it's a flush you want then 100mg of "pure" niacin might be the best option. "


Yes, it felt hard on the liver and didn't help the POIS at all! One of my worst POIS sessions in a long time.

« Last Edit: August 15, 2012, 09:22:28 AM by Daveman »
WITHOUT RESEARCH THERE WILL BE NO CURE!
Sessions 5 to 9 days, mostly Flu-like, joints, digestion problems, light cognitive.
Niacin has changed my lif though, now 1 day MAX.
Somewhere in this interaction with Niacin is the answer!

0002ppdnuos

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #107 on: August 15, 2012, 07:51:53 AM »
I took coenzyme-B only, and unfortunately I felt drowsy whole day.
(the same thing happened when I took normal B-complex.)
Maybe there's some ingredients that my body can't tolerant with. 
I have to stop taking it.
It started ever since my first orgasm. It lasts exactly for 7 days. Symptoms mainly in the brain: extreme mental  fatigue, difficulty concentrating, inability to comprehend/retain what is read,shortened attention span, loss of speech fluency, cloudy mindedness, mild headache, and anxiousness

kurtosis

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #108 on: August 15, 2012, 09:55:40 AM »
I took coenzyme-B only, and unfortunately I felt drowsy whole day.
(the same thing happened when I took normal B-complex.)
Maybe there's some ingredients that my body can't tolerant with. 
I have to stop taking it.

That's unfortunate. Did you take 2 tablets or one?
I really don't experience any upset at all with this supplement so it's difficult to understand what the problem is but I know biotin and iron (folate) can cause nausea in some people.

Daveman

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #109 on: August 15, 2012, 11:42:25 AM »
Maybe the HuperzineA and ginko liven things up a bit!

WITHOUT RESEARCH THERE WILL BE NO CURE!
Sessions 5 to 9 days, mostly Flu-like, joints, digestion problems, light cognitive.
Niacin has changed my lif though, now 1 day MAX.
Somewhere in this interaction with Niacin is the answer!

fidalgo

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #110 on: August 15, 2012, 11:46:18 AM »
I took coenzyme-B only, and unfortunately I felt drowsy whole day.
(the same thing happened when I took normal B-complex.)
Maybe there's some ingredients that my body can't tolerant with. 
I have to stop taking it.

That's unfortunate. Did you take 2 tablets or one?
I really don't experience any upset at all with this supplement so it's difficult to understand what the problem is but I know biotin and iron (folate) can cause nausea in some people.

I have the same symptoms with normal B-complex... I will try the conenzyme one...

kurtosis

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #111 on: August 15, 2012, 01:59:40 PM »
Maybe the HuperzineA and ginko liven things up a bit!



I tried taking the b complex without ginkgo and it was fine. I'm not taking much huperzine at the moment so it's not that :)

0002ppdnuos

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #112 on: August 15, 2012, 04:48:26 PM »
That's unfortunate. Did you take 2 tablets or one?
I really don't experience any upset at all with this supplement so it's difficult to understand what the problem is but I know biotin and iron (folate) can cause nausea in some people.
I took one capsule only. Besides, I experimented with ginkgo biloba 60mg. After taking, I felt a cool sensation on the back of my head. Then, I went to sleep. Other than that, there's nothing too obvious to be observed. Maybe I need to give it some time.
« Last Edit: August 15, 2012, 04:57:55 PM by 0002ppdnuos »
It started ever since my first orgasm. It lasts exactly for 7 days. Symptoms mainly in the brain: extreme mental  fatigue, difficulty concentrating, inability to comprehend/retain what is read,shortened attention span, loss of speech fluency, cloudy mindedness, mild headache, and anxiousness

kurtosis

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #113 on: August 15, 2012, 05:20:08 PM »
That's unfortunate. Did you take 2 tablets or one?
I really don't experience any upset at all with this supplement so it's difficult to understand what the problem is but I know biotin and iron (folate) can cause nausea in some people.
I took one capsule only. Besides, I experimented with ginkgo biloba 60mg. After taking, I felt a cool sensation on the back of my head. Then, I went to sleep. Other than that, there's nothing too obvious to be observed. Maybe I need to give it some time.

Gingko manages to make me feel both more relaxed and better able to remember things. It took about 1 week before I started to notice major improvements to my mood and POIS symptoms. For whatever reason, this treatment has improved my sinus allergies. Taking some l-taurine every 2nd day also seems to help. I can only conclude that part of POIS is a stress reaction, regardless of whether it's caused by allergies or not, the stress is damaging itself.

I also felt sleepy a few times but I just let myself fall asleep as I felt much better when I woke up.
If you can stick with it for a week or 2, that might be useful. Don't take more than 1 coenzyme b a day if it's making you feel nauseous.

0002ppdnuos

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #114 on: August 16, 2012, 05:42:55 AM »
Gingko manages to make me feel both more relaxed and better able to remember things. It took about 1 week before I started to notice major improvements to my mood and POIS symptoms. For whatever reason, this treatment has improved my sinus allergies. Taking some l-taurine every 2nd day also seems to help. I can only conclude that part of POIS is a stress reaction, regardless of whether it's caused by allergies or not, the stress is damaging itself.
I also felt sleepy a few times but I just let myself fall asleep as I felt much better when I woke up.
If you can stick with it for a week or 2, that might be useful. Don't take more than 1 coenzyme b a day if it's making you feel nauseous.
I took the second capsule of ginkgo biloba 60mg this evening. The same sensation occurred in my head. This time I felt it to a wider extent of my brain. It's like constant breeze to my brain, and it's pleasant. I believe it is a good sign. I'll continue taking it on a regular basis, and see what will happen. Considering the sickening effect b-complex has on me, I think it's more to allergy than testosterone issue in my case.
It started ever since my first orgasm. It lasts exactly for 7 days. Symptoms mainly in the brain: extreme mental  fatigue, difficulty concentrating, inability to comprehend/retain what is read,shortened attention span, loss of speech fluency, cloudy mindedness, mild headache, and anxiousness

kurtosis

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #115 on: August 16, 2012, 06:26:05 AM »
Gingko manages to make me feel both more relaxed and better able to remember things. It took about 1 week before I started to notice major improvements to my mood and POIS symptoms. For whatever reason, this treatment has improved my sinus allergies. Taking some l-taurine every 2nd day also seems to help. I can only conclude that part of POIS is a stress reaction, regardless of whether it's caused by allergies or not, the stress is damaging itself.
I also felt sleepy a few times but I just let myself fall asleep as I felt much better when I woke up.
If you can stick with it for a week or 2, that might be useful. Don't take more than 1 coenzyme b a day if it's making you feel nauseous.
I took the second capsule of ginkgo biloba 60mg this evening. The same sensation occurred in my head. This time I felt it to a wider extent of my brain. It's like constant breeze to my brain, and it's pleasant. I believe it is a good sign. I'll continue taking it on a regular basis, and see what will happen. Considering the sickening effect b-complex has on me, I think it's more to allergy than testosterone issue in my case.

That's good. I talked to an allergist yesterday about ginkgo and they told me that the COX-2 inhibition effect was plausible based on the research they'd read. They also felt that I might have symptoms of hypertension caused by a combination of stress and allergies over a number of years. Either way, they felt that vasodilators and cox-2 inhibitors may be very useful in treating these symptoms. Also by Ig levels have decreased, meaning that I'm actually displaying less signs of allergic reaction. It's very unlikely this is a placebo effect and does explain why my mood and concentration are improving all the time.

Ginkgo is a truly remarkable substance for dealing with allergies it seems. It's not just the quercetin and the bilobalides. There's ginketin also
http://www.ncbi.nlm.nih.gov/pubmed/16327145

They recommended I try anti-histamines on days where I'm experiencing allergic reactions but after many years i seem to be getting better and have also met a doctor who's open minded and interested in reading about current research.

B_Daniel

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #116 on: August 16, 2012, 08:42:09 AM »
Hi guys, I'm back from my trip.  here's my update:

I was taking Kurtosis's vitamins for about 8 days.  I felt better every day up until day 6, when i started to feel worse again.  By day 8 I felt extreme disappointment and frustration.  I was at point 0, and worst yet, I had been taking 5 pills or so concurrently, so I couldn't even tell my doctor with certainty which one of them had made me feel better.  So I started to take 1 vitamin per day.  Day 9 only Zinc, Day 10 only Magnesium, Day 11 only B Vitamin, Day 12 only Huperzine, Day 13 only Ginkgo...... but none on its own made me feel better. 

Then I read some of Kurtosis's posts about B-Vitamins and Zinc being the main vitamins.  For the last 19 days (days 13-32) I've only been taking B-Vitamins and Zinc.  On day 3 or so of this new routine I felt slightly better but that was the only day of feeling better and there hasn't been another really good day since then.

Here's my theory, and it's in-line with Kurtosis's views: My problem is my catecholamine levels.  The B-Vitamins on the first few days of taking them increased my Catecholamine levels making me feel better.  Within a few days though, my body adjusted to the B Vitamins and put me back into my own crappy equilibrium state.  If I continue to take the B Vitamins for long enough, my catecholine levels will keep rising and my body will adjust and recognize the new, higher levels, making me feel much much better.  So basically I need to give it another couple weeks.  I think this analysis also explains why wellbutrin works so well for me on days 1 and 2, and then does nothing for at least 2 weeks after that.  Kurtosis, I'd be interested in your take on this. 

kurtosis

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #117 on: August 16, 2012, 11:45:19 AM »
Hi guys, I'm back from my trip.  here's my update:

I was taking Kurtosis's vitamins for about 8 days.  I felt better every day up until day 6, when i started to feel worse again.  By day 8 I felt extreme disappointment and frustration.  I was at point 0, and worst yet, I had been taking 5 pills or so concurrently, so I couldn't even tell my doctor with certainty which one of them had made me feel better.  So I started to take 1 vitamin per day.  Day 9 only Zinc, Day 10 only Magnesium, Day 11 only B Vitamin, Day 12 only Huperzine, Day 13 only Ginkgo...... but none on its own made me feel better. 

Then I read some of Kurtosis's posts about B-Vitamins and Zinc being the main vitamins.  For the last 19 days (days 13-32) I've only been taking B-Vitamins and Zinc.  On day 3 or so of this new routine I felt slightly better but that was the only day of feeling better and there hasn't been another really good day since then.

Here's my theory, and it's in-line with Kurtosis's views: My problem is my catecholamine levels.  The B-Vitamins on the first few days of taking them increased my Catecholamine levels making me feel better.  Within a few days though, my body adjusted to the B Vitamins and put me back into my own crappy equilibrium state.  If I continue to take the B Vitamins for long enough, my catecholine levels will keep rising and my body will adjust and recognize the new, higher levels, making me feel much much better.  So basically I need to give it another couple weeks.  I think this analysis also explains why wellbutrin works so well for me on days 1 and 2, and then does nothing for at least 2 weeks after that.  Kurtosis, I'd be interested in your take on this. 

Hi B_Daniel,
My diet is very protein rich either through supplementation or food. For example I eat an egg, yoghurt and spirulina every day. All these contain tyrosine.  I've done this since I decided that the answer was dopamine depletion. Now that doesn't mean that I don't believe other catecholamines may be elevated but I believe POIS sufferers are in a low dopamine state. They may also not be generating enough niacin to balance other reactions in their body. As haidcat has pointed out niacin helps with inhibiting the dopamine to noradrenaline conversion. Niacin is synthesised from tryptophan. Believe it or not but testosterone to oestrogen levels should be in a certain ratio for optimum synthesis of niacin. Everything is related!

So I'm giving my body a lot of raw ingredients to make dopamine. The b vitamins help but I haven't been slow to increase my protein intake, reasoning that my body will make dopamine if only I can give it enough raw ingredients and try to manage stress so it's not all being wasted by being turned in noradrenaline and then adrenaline. But I started on this path months ago.

So I think you need to persevere but to make sure that you have enough raw ingredients to make dopamine by consuming foods with tyrosine and or phenylalanine. See the table at http://nutritiondata.self.com/foods-000087000000000000000.html

I've also come to understand that acetyl l-carninte and taurine are very good for improving energy and managing stress by reducing cortisol levels and increasing BDNF. I haven't taken huperzine in over a week and haven't noticed much difference. I've come to realise that it does boost memory but ONLY when you're already leaving the POIS state as I was.

I used up my previous tubs of acetyl l-carnitine and l-taurine and have tried carnitine complex which contains both. It's got some real kick. If that seems too expensive then try adding some taurine. The combination of tyrosine rich foods or supplements and taurine should help increase dopamine while discouraging the stress state that increases adrenaline production.

It's entirely possible that wellbutrin isn't working consistently for you for several reasons. Here are some 1) you might have a protein metabolism problem which means you need more of it in easily digestible form (think whey peptides, "amino" supplements or spirulina). You just can't make enough dopamine. 2)  Something happens after an O which blocks dopamine production for too long (excess prolactin?) or 3) for physiological and psychological reasons you're converting excess dopamine in noradrenaline or adrenaline which is making you feel sick.

The other thing is, don't be afraid to start off with a relatively high dose of ginkgo. I'm on 120mg now but I took 240mg / day for the first 3-4 weeks. This is probably not necessary with taurine supplementation.

So try to think of it as a balancing act with your body. Enough supplementation to boost dopamine but also trying to reduce cortisol and adrenaline. Take walks every day and try to get out of the frustrated state. If possible try to get a long weekend or break away where you are away from direct stressors.

If for allergy or cost reasons you can't follow a high protein diet then the easiest thing to do would be to buy some l-tyrosine and l-taurine but for whatever reason this doesn't work as well for me as getting the tyrosine from a complete protein.

haidcat

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #118 on: August 17, 2012, 09:30:37 AM »
Kurtosis, I completely agree with you on the whole dopamine thing. I think many of us are suffering through chronic low dopamine states, due to the overproduction of nor/adrenaline. The question for each individual I think is: Are many of us low in dopamine, or low in dopamine receptors? because both could cause the problems, but it would seem it would be more low dopamine levels, considering the noradrenaline issue.

kurtosis

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Re: Vitamin supplementation WORKS - start taking them!
« Reply #119 on: August 17, 2012, 10:45:53 AM »
Kurtosis, I completely agree with you on the whole dopamine thing. I think many of us are suffering through chronic low dopamine states, due to the overproduction of nor/adrenaline. The question for each individual I think is: Are many of us low in dopamine, or low in dopamine receptors? because both could cause the problems, but it would seem it would be more low dopamine levels, considering the noradrenaline issue.

Well, the 2 things are related. The brain will up/down regulate dopamine receptors in response to decreased / raised levels of dopamine, respectively. What I mean is that someone with low levels of dopamine but a higher adrenaline to dopamine ratio than a "healthy" person will have an increased number of dopamine receptors. So raising dopamine levels through supplementation needs to be balanced with managing stress and would initially produce good feelings mixed with frustration/anxiety & hyperactivity issues periodically as the brain tries to cope with each dopamine plateau. You'd have to manage stress because as the levels rise you're providing excess dopamine that you want to reduce the number of dopamine receptors (to make you less dopamine sensitive) but you don't want to be converted to noradrenaline or adrenaline as that will just make you feel anxious.

That's why I like taurine. It has a powerful ability to calm anxiety without the negative effects of some of the anxiety medication I've been prescribed over the past few years. I can't really recommend any of that stuff as my experience is that it turned me into a zombie! I know this is part of the desired effect as zombies don't feel stress (just watch any zombie movie and you'll see how blissful zombie-dom is :)) but I found I couldn't work properly in this state.

Look at the other stuff that's working for us like NOx raising through arginine and perhaps ginkgo. Low dopamine may cause hypertension and raising NOx is a known treatment for this. I'm sure there is a physiological root to POIS but it's possible that POIS looks like an anxiety disorder to doctors because  its symptoms include anxiety and stress. Without treating the underlying physical symptoms it would just appear to be a persistent anxiety state aka an anxiety disorder.