Thor
Jedi Council Member
Laura said:...
Supplement 5-HTP to Restore Sleep
All my FMS patients start their therapy by taking 50 mg. of 5-HTP 30 minutes before bed, on an empty stomach (90 minutes after or 30 minutes before eating), with four ounces of grape juice. The juice causes the body to release a little insulin, which, though not necessary for 5-HTP to pass the blood-brain barrier, seems to heighten the supplement’s effect. (If you have problems with your blood sugar levels, try taking your 5-HTP with water or milk.) Patients continue to increase their dose over time, and I’ve typically found 300 mg. to be the optimal therapeutic amount.
One of three things will happen when you start by taking 50 mg. of 5-HTP:
1. You fall asleep within 30 minutes and sleep through the night. If so, you should stay on this bedtime dose and add an additional 250 mg. at dinner (for a total of 300 mg. daily). You may find you sleep even better by taking 100 mg. at bedtime and 200 mg. with dinner.
2. Nothing happens. This is a typical response to such a low dose. You should add an additional 50 mg. each night (up to a max of 300 mg.) until you fall asleep within 30 minutes and sleep through the night. Once you’ve discovered your bedtime dose, subtract that amount from 300 mg. and take the remainder with dinner to keep serotonin levels optimal. If you are taking 300 mg. at bedtime and still can’t get to sleep and stay asleep after two days on this dose, then see “Still Can’t Sleep?” on p. 167.
3. You have a reaction. Instead of making you sleepy, the dose makes you more alert. This occurs more often in CFS and chemically sensitive patients who have a sluggish liver. If this happens, discontinue 5-HTP at bedtime. Instead take 50 mg. at a mealtime for two days. (Taking 5-HTP with food slows its absorption, allows the liver to process it more effectively, and shouldn’t make you too sleepy). After two days on 5-HTP with food, increase to 100 mg. with each meal (300 mg. a day). You may need to play around with your dosing. For instance, you can try taking 100 mg. at breakfast and 200 mg. at lunch. If you are only taking 5-HTP at meals and none at bedtime, then you can increase your dose up to 400 mg. daily if it helps.
If your reaction to serotonin goes beyond alertness to rapid heart rate, increased pulse, elevated blood pressure, and agitation, see your doctor. But don’t be alarmed. I have thousands of individuals on 5-HTP, and I assure you that such a reaction is rare. Just be sure to follow the instructions in this chapter carefully.
Increasing serotonin levels is beneficial for 95% of my patients. But there are those—usually at the far CFS end of the spectrum—who have the serotonin sensitivity reaction described in number 3 above, and it just can’t be helped, even by taking 5-HTP with food. Excessive serotonin levels can cause these patients insomnia, headaches, hyperactivity, and increased heart rate.
I finally received my supplements and have started the basics (MultiVitamins, B-vitamin complex, Omega3-fatty acids, probiotics) and as I sleep very lightly and quite poorly, I wanted to add the recommendations from the serotonin deficiency test from UMS where I scored a slight deficiency. Rather than rushing to start with 5-HTP, melatonin and GABA all together, I decided I would restrain my urge to do all at once and rather try to evaluate my reactions to 5-HTP to reach a dosage that works for me and the introduce first Melatonin and later GABA.
The first night with 5-HTP I took 50 mg half an hour before bedtime along with my magnesium as suggested. I went to bed and felt a slight warmth in my skin and particularly in my hands and feet. Furthermore there was a slight and subtle movement of energy from my root chakra that was pulsating slowly up through the spine, where it stopped somewhere between the solar plexus and the throat. I was very relaxed and all was pleasant. However, I was in this relaxed state for quite a long time and couldn't pass from the relaxed state into sleep. When I finally managed to fall a sleep I slept very lightly, very poorly and with many shifting dreams that I can't remember. The situation of being in the very relaxed state that prevents me from passing into normal sleep also happens if I meditate right before going to bed or even if I don the EE breathing program right before bed.
The next night, I thought that I would increase to dosage to 100mg before bed. I had eaten some rice pudding shortly before that so I didn't take it on an empty stomach. Once more, I found myself very relaxed with a stronger sensation of warmth in the skin but this time no energy along the spine. It was 2+ hours before I finally fell a sleep and I slept very lightly and didn't manage to rest at all. I had a dream with a wolf that at first seemed scary but as I didn't run away it turned out it was an elemental that had taken on the shape of a wolf and was quite friendly :). I don't remember the details but the dream was unusual - to me at least. This morning I felt as if I was too detached and it was somewhat of an effort to concentrate but easy to just go along. I therefore speculate that I either had too much 5-HTP or it was released at the wrong time.
I was trying to place my reaction in the list above and won't exactly say that it made more alert. It definitely made me relaxed - but just in a state that made it hard to sleep so maybe that is what is meant by alert? I don't know whether I am chemically sensitive and I don't know if I have a sluggish liver. I have been doing coffee enemas twice a week for about a month and a half ago which I think would tend to make the liver less sluggish but I don't know this so it's just a guess.
Currently, I am unsure as how to proceed and am hoping that some of you could give me some advice. I am considering either taking the 5-HTP with dinner (if the liver is the problem) or taking it at bedtime, but this time together with Melatonin to ensure that I do manage to reach a deep sleep state. Any suggestions are appreciated with thanks :).