Natural Serotonin: Alternatives to Anti-Depressant Drugs
such as Prozac, Effexor, Zoloft, etc.

One out of every 10 Americans has been on an SSRI drug (Prozac, Effexor, Zoloft, Celexa,
Lexapro, Luvox and Paxil to name a few)  for depression.  
Serotonin, the primary
neurotransmitter influenced by this class of drug, has many influences on mood as well as
pain, sleep and intensity of cravings.  Deficiencies in serotonin can lead to
depression,
anxiety, low pain thresholds, sleep disorders, sugar cravings and weight gain.   





































How does Serotonin affect the brain and prevent depression?
When you eat protein, an amino acid called tryptophan will absorb into the brain to be
processed into serotonin.  If sufficient nutrients (Iron, SAMe, Magnesium, and certain B-
vitamins) are available, tryptophan will be converted into a substance called
5-HTP.  If an
activated form of vitamin B6 (P5P) is present, 5-HTP will be converted into the feel good
chemical known as serotonin.  

Certain brain cells will release serotonin in order to communicate with a neighboring brain
cell (target cell).  When the serotonin is released into the space between the cells (the
synapse), some of it is bound to the target cell, therefore transmitting the message.  A
small amount of serotonin is lost in the urine, and the rest (80%) is re-absorbed by the
original cell to be reused.  When there is normal re-absorption (re-uptake) of the
serotonin, feedback will tell the first cell that appropriate amounts of serotonin has
reached the target cell, and that no more serotonin production is required.  When plenty
of serotonin is available, a small amount is converted into another important chemical
called
melatonin, which helps one achieve deep, restful sleep.


How do Prozac-like drugs work?  
SSRI (Selective Serotonin Reutake Inhibitor) drugs such as Prozac, Effexor, Zoloft, Celexa,
Lexapro, etc. block the re-absorption of the serotonin that does not bind to the target cell,
forcing the serotonin to stay in the synapse for a longer period of time in hopes that more
serotonin may bind to the target cell.  Some serotonin will be bound but
much more than
normal will be eliminated through the urine
.


Are there side effects of Prozac and other SSRI drugs?
There are some problems that are associated with the use of these drugs and if you read
the first three paragraphs again, you can probably figure them out.  
  • First, If the drug is blocking the re-uptake of serotonin, there is a larger amount
    being excreted in the urine.  This is very wasteful, especially if the person was low in
    serotonin to begin with. These drugs actually deplete the body of it's own
    serotonin stores which can be very dangerous since those taking the drug were
    often low in serotonin to begin with!  
  • Second, if the receptors on the target cell were resistant to serotonin to begin with,
    abnormally high amounts of serotonin will only make the receptors more
    resistant to serotonin.  Higher doses of the drug, or a different drug may then be
    required to achieve the desired effect which means increased risk of side effects.  
  • Third, since the feedback loop is blocked, the first cell thinks that the target cell did
    not receive enough serotonin.  The first cell must then try to release even more
    serotonin, further depleting its serotonin reserves and increasing resistance of
    the target cell.  

Eventually, the body becomes both serotonin depleted and serotonin resistant,
meaning it doesn’t make much serotonin and it does not respond well to what little
serotonin it does make.  Further, there is no excess serotonin to be converted into
melatonin which can lead to insomnia.  Based on this knowledge, it is not surprising that
suicide rates are actually higher after a depressed person has been on SSRI
medication.

These drugs were designed for
short term use and were never tested for or intended
to be used long term
.  Sadly the long term use of SSRI type drugs has become common
place.  Unfortunately the long term side effects are now being discovered in the large
population of patients using them for extended lengths.  

The side effects now attributed to these drugs include
sexual dysfunction, tics,
parkinsonian tremors, agitation, muscle spasm, weight gain, insomnia and
increased rates of suicide
(especially in young people).  Many of these side effects are
due to the long term depletion of serotonin and down regulation of another
neurotransmitter called dopamine.  With extended usage, some of these side effects can
become permanent even after SSRI use has been ceased!


So what does natural therapy have to offer?
Serotonin and all other neurotransmitters are made from amino acids (in this case
tryptophan) which are the building blocks of protein.  In order to produce enough
serotonin  in the cell, you must ingest enough tryptophan in the diet.  Poultry and
vegetables are good sources.  In order for tryptophan to be converted into serotonin,
there are some chemical conversions that need to occur which require a whole host of
nutrient co-factors.  Tryptophan is first converted to 5-HTP before it is converted to
Serotonin.  We often use supplemental 5-HTP and P5P with great success because it
supplies the natural building blocks for serotonin production.

Another area that can be addressed naturally is the sensitivity of the serotonin receptors
on the target cell.  This is rarely discussed but it is just as important as serotonin
production.  Combinations of PS, GPC, Inositol, ALC and Omega 3 fatty acids have been
shown to be beneficial in making the receptors more responsive by improving the
structural and functional makeup of the target cell, improving its ability to accept
serotonin.  These nutrients are the
natural components of the cell and receptor itself
so this type of therapy is very safe and effective. (Always be careful when selecting an
Omega 3 supplement.  I only use pharmaceutical grade fish, flax and borage oils which are
proven to be free of rancidity and pollutants such as mercury and PCB's.)

This natural approach supplies the raw material for appropriate serotonin production,
allows for appropriate feedback, allows for proper re-absorption of excess serotonin, and
improves the sensitivity of the target cell
without any of the side effects of SSRI drugs.

In some cases SSRI drugs can be beneficial for people with severe mood disorders, but
too often they can make the problems worse.  I believe natural supplementation, along
with dietary changes and lifestyle modifications
should always be used first or in
addition to medication
.  Your body was built to use natural substances so when we
appropriately replace them and remove any toxins that could be contributing to the
problem, the body will likely become healthy enough to function on its own.  This method is
a very safe, effective and low cost way of giving you the best chance possible to overcome
mood disturbances (like depression), cravings, sleep disorders and pain syndromes over
the long term.

Make an appointment with Dr. Webster today to discuss natural therapies for
depression and other mood disorders.  
972-735-0707
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