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Depression/SAM-e

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-- In Gettingwell, " scarlett " <scarlett@c...> wrote:

> Odd coincidence, someone just told me about SAMEe last night. Could

you

> tell what it is? I know it has a clinical name: adeno-something.

Thanks!

> peace, s

>

Here ya go...

 

S-Adenosylmethionine (SAM) is an important physiological agent formed

in the body by combining the essential amino acid methionine with

adenosyl-triphosphate (ATP). SAM was discovered in Italy in 1952--

not surprisingly, most of the research on SAM has been conducted in

the country of its discovery.

 

Food Sources

Because SAM is manufactured from methionine, you might think that

dietary sources of methionine provide the same benefits as SAM.

However, high doses of methionine do not increase levels of SAM, nor

do they provide the same pharmacological activity as SAM. On the

contrary, high dosages of methionine are associated with some degree

of toxicity.

 

 

Deficiency Signs and Symptoms

Normally the body manufactures all the SAM it needs from the amino

acid methionine. However, a deficiency of methionine, vitamin B12, or

folic acid can result in decreased SAM synthesis. In addition, tissue

levels of SAM are typically low in the elderly and in patients

suffering from osteoarthritis, depression, and various liver

disorders.

 

Beneficial Effects

SAM is involved in over 40 biochemical reactions in the body. It

functions closely with folic acid and vitamin B12 in " methylation "

reactions--the process of adding a single carbon unit (a metyl group)

to another molecule. SAM is many times more effective in transferring

methyl groups than other methyl donors. Methylation reactions are

critical in the manufacture of many body components--- especially

brain chemical --and in detoxification reactions.

 

SAM is also required in the manufacture of all sulfur-containing

compounds in the human body, including glutathione and various sulfur-

containing cartilage components. The beneficial effects of SAM

supplementation are far-reaching because of its central role in so

many metabolic processes.

 

 

Available Forms

SAM has been available commercially in Europe since 1975.

Unfortunately, as of April 1996, it was still not available in the

United States. I discuss it here because I believe it will be into

U.S. health-food stores as a nutritional supplement in the very near

future. The commercial form of SAM is a stabilized salt produced

under U.S. patent numbers 3,954,726 (1976) and 4,057,686 (1977).

 

Principal Uses

There are five principal conditions where SAM is used: depression,

osteoarthritis, fibromyalgia, liver disorders, and migraine headaches.

 

Depression

SAM is necessary in the manufacture of important brain compounds such

as neurotransmitters and phospholipids like phosphatidylcholine and

phosphatidylserine. Supplementing the diet with SAM in depressed

patients results in increased levels of serotonin, dopamine, and

phosphatidylserine. It improves binding of neurotransmitters to

receptor sites, which causes increased serotonin and dopamine

activity and improved brain cell membrane fluidity, all resulting in

significant clinical improvement.

 

The antidepressive effects of folic acid (Vitamin B6) are mild

compared to the effects noted in clinical trials using SAM. Based on

results from a number of clinical studies, it appears that SAM is

perhaps the most effective natural antidepressant (although a strong

argument could be made for the extract of St. John's Wort

standardized to contain 0.3 percent hypericin) Tables 45.1 and 45.2 [

following tables ] summarize double-blind studies comparing SAM to

either a placebo or an antidepressant drug.

 

Most of the studies cited in Table 45.1 and 45.2 used injectable SAM.

However, more recent studies using a new oral preparation at a dosage

of 400 milligrams four times daily (1600 mg total) demonstrate that

SAM is just as effective orally as it is intravenously. SAM is better

tolerated and has a quicker onset of antidepressant action than

tricyclic antidepressants.

 

The most recent study compared SAM to the tricyclic desipramine. In

addition to clinical response, the blood level of SAM was determined

in both groups. At the end of the 4-week trial, 62 percent of the

patients treated with SAM and 50 percent of the patients treated with

desipramine had significantly improved. Regardless of the type of

treatment, patients with a 50 percent decrease in their Hamilton

Depression Scale (HAM-D) score showed a significant increase in

plasma SAM concentration. These results suggests that one of the ways

tricyclic drugs exert antidepressive effects is by raising SAM levels.

 

In addition to generalized depression, there are two conditions

associated with depression where SAM produces significant effects:

the postpartum (after pregnancy) period and drug rehabilitation.

SAM's benefits in these conditions probably stem from a combination

of its effects on brain chemistry and liver function. In the study in

postpartum depression (after-pregnancy " blues " ), the administration

of SAM (1,600 milligrams per day) produced significantly better mood

scores than a placebo group. As for the use of SAM in drug

detoxification, SAM (1,200 milligrams daily) significantly reduced

psychological distress (chiefly anxiety and depression) in the

detoxification and rehabilitation of opiate abusers.

 

>

> anagrammys [anagramy@b...]

> Sunday, December 01, 2002 5:30 PM

> Gettingwell

> Re: Depression

 

> --1 SAMe a.m.

> 100mg b-6, 100mg.magnesium, 50 to 100mg 5-htp p.m.

> Works like a charm and helps joint pain too.

> (If magnesium upsets your stomach, bathe in epsom salts to absorb

the

> mag.)

>

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" anagrammys " <anagramy

 

Monday, December 02, 2002 7:30 AM

Re: Depression/SAM-e

 

 

> -

> -- In Gettingwell, " scarlett " <scarlett@c...> wrote:

> > Odd coincidence, someone just told me about SAMEe last night.

Could

> you

> > tell what it is? I know it has a clinical name: adeno-something.

> Thanks!

> > peace, s

> >

> Here ya go...

>

> S-Adenosylmethionine (SAM) is an important physiological agent

formed

> in the body by combining the essential amino acid methionine with

> adenosyl-triphosphate (ATP). SAM was discovered in Italy in 1952--

> not surprisingly, most of the research on SAM has been conducted in

> the country of its discovery.

 

<snip>

 

Your post makes mentions of several " tables " so I am assuming

it comes from a website. Got the URL handy?

 

Alobar

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www.iherb.com and enter SAM-e into search. There was a lot more

info., I just cut the basics and depression info.

ann

>

> Your post makes mentions of several " tables " so I am

assuming

> it comes from a website. Got the URL handy?

>

> Alobar

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