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Wed, 2 Jun 2004 16:17:26 -0500

HSI - Jenny Thompson

Hormone Helper

 

Hormone Helper

 

Health Sciences Institute e-Alert

 

June 2, 2004

 

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Dear Reader,

 

If you've ever had trouble sleeping and wanted to avoid

sleep-aid medications that can make you feel like a dazed

zombie the next day, you might have tried supplements of the

hormone melatonin, which many people find very effective.

 

Now a new report in the journal Neurology shows that

melatonin may also provide relief for a specific type of

headache. But while this supplement offers a variety of

benefits, it comes with an important warning.

 

-----------------------------

Pick, pick, pick...

-----------------------------

 

The Neurology article examines case studies of three

subjects who suffered from headaches known as " stabbing

headaches, " or " ice-pick headaches. " As the names painfully

suggest, these headaches cause sharp pains, isolated in

specific points on the head. Although this type of headache

is usually brief, it sometimes recurs throughout the day,

and in the worst cases may cause short-term disability.

 

The typical preventive treatment for stabbing headaches is a

nonsteroidal anti-inflammatory drug (NSAID) called

indomethacin. As with all NSAIDs, indomethacin may cause

digestive problems, accompanied by dizziness and even

headaches. In the three case studies examined in Neurology,

two of the subjects were unable to use indomethacin.

 

In case number one, a woman who couldn't tolerate

indomethacin experienced as many as 10 stabbing headaches

each day. After she began taking 12 mg of melatonin each day

just before bedtime, her headaches subsided and she was pain-

free when followed up at two months.

 

Indomathacin was also not an option for the second case: A

woman who suffered two stabbing headaches every day began

taking a daily melatonin dose of 9 mg and reported complete

relief within 24 hours. Followed up after four months, she

reported that no headaches had returned.

 

In the third case, a woman who was relieved from stabbing

headaches with indomethacin use found that 3 mg of melatonin

taken before bed each evening prevented the headaches as

well as the drug did. She was pain-free at a two-month

follow up.

 

As reported by Todd D. Rozen, M.D., of the Michigan Head-

Pain and Neurological Institute, these three case studies

indicate that controlled trials should be conducted to

confirm the effectiveness of melatonin supplements as an

alternative to indomethacin.

 

-----------------------------

Fooling Mother Nature

-----------------------------

 

Melatonin helps regulate the sleep/wake circadian rhythm

that (ideally) remains consistent from night to night. Which

is one of the reasons it's effective as a sleep-aid. In

addition, studies have shown that melatonin may even play a

role in the body's natural defenses against cancer.

 

But because melatonin is a hormone (produced in the brain by

the pineal gland), I asked HSI Panelist Allan Spreen, M.D.,

if it's wise to boost levels with a supplement. Dr. Spreen

agreed that some caution should be taken.

 

Dr. Spreen: " Many people use melatonin for sleep, and keep

going up on the dose until it works (and it does). I would

use tryptophan that way, continuing up on the dose each

night until the patient fell asleep (and he will).

 

" However, I'm more cautious with melatonin. I don't

recommend it for anyone under 40, except when addressing jet

lag, for which it works well. The idea there is that you

take a pretty decent dose at the destination bedtime to more

quickly condition your body to the new diurnal rhythm.

 

" As we age, melatonin production decreases, so I'm not as

nervous for someone over age 40 using it as a 'youth'-type

agent, and I think there's something to it. The substance is

well researched to be both an antioxidant, and a nutrient of

considerable worth in other areas. The cautious types talk

about 1.5 mg at bedtime (never anytime but bedtime), for

ages 40 to 50, then 3 milligrams for people over age 50. I

to that. Those who take lots more I think are

swimming in uncharted waters - nobody has any real data that

it's bad (nor that it's not). "

 

-----------------------------

Eat & sleep

-----------------------------

 

If you're not sleeping well, or if you're experiencing

stabbing headaches, you might try increasing your intake of

foods that contain melatonin before resorting to a

supplement. Melatonin-rich foods include: bananas, cherries,

ginger, tomatoes, corn, cucumber, beets and rice. And always

turn off the lights - and TV - when you turn in for the

night. Your body's natural production of melatonin may be

inhibited by sleeping with the lights on or the TV flashing.

 

If melatonin foods don't do the trick, talk to your M.D. or

naturopathic doctor before starting a nightly regimen of

melatonin supplements.

 

**************************************************************

To start receiving your own copy of the HSI e-Alert, visit:

http://www.hsibaltimore.com/ealert/freecopy.html

Or forward this e-mail to a friend so they can sign-up to

receive their own copy of the HSI e-Alert.

 

**************************************************************

 

... and another thing

 

Call it the Rodney Dangerfield diet: It gets no respect.

 

I'm talking about the low-carbohydrate diet, of course. And

this time it's NBC News chief health and science

correspondent, Robert Bazell, M.D., who decided not to cut a

break for low-carb diets.

 

In a recent MSNBC report headlined, " Study Casts Doubt on

Advantages of Atkins Diet, " Dr. Bazell describes a one-year

study in which 132 obese subjects followed either a low-fat

or a low-carb diet. At six months the low-carb group had

lost more weight, but at one year both groups showed about

the same amount of weight loss.

 

In other words, the low-carb diet was successful, it just

wasn't any more successful than the low-fat diet. Or was it?

 

When weight loss is the only factor considered, then, yes,

the two diets just about broke even. But weight loss is only

one goal of a diet. Improved health is another. And

according to the authors of the study (writing in the Annals

of Internal Medicine last month), " For persons on the low-

carbohydrate diet, triglyceride levels decreased more... and

high-density lipoprotein cholesterol levels decreased less. "

 

Does that sound like the study " cast doubt " on the low-carb

diet?

 

The study also states: " Participants on a low-carbohydrate

diet had more favorable overall outcomes at 1 year than did

those on a conventional diet. Weight loss was similar

between groups, but effects on glycemic control were still

more favorable with a low-carbohydrate diet. "

 

And glycemic control - which can help prevent type 2

diabetes - is one of the most important reasons to follow a

low-carb diet.

 

These details were not hard to find in the study, and yet

Dr. Bazell somehow managed to overlook them, even though he

interviewed the lead author of the study for his report.

 

And for the record, another study - which was also reported

in the Annals of Internal Medicine last month - evaluated

120 overweight subjects for six months as they followed

either a low-fat or a low-carb diet. In that study,

researchers also found that triglyceride levels dropped as

HDL levels increased more in the low-carb diet compared to

the low-fat diet.

 

Come on, Dr. Bazell. What does a low-carb diet have to do to

get some respect around here?

 

To Your Good Health,

 

Jenny Thompson

Health Sciences Institute

 

To start receiving your own copy of the HSI e-Alert, visit:

http://www.hsibaltimore.com/ealert/freecopya.html

Or forward this e-mail to a friend so they can sign-up to

receive their own copy of the HSI e-Alert.

 

**************************************************************

 

Sources:

" Melatonin as Treatment for Idiopathic Stabbing Headache "

Neurology, Vol. 61, No. 6, 9/23/03, ncbi.nlm.nih.gov

" Melatonin Relieves Stabbing Headaches " Maureen Williams,

ND, Healthnotes Newswire, 2/26/04, pccnaturalmarkets.com

" Study Casts Doubt on Advantages of Atkins Diet " Robert

Bazell, M.D., NBC News, 5/17/04, msnbc.com

" The Effects of Low-Carbohydrate versus Conventional Weight

Loss Diets in Severely Obese Adults: One-Year Follow-up of a

Randomized Trial " Annals of Internal Medicine, Vol. 140, No.

10, 5/18/04, ncbi.nlm.nih.gov

" A Low-Carbohydrate, Ketogenic Diet versus a Low-Fat Diet To

Treat Obesity and Hyperlipidemia: A Randomized, Controlled

Trial. " Annals of Internal Medicine, Vol. 140, No. 10,

5/18/04, ncbi.nlm.nih.gov

 

Copyright ©1997-2004 by www.hsibaltimore.com, L.L.C.

The e-Alert may not be posted on commercial sites without

written permission.

 

Before you hit reply to send us a question or request,

please visit here

http://www.hsibaltimore.com/ealert/questions.html

 

**************************************************************

If you'd like to participate in the HSI Forum, search past

e-Alerts and products or you're an HSI member and would like

to search past articles, visit http://www.hsibaltimore.com

 

**************************************************************

 

 

 

 

 

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