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One of my favorite natural anti-anxiety supplements is Myo-Inositol. Not only does it have very few side effects, if any, but its effectiveness is supported by conventional research, including randomized controlled trials. That means even the die-hard traditional folks can't deny it! ;) 

 Myo-Inositol is an isomer of glucose and normally consumed in an average human's diet.  It is used in the phosphatidyinositol cycle ( not something you need to care about) and is part of a second messenger system at the cellular level, including messenger systems that lead to the production of serotonin and noradrenalin.  Myo-Inositol's exact mechanism of action is beyond the scope of this blog, but just remember that it helps serotonin and noradrenalin function more effectively.  Also remember that low serotonin is implicated in many anxiety and depressive disorders.  

    Five randomized controlled studies show Myo-Inositol to be effective at reducing anxiety at doses of 12-18 grams per day.  One study found Myo-Inositol to be superior to a placebo and as effective as Fluvoxamine ( Prozac)  at reducing anxiety attacks for those diagnosed with panic disorder. Perhaps, and of course check with your doctor first, but maybe you can use it instead of Prozac and avoid the side effects of SSRIs.  In patients diagnosed with OCD, Myo-Inositol  was more effective at reducing anxiety than a placebo.  However, one study on the use of Myo-Inositol in those diagnosed PTSD showed that it did not produce a significant reduction in anxiety. 

    Interesting research conducted in 2004 and published in Metabolic Brain Disease used brain imaging to show that the cortico-striatal-thalamo-cortical circuit ( I'm sure you all know, off the top of your head the exact circuit I'm talking about.... you don't need to, just keep reading ) undergoes the most hyperactive changes in people with OCD, and SSRIs ( Serotonin re-uptake inhibitors) successfully squelch this hyperactivity. It is speculated that Myo-Inositol and SSRIs have similar mechanisms of action which is why it is helpful for those with OCD, and  many experts think Myo-Inositol works best in those who respond positively to SSRIs.  Hence, if you do not respond to SSRIs, you may not respond to Myo-Inositol, although there is no harm in giving it a try.  

    Another study showed that Myo-Inositol at 6-12 grams per day helps reduce depression, and a great article published in Medical Post ( volume 43) describes its effectiveness for bulimia, skin picking and trichotillomania.  6 grams a day was also shown to be effective at preventing Alzheimers, though more research is needed to definitively say so. 

    Reported side effects are fairly benign and include diarrhea, gas, bloating, nausea, fatigue and mild dizziness.  As of now, Myo-Inositol is contraindicated in pregnancy because it can stimulate uterine contractions.  Still, even though side effects are relatively small and rare, always consult with your primary care doctor ( if you have one) and let him or her know that you are thinking of giving Myo-Inositol ( or any supplement for that matter) a try.  There are always new drug/supplement/herbal/etc. interactions being discovered,  and the most important thing is to be safe and do as much as you can to ensure one of those odd interactions doesn't occur in you. Doctors can help you figure that stuff out! 

     You can purchase capsules of Myo-Inositol, although I like to purchase it in bulk as a powder.  Funny enough, cocaine dealers buy Myo-Inositol in bulk, because it looks just like cocaine and they use it to dilute their stashes. Hence, if the salesperson looks at you funny, just tell him or her that you promise you don't sell cocaine. ;) 

     The powder version of Myo-Inositol has a sweet taste, and you can mix it any old way with water or a favorite drink. I recommend a starting dose of 1 Tsp of powder, which is equal to 3 grams of Myo-Inositol. Start with 1 Tsp and then increase by 1 Tsp every 3-4 days. Remember, the optimal dose is somewhere between 6-18 grams per day, so start slow to make sure you can tolerate the Myo-Inositol, and then increase at your own pace.   

     I buy Myo-Inositol in bulk and have it shipped. It costs about 50 dollars, but it lasts a long time, and I consider it one of the all-star supplements.   

     If you have any questions, email me. Don't forget to check out the blog I posted below on KAVA KAVA, another supplement used for anxiety.  I'll continue to post more about natural ways to reduce anxiety in the near future!  


    Thanks,  
            dr. eeks :) 

 P.S. Tonight's Nature Therapy is below.  I like this photo and it reminds me of GREEN and SPRING, which I'm craving after the last few freezing cold days in NYC.  Tonight, I am closing my eyes and pretending I'm IN this photo, wherever it is..., tonight. :) 


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Breathe in the Green
 


Comments

Wendy
01/28/2013 8:26am

Thank you, good article. This harkens to the link between good blood sugar control and anxiety and depression. Might be good to remind people to round off other good brain and blood sugar control nutrition.

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Dr. Eeks
04/28/2013 9:25am

This is so true! Just common sense glucose control-- avoiding the highs and lows-- can make a world of difference. :)

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02/07/2013 5:23pm

It's great that more options for treatment are becoming available.

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Madelena
03/12/2013 6:08pm

Thanks for the info. I am currently taking myo-inositol and folic acid under the brand name of Pregnitude for infertility. I have recently been so exhausted. Can myo-inositol cause this?

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Dr. Eeks
03/12/2013 6:42pm

Hi Madelena! thanks for reading the blog.

The answer to your question is YES. Myo-inositol can definitely cause fatigue and exhaustion, especially when you first start taking it. It hasn't been known to cause infertility however. Maybe you should try a smaller dose? What made you decide to try it? Best!

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Juanita
03/20/2013 5:40am

Iam wanting to try this, My Dr doesn't really favour natural medications, so I'm not really confident in talking to him about it. I currently get anxiety and am on fusions anxiety & Stress chinese herbs tablets.

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Dr. Eeks
04/28/2013 9:27am

Hi Juanita!!
Thanks for joining the conversation. :) What sort of Stress chinese herbs are you on now? Are they helping at all? You have to be careful what supplement companies sell you-- as there isn't much regulation in that field at all.
What I know about Inositol is that there are no serious side effects documented in the literature, beyond GI distress. that said, i think it's always good to tell your doctor what natural treatments you are taking, just in case there IS a reaction or something like that. Then, at least, your doctor will have all the facts. Let me know if you decide to give it a try! Best :)

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04/28/2013 2:30am

Hi,

Please let me know where do i get these in tablet or powder form and does it cause weight gain after long term use, as I am having PCOS.

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Dr. Eeks
04/28/2013 9:29am

Hi Samikshsa!
As far as I know, weight gain is NOT a documented side-effect. Of course, if you start taking it and it makes you tired to the point that you are reducing your level of physical activity, then perhaps that sets the stage for weight gain, however, it is not a current complaint that I am aware of. I order my Inositol from the web-- I get PURE Inositol ( I buy it in a large bulk container). I get it as the powder form and mix it with 1-2 cups of water.

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Dr. Eeks
04/28/2013 9:30am

P.S. I am not aware of any side effects with PCOS....however, that's a risk factor for weight gain, itself. Again, like I tell everyone, it's always good to tell your primary care doctor what you decide to try-- just in case! That way someone w/ a professional degree can help you monitor side effects and any potential interactions. I always think it's best to play it safe. :)

05/07/2013 4:46pm

I started taking Now Food's 500 mg Inositol supplement four days ago for anxiety. It really soothes me, almost to an improper degree; I fell asleep in class today, something I never do. I also have a ravenous appetite!!!! I am afraid to continue taking this supplement for fear of weight gain. I keep reading about this stuff, and there is such a mixed reaction to Inositol: you either gain weight and can't lose it again, or you rapidly lose weight within itself, no diet or exercise change included. :P help me!

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