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Alternative Names: Also known as SAM or S-adenosylmethionine.
SAMe is not a herb or hormone, but a molecule that all living cells, including our own, produce constantly.
In dozens of European trials involving thousands of patients over decades, this product has had a sterling record. It is an approved drug in fourteen countries. In many of these countries, such as Germany, it is paid for by insurance.
Source Formerly cost-prohibitive, the price of this very useful compound is now within most of our grasps.
Function; Reasons For Use SAMe is involved in the all-important chemical reaction that is seen not only in higher living forms, but also many lower ones called methylation. According to some researchers, methylation occurs a billion times a second throughout the body and affects everything from fetal development to brain function. It actually regulates the expression of genes. It does this by its action on various hormones and neurotransmitters. Serotonin, adrenalin, melatonin and dopamine are but a few of these substances that are produced because of SAMe and its effect on methylation.
SAMe is an important physiological agent formed in the body by combining the essential amino acid methionine with adenosyl-triphosphate (ATP). Methylation (the transfer of methyl groups from one compound to another) reactions are critical in the formation of many body components - especially brain chemicals - and SAMe plays a critical role in this process. Like Hypericum, SAMe influences monoamine metabolism and in particular, serotonin metabolism.
It is important to note that even though SAMe is derived from methionine, consuming increased quantities of methionine does not provide the same benefits as SAMe nor does it increase its synthesis.
This one pill has many uses. Although it's used for liver disease in Russia, arthritis in Germany and depression in Italy, it is used for Neurosomatic Syndrome in the US.
Both fibromyalgia and chronic fatigue syndrome respond very well to this chemical in many cases.
In a trial involving 22,000 patients, SAMe was as effective as NSAID's such as ibuprofen, and Nalfon but, unlike these, instead of speeding the breakdown of cartilage, it helps to restore this and indeed may be preventative in the development of degenerative arthritis that most of us will get as we become older.
As a methyl donor, SAMe reduces homocysteine which is probably even more important in producing hardening of the arteries, than even cholesterol.
Various human studies have demonstrated that SAMe is effective in treating affective disorders, such as depression and Seasonal Affective Disorder (SAD).
Additional studies have demonstrated its efficacy in treating depressed alcoholics when conventional antidepressants are ineffective.
Directions The usual dose of this is 400mg a day, taken on an empty stomach. It is probably better to take 200mg twice a day. An enteric coated product is best.
Side-Effects SAMe has minimal, if any, side-effects. In a study done at a California medical school, using doses as high as 1600mg per day, a few percent of patients had an upset stomach and rare patients, who were treated with the newer antidepressants called SSRIs (Prozac, Zoloft, etc.), became manic. SAMe does not interact adversely with any other medications.
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GLOSSARY
Adenosine Triphosphate (ATP) A compound consisting of the nucleotide adenosine attached through its ribose group to three phosphoric acid molecules. It serves to store energy in muscles which is released when it is hydrolyzed to adenosine diphosphate.
Amino Acid (Amino Acids) An organic acid containing nitrogen chemical building blocks that aid in the production of protein in the body. Eight of the twenty-two known amino acids are considered "essential," and must be obtained from dietary sources because the body can not synthesize them.
Antidepressant (Antidepressants) Literally, substances meant to oppose depressions or sadness, and generally heterocyclic types such as Elavil, MAO inhibitors like phenelzine, or lithium carbonate. This category of substances formerly included stuff like amphetamines and other stimulants. Botanical examples include Hypericum, Peganum and Oplopanax.
Arterial (Arteries, Artery) Blood that leaves the heart. When it leaves the right ventricle, it is venous blood; and when it leaves the left ventricle, through the aorta, it is fresh and oxygenated. After it has passed out to the capillaries and started to return, it is venous blood.
Arthritis (Arthritic) Inflammation of a joint, usually accompanied by pain, swelling, and stiffness, and resulting from infection, trauma, degenerative changes, metabolic disturbances, or other causes. It occurs in various forms, such as bacterial arthritis, osteoarthritis, or rheumatoid arthritis. Osteoarthritis, the most common form, is characterized by a gradual loss of cartilage and often an overgrowth of bone at the joints.
Cartilage Specialized fibrous connective tissue that forms the skeleton of an embryo and much of the skeleton in an infant. As the child grows, the cartilage becomes bone. In adults, cartilage is present in and around joints and makes up the primary skeletal structure in some parts of the body, such as the ears and the tip of the nose.
Cholesterol A waxy, fat-like substance manufactured in the liver and found in all tissues, it facilitates the transport and absorption of fatty acids. In foods, only animal products contain cholesterol. An excess of cholesterol in the bloodstream can contribute to the development of atherosclerosis.
Chronic Fatigue Syndrome (CFS, Chronic Fatigue) A disorder of unknown cause that lasts for prolonged periods and causes extreme and debilitating exhaustion as well as a wide range of other symptoms such as fever, headache, muscle ache and joint pain, often resembling flu and other viral infections. Also known as Chronic Fatigue and Immune Dysfunction Syndrome (CFIDS), Chronic Epstein-Barr Virus (CEBV), Myalgic Encephalomyelitis (ME), "Yuppy Flu" and other names, it is frequently misdiagnosed as hypochondria, psychosomatic illness, or depression, because routine medical tests do not detect any problems.
Dopamine A neurohormone; precursor to norepinephrine which acts as a stimulant to the nervous system. Carries signals between neurons and controls feelings of satisfaction, arousal, reward and mood.
Enteric (Enteric-coated) Pertaining to the small intestines. Enteric-coated: A coating that prevents a tablet or capsule from being digested until it reaches the small intestine.
Fibromyalgia (FMS) Originally named fibrositis, it is a mysteriously debilitating syndrome that attacks women more often than men. It is not physically damaging to the body in any way, but is characterized by the constant presence of widespread pain that often moves about the body. Fibromyalgia can be so severe that it is often incapacitating.
Herbs (Herb, Herbal) Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, teas should be made with one teaspoon herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Tinctures may be used singly or in combination as noted. The high doses of single herbs suggested may be best taken as dried extracts (in capsules), although tinctures (60 drops four times per day) and teas (4 to 6 cups per day) may also be used.
Hormones (Hormone) Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.
Liver (Hepatic) The largest and one of the most complex organs of the body, the liver is responsible for much of the metabolism of fats, proteins and carbohydrates. It is the site of much of the body's detoxification. It is connected very closely with digestion and the regulation of blood sugar, among many other functions. Found behind the ribs on the right side of the abdomen, it has many important functions such as removing harmful material from the blood, making enzymes and bile that help digest food, and converting food into substances needed for life and growth. Hepatic: Pertaining to the liver.
Melatonin The only hormone secreted into the bloodstream by the pineal gland. The hormone appears to inhibit numerous endocrine functions, including the gonadotropic hormones. Research exists on the efficacy of melatonin in treating jet lag and certain sleep disorders. Dosages greater than l milligram have been associated with drowsiness, headaches, disturbances in sleep/wake cycles and is contraindicated in those who are on antidepressive medication. It also negatively influences insulin utilization.
Metabolism (Metabolic, Metabolize, Metabolizes, Metabolizing) The chemical processes of living cells in which energy is produced in order to replace and repair tissues and maintain a healthy body. Responsible for the production of energy, biosynthesis of important substances, and degradation of various compounds. Also defined as the sum total of changes in an organism in order to achieve a balance (homeostasis): Catabolic burns up, anabolic stores and builds up; the sum of their work is metabolism.
Methionine Essential amino acid. Dietary source of sulfur and methyl groups. Important for proper growth in infants, nitrogen balance in adults, healthy nails and skin and the synthesis of taurine, cysteine, phosphatidylcholine (lecithin), bile, carnitine and endorphins. It is an antioxidant nutrient and lipotropic agent which promotes the physiological utilization of fat.
Milligram (mg, Milligrams) 0.001 or a thousandth of a gram.
Neurotransmitters (Neurotransmitter) Chemicals in the brain that aid in the transmission of nerve impulses. Various Neurotransmitters are responsible for different functions including controlling mood and muscle movement and inhibiting or causing the sensation of pain.
Serotonin A phenolic amine neurotransmitter (C10H12N2O) that is a powerful vasoconstrictor and is found especially in the brain, blood serum and gastric membranes of mammals. Considered essential for relaxation, sleep, and concentration.
Stomach A hollow, muscular, J-shaped pouch located in the upper part of the abdomen to the left of the midline. The upper end (fundus) is large and dome-shaped; the area just below the fundus is called the body of the stomach. The fundus and the body are often referred to as the cardiac portion of the stomach. The lower (pyloric) portion curves downward and to the right and includes the antrum and the pylorus. The function of the stomach is to begin digestion by physically breaking down food received from the esophagus. The tissues of the stomach wall are composed of three types of muscle fibers: circular, longitudinal and oblique. These fibers create structural elasticity and contractibility, both of which are needed for digestion. The stomach mucosa contains cells which secrete hydrochloric acid and this in turn activates the other gastric enzymes pepsin and rennin. To protect itself from being destroyed by its own enzymes, the stomach’s mucous lining must constantly regenerate itself.
Syndrome A medical condition characterized by a collection of related symptoms (what the patient feels) and signs (what a doctor can observe or measure).
Last updated: Oct 08, 2008
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