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NEUROTRANSMITTERS 1
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NEUROTRANSMITTERS

Written by: Marty L. Hinz, MD
President Clinical Research
NeuroResearch Clinics, Inc.
Cape Coral, Florida USA Research Office
 
Just Landed?

  If you just landed (entered this web site via this page from a search engine) you have entered on the neurotransmitter discussion page. The discussion on this page is a "support discussion" for the diseases covered on other pages. To find out what NeuroResearch  Clinics is really doing click on one of the disease links at the left upper column of this web page and read about the new medical approach in treatment of the specific diseases developed by medical doctors (MDs) in Duluth, Minnesota.

 NeuroResearch Clinics is a cutting edge neurotransmitter medical research project. The University of Minnesota Medical School is publishing a series of papers on the research found on this web site. The first U of MN Medical School paper was submitted for publication November 30, 2008. (To access the a copy of the first University of Minnesota Medical School paper click on the "NeuroResearch Publishing" link in the left column.)

  Low levels of the serotonin and the dopamine neurotransmitter molecules are not the primary cause of chronic neurotransmitter disease such as depression, anxiety, attention deficit such as ADD and ADHD, etc. In reviewing tens of thousands of serotonin and dopamine   neurotransmitter tests from  thousands of people it is clear that all people with and without disease have virtually the same serotonin and dopamine neurotransmitter levels prior to treatment. Licensed medical doctors of NeuroResearch Clinics looking at the issue of neurotransmitters in disease have arrived at the following conclusion. It is not low levels of neurotransmitters that cause the symptoms of most disease to develop, it is neurotransmitter levels that are not high enough. This is a fine point but the assertion leads to a completely different conclusion as to the cause of neurotransmitter related disease. Either way there are not enough neurotransmitter in the brain to keep symptoms under control.

For a listing of serotonin and dopamine related diseases see "The Diseases" link at the upper left of this web page.
 
 
Discussion of neurotransmitter levels at start of treatment.
 

The bundle damage theory formulated by NeuroResearch Clinics.

 

The real cause of neurotransmitter diseases

 

Neurotoxins and trauma cause disease

 

  Chronic disease symptoms such as depression, anxiety, attention deficit such as ADD and ADHD, etc.  are primarily caused by damage to the electrical system of the brain (the neurons). The real problem is decreased electrical flow due to neuron damage not low levels of neurotransmitters. The only way to increase electrical flow back to levels needed to be free of symptoms is to increase the serotonin and dopamine neurotransmitter levels in the brain. Drugs can't do this, they work by moving neurotransmitter molecules from one place to another and in the process they deplete serotonin and dopamine neurotransmitter molecules. Serotonin and dopamine neuron damage can be caused by neurotoxins, trauma, and biologic insult.

  Some labs advocate baseline serotonin and dopamine neurotransmitter testing prior to treatment. Baseline urinary neurotransmitter testing is a waste of time and money. There is no correlation between baseline urinary serotonin and dopamine neurotransmitter testing and results obtained once the person is taking significant levels of tyrosine, 5-HTP, and dopa. The only thing serotonin and dopamine baseline neurotransmitter testing practices do is to line the pockets of the lab with money at the expense of a person who is already suffering with disease. The same labs that promote baseline urinary  neurotransmitter testing also claim that the serotonin and the dopamine neurotransmitter molecules cross the blood brain barrier, which they don't (see above).

Peer reviewed literature on the value of baseline urinary neurotransmitter testing.

 

What scientific literature says on neurotransmitters and the blood brain barrier.

The only way to truly raise neurotransmitter levels in the brain.

  Drugs do not increase serotonin and dopamine neurotransmitter levels in the brain, they work by moving serotonin and dopamine neurotransmitter molecules from one place to another and in the process the deplete the serotonin and dopamine neurotransmitter molecules instead building serotonin and dopamine neurotransmitter levels. The only way to increase serotonin and dopamine neurotransmitter levels in the brain is by giving the body the nutrients.  5-HTP, tyrosine, levodopa, and cysteine that it needs to build neurotransmitter molecules.

Everywhere you look in the body the neurotransmitter molecules serotonin, dopamine, norepinephrine, and epinephrine are in balance and compete with each other.

The neurotransmitter balancing act

 

GABA
 
Norepinephrine
 
Hormones
 
Other regulation

   Serotonin, dopamine, norepinephrine, and epinephrine are the master neurotransmitter molecules they directly and indirectly control every process in the body. Only by optimizing the serotonin, dopamine, norepinephrine, and epinephrine neurotransmitter molecules will the person feel optimal and optimal function be facilitated. Hormones, cortisol, GABA, PEA, melatonin, blood pressure and a host of other things are controlled by the serotonin, dopamine, and norepinephrine neurotransmitter molecules. There is nothing in the body that exerts as much force on the system as a whole as the serotonin and dopamine neurotransmitter molecules do.

  The reuptake inhibitor depression drugs do nothing to increase serotonin and dopamine neurotransmitter levels they work by moving serotonin and dopamine neurotransmitter molecules from one place to another in the brain. In the process these drugs deplete serotonin and dopamine neurotransmitter molecules and can make clinical symptoms of depression or attention deficit such as ADD and ADHD worse increasing risk of suicide.

 
Antidepressants drugs deplete neurotransmitter molecules
From The Formal
"Effexor Prescribing Information"
For Physicians

Effexor prescribing information warning

 
NEUROTRANSMITTERS
 

"THE REAL VALUE OF SEROTONIN AND DOPAMINE BASELINE URINARY neurotransmitter testing"

 
  Serotonin and dopamine baseline urinary neurotransmitter testing in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. prior to treating with 5-HTP, tyrosine, levodopa, and cysteine is of no value. Even thought the practice of serotonin and dopamine baseline urinary neurotransmitter testing in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. is promoted by some labs it is not effective, it is a waste of time and a waste of money. The only thing it does effectively is line the lab bank account with money.
 
As noted in the literature and verified by the University of Minnesota Medical School the neurotransmitter molecules serotonin, dopamine, norepinephrine, and epinephrine exist in two states. The endogenous state (the state where the person is taking no 5-HTP, tyrosine, levodopa, and cysteine. The second is the competitive inhibition state (the state when the person is taking the 5-HTP, tyrosine, levodopa, and cysteine). As reported by NeuroResearch and verified by the University of Minnesota Medical School serotonin and dopamine baseline urinary  neurotransmitter testing in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. in the endogenous state (prior to starting 5-HTP, tyrosine, levodopa, and cysteine) has no correlation with serotonin and dopamine urinary neurotransmitter testing in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. performed once in the competitive inhibition state (taking 5-HTP, tyrosine, levodopa, and cysteine).
 
With regards to recommending serotonin and dopamine baseline urinary neurotransmitter testing in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. prior to treatment there appears to be two distinctly different types of lab involved here. The first is the labs directed by hospital based board certified pathologists who holds forth the recommendation that serotonin and dopamine baseline urinary neurotransmitter testing in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. is of no value. While the labs recommending serotonin and dopamine baseline urinary neurotransmitter testing in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. has no licensed medical doctor in charge of day to day operations, no license to practice medicine, no hospital affiliation, no clinic, no people under their care, and no experience in treating people in clinics.
 
We have been doing twelve AMA category I continuing medical education conferences a year since 2000. At virtually every one of these conferences we hear from physicians who have tried the protocols of labs holding out serotonin and dopamine baseline urinary neurotransmitter testing is in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. needed prior to treatment. The results reported to us are all the same. Almost none of the people treated this way get better.
 
Several independent physicians took the initiative to do split sample serotonin and dopamine  urinary neurotransmitter testing, in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. submitting samples to DBS Labs directed by Tom Uncini, MD hospital based pathologist and a lab recommending baseline serotonin and dopamine urinary neurotransmitter testing in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. In all cases there was no correlation between the two lab reports returned on the same serotonin and dopamine urinary neurotransmitter sample. In looking at the situation, we trust the lab of the hospital based pathologist.
 
 
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THE PROPER RELATIVE PERSPECTIVE ON NEUROTRANSMITTER LEVELS

 

Low neurotransmitter levels do not cause disease such as depression, anxiety, attention deficit such as ADD and ADHD, etc.

 

Neurotransmitter levels that are not high enough to keep the electrical flow of compromised neuron bundles functioning properly are the primary cause disease.

  There is a tendency when providing a person with reuptake inhibitor drugs that increase synaptic levels of neurotransmitter molecules to believe that low levels of neurotransmitter molecules cause disease.
  In studying the serotonin and dopamine urinary neurotransmitter testing results in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. from thousands of people, the problem becomes defining, “What does the lab show in low levels of serotonin and dopamine neurotransmitters?”
  In reviewing urinary laboratory testing performed while achieving resolution of disease symptoms it is apparent that the level of serotonin and dopamine neurotransmitter molecules needed to get symptoms under control varies on a huge scale from person-to-person. There is no correlation between the serotonin and dopamine neurotransmitter levels directly measured in the system and the resolution of disease such as depression, anxiety, attention deficit such as ADD and ADHD, etc. symptoms in people not under treatment with amino acid neurotransmitter precursors. The nutrients 5-HTP and dopa are freely synthesized into serotonin and dopamine neurotransmitter molecules without regulation. The dosing of the 5-HTP, tyrosine, levodopa, and cysteine needed to get depression, anxiety, attention deficit such as ADD and ADHD, etc. symptoms under control in people varies on a huge scale, as does the serotonin and dopamine neurotransmitter levels induced when they are administered. This gives rise to the observation, “What does it mean to say low levels of serotonin and dopamine neurotransmitter molecules cause disease such as depression, anxiety, attention deficit such as ADD and ADHD, etc.?”

  At the lab level, we believe that the term “low” in the direct measurement of serotonin and dopamine neurotransmitter molecules can not be defined with regards to onset of disease symptoms in depression, anxiety, attention deficit such as ADD and ADHD, etc. Identical levels of serotonin and dopamine neurotransmitter levels measured in one person with no symptoms can lead to severe disease in another person. It turns out that there is no predictability between the measure of serotonin and dopamine neurotransmitter levels and symptoms of disease traditional thought of as caused by low levels of neurotransmitters.

  The proper way to look at this is, “When disease symptoms such as seen with depression, anxiety, attention deficit such as ADD and ADHD, etc. are present, the serotonin and dopamine neurotransmitter levels are not high enough to prevent the symptoms.” Serotonin and dopamine neurotransmitter levels that may be very high for normal people may not be high enough to control symptoms of depression, anxiety, attention deficit such as ADD and ADHD, etc. in other people. Parkinson's Disease is a good example, where very high levels of dopamine are needed to control symptoms to the point that dopamine levels in other patients that would be considered very high are not high enough to control symptoms. This concept applies to every other serotonin and dopamine neurotransmitter disease such as depression, anxiety, attention deficit such as ADD and ADHD, etc. as well.

So what is happening? Neurotransmitter levels at start of treatment are not as important as getting to levels needed to relieve disease.

NEUROTRANSMITTERS 3

  Performing urinary neurotransmitter testing then determining the phases of serotonin and dopamine is not a direct measurement of the neurotransmitters in the system. It is a direct assay of the status of the basolateral monoamine transporters of the kidneys.

NEUROTRANSMITTERS 4

  It does not matter how full the system is initially with neurotransmitters in the face of disease. The important fact, "Is the system full of enough with neurotransmitters to prevent disease symptoms.

 
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THE BUNDLE DAMAGE THEORY

The bundle damage theory states:

  Serotonin and dopamine neurotransmitter dysfunction disease such as depression, anxiety, attention deficit such as ADD and ADHD, etc. symptoms develop when the electrical flow through the serotonin and dopamine neuron bundles that regulate serotonin and dopamine function is compromised by damage to the individual serotonin and dopamine neurons or the neuron components composing the neuron bundle which conducts electricity to regulate or control function. In order to optimally restore serotonin and dopamine neuron bundle regulatory function, synaptic serotonin and dopamine neurotransmitter levels of the remaining viable neurons must be increased to levels higher than is normally found in the system, which restores adequate electrical outflow resulting in relief of symptoms and optimal regulatory function.

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PERSPECTIVE: THE CAUSE OF DISEASE

 

  In natural treatments 5-HTP, tyrosine, levodopa, and cysteine do not “cure.” They simply allow the body to make enough serotonin and dopamine neurotransmitter molecules to overcome the problems that cause neurotransmitter diseases such as depression, anxiety, attention deficit such as ADD and ADHD, etc.  

  So what is the cause of all these diseases such as depression, anxiety, attention deficit such as ADD and ADHD, etc. associated with serotonin, dopamine, norepinephrine, and epinephrine? Permanent damage to the serotonin and dopamine neuron bundles of the brain. Damage the correct dopamine bundles and you get Parkinson disease. Damage other serotonin and dopamine bundles and you develop depression, anxiety, attention deficit such as ADD and ADHD, etc. We have identified almost 100 diseases that appear to be from permanent serotonin and dopamine neuron bundle damage. Proper use of 5-HTP, tyrosine, levodopa, and cysteine will compensate for the serotonin and dopamine neuron bundle damage problem leading to relief of symptoms.

  On to the real depths and heart of the matter, “What is the cause of this serotonin and dopamine neuron bundle damage?”

  If you damage enough serotonin and dopamine neurons in a bundle of neurons conducting electricity through the brain, functions controlled by that serotonin or dopamine neuron bundle will not be controlled properly. In the case of Parkinson's Disease, when enough neurons of the dopamine bundles in the substantia nigra quit working from damage, the classic pill rolling tremor with cogwheel rigidity develops.

  Taking these observations one step further, if enough serotonin or dopamine neurons of a neuron bundles regulating sleep die off from  toxic or traumatic damage, the person is left with poor sleep patterns. If the serotonin or dopamine neurons of the neuron bundles controlling affect are damaged, the person can be left with chronic depression.

  But what is causing this damage to the system that leads to these chronic serotonin or dopamine neurotransmitter diseases such as depression, anxiety, attention deficit such as ADD and ADHD, etc. in people?

  In reviewing the problem for several years, we are left with a short list of two.

  First, we have seen post traumatic head injury symptoms that can be relieved by 5-HTP, tyrosine, levodopa, and cysteine therapy in some cases. But, we firmly believe that the main source is toxins.

  In general toxicity is highly specific. It certainly has been proven in medicine that certain chemical toxins can induce serotonin or dopamine neuron damage and death to specific neuron bundles, such as the dopamine neurons of the substantia nigra in Parkinson's Disease while leaving other dopamine neuron bundles in the brain intact.

  The cause of serotonin and dopamine neurotransmitter dysfunction in over 90% of the cases is due to neurotoxic serotonin and/or dopamine neuron bundle damage, which is permanent. While the damage to the serotonin and dopamine neuron bundles is permanent, the symptoms can be reversed in all the serotonin and dopamine neurotransmitter associated diseases such as depression, anxiety, attention deficit such as ADD and ADHD, etc. by raising the serotonin and dopamine neurotransmitter levels through proper use of 5-HTP, tyrosine, levodopa, and cysteine (as occurs with dopa treatment in Parkinson people). If we could get rid of all toxins from the environment, there is no doubt that over 85% of the diseases such as depression, anxiety, attention deficit such as ADD and ADHD, etc. people suffer with would be gone in a generation.    

 

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THE PRIMARY CAUSE OF MASTER NEUROTRANSMITTER DISEASES

NEUROTRANSMITTERS 5

TRADITIONAL THINKING

 

“Low levels of serotonin and dopamine neurotransmitter molecules cause disease. Therefore, by providing drugs which increase synaptic neurotransmitter levels, symptoms of disease resolve.”

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THE REAL CAUSE OF THE PROBLEM

  Low levels of serotonin and dopamine neurotransmitter molecules in the system do not cause disease symptoms such as depression, anxiety, attention deficit such as ADD and ADHD, etc. The problem is the serotonin and dopamine neuron bundles of the brain, which are damaged to the point that serotonin and dopamine neurotransmitter levels have to be elevated above normal levels in order to get symptoms under control.

  Getting to this assertion was not easy. From a clinical standpoint, the following assertions look the same:

  1. Low levels of serotonin and dopamine neurotransmitter cause disease.
  2. Serotonin and dopamine neuron bundles are damaged to the point that serotonin and dopamine neurotransmitter levels have to be elevated above normal levels in order to get symptoms of disease under control.

  NeuroResearch started its work in 1995; at a time when there was nobody out there working to optimize the serotonin and dopamine systems with 5-HTP, tyrosine, levodopa, and cysteine. In gaining experience it has brought us to the current realization; "Is the glass half full or half empty?" Who cares, the real problem is serotonin and dopamine neurotransmitter levels are not high enough to keep the system functioning properly. Only by realizing that damaged serotonin and dopamine neuron bundles are the primary cause of these diseases can the situation be dealt with optimally.

 

IF NEURON BUNDLE DAMAGE OF SEROTONIN AND DOPAMINE IS DRIVING THINGS WHERE DID IS COME FROM?

s
  In examining things, the list grows short:
  1. Neurotoxic damage to serotonin and dopamine neurons.
  2. Traumatic injury to serotonin and dopamine neurons.
  3. Biologic damage to serotonin and dopamine neurons.

  The key here is “damage" to serotonin and dopamine neurons, which is irreversible and permanent. This is why simply taking 5-HTP, tyrosine, levodopa, and cysteine for a while will not cure the problem in symptoms of disease such as depression, anxiety, attention deficit such as ADD and ADHD, etc. and symptoms return when the 5-HTP, tyrosine, levodopa, and cysteine are stopped. For the most part, diseases such as depression, anxiety, attention deficit such as ADD and ADHD, etc. are life-long illnesses that need life-long care. The incidences of toxins in the environment have increased dramatically in the last 50 years; as have the incidences of these diseases such as depression, anxiety, attention deficit such as ADD and ADHD, etc. It is no coincidence. 5-HTP, tyrosine, levodopa, and cysteine provide the tools to get disease symptoms of depression, anxiety, attention deficit such as ADD and ADHD, etc. under control and not just mask them with drugs that burn out (deplete) neurotransmitters.

 

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From the peer reviewed literature, serotonin and dopamine baseline urinary neurotransmitter testing in treatment of depression, anxiety, attention deficit such as ADD and ADHD, etc. is of no value.

Depression in I. Kohlstadt (ed.) Food and Nutrients in Disease Management (CRC Press, 2009)
 

Full text version of the article cited below.

 
urinary Organic cation transporter neurotransmitter optimization value

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THE ARTICLE REVIEWED HERE:

Myths: Urinary neurotransmitter testing myths and misconceptions.

 
 

Basis for the different approaches, a product foundation comparison.

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The following from the non-peer reviewed article is not true:
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THE BLOOD BRAIN BARRIER

 

  There are non-medical lab people (people with no medical license) claiming that serotonin, dopamine, norepinephrine, and epinephrine crossed the blood brain barrier. They stated that serotonin and dopamine neurotransmitter molecules were simply filtered by the kidneys and ended up in the urine. This misinformation led to claims that serotonin and dopamine urinary neurotransmitter testing was a good assay of central nervous system status. In addition, claims were made that 1 or 2 pills, twice a day could control disease symptoms such as depression, anxiety, attention deficit such as ADD and ADHD, etc. in people.

  Science has pushed forward and we know that serotonin and dopamine neurotransmitter molecules do not cross the blood brain barrier. This means that peripheral administration of the serotonin and dopamine neurotransmitter molecules has no value in treating serotonin and dopamine neurotransmitter related central nervous system disease such as depression, anxiety, attention deficit such as ADD and ADHD, etc. This is most evident in the Parkinson person who has a dopamine drip started in the hospital. If dopamine crossed the blood brain barrier, you would expect marked improvement, but there is none.  Radio isotope tagging of 5-HTP, tyrosine, levodopa, and cysteine and neurotransmitter molecules has proven that serotonin and dopamine urinary neurotransmitter molecules are not serotonin and dopamine neurotransmitter molecules filtered by the kidneys and excreted into the urine. They are serotonin and dopamine neurotransmitter molecules that are synthesized by the kidneys and very little systemic serotonin and dopamine neurotransmitter molecules end up in the urine. We now know that the approach of using 1 or 2 pills of 5-HTP, tyrosine, levodopa, and cysteine precursor twice a day is ineffective in group treatment. The shear volume of 5-HTP, tyrosine, levodopa, and cysteine precursors needed for optimal group treatment could not fit into one or two pills

 

 

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THERE IS ONLY ONE WAY

  The master neurotransmitter molecules (serotonin, dopamine, norepinephrine, and epinephrine) do not cross the blood brain barrier. The only way to increase central nervous system levels of the serotonin and dopamine neurotransmitter molecules is by providing 5-HTP, tyrosine, levodopa, and cysteine precursors that cross the blood brain barrier and synthesized by specific areas of the brain into serotonin and dopamine neurotransmitter molecules.

  There are many clinical observations that verify the fact that these serotonin and dopamine neurotransmitter molecules do not cross the blood brain barrier. For example, a Parkinson person presents in the emergency room with shock and a dopamine drip is started. No relief of the Parkinson symptoms is seen since dopamine does not cross the blood brain barrier.
 

NEUROTRANSMITTERS 11

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THE BALANCE BETWEEN SEROTONIN AND DOPAMINE 5-HTP, tyrosine, levodopa, and cysteine

 
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GABA

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SO, WHERE IS THE PATHWAY?

  Serotonin and dopamine precursors treat GABA associated diseases better than GABA precursors. We have known about this for a long time, but all attempts to find the chemical pathway involved have come up short. Biochemistry is not a closed book with nothing more to learn; new chemical pathways are being defined on a regular basis. The best answer we currently have is, “We can see the results, but can we find the pathway?” I have no doubt the following chemical pathway link exists. It is just a matter of defining it.

THE MASTER SEROTONIN AND DOPAMINE NEUROTRANSMITTER LEVELS

  To be classified as a “master neurotransmitter,” a molecule must be a neurotransmitter and control/regulate other neurotransmitter molecules. Under this definition, serotonin, dopamine, norepinephrine, and epinephrine are true “master neurotransmitter molecules.”

 
ANXIETY AND PANIC ATTACKS

  There appears to be a controlling chemical pathway of GABA by the master neurotransmitter molecules serotonin, dopamine, norepinephrine and epinephrine - but we can’t find it. If anyone reading this newsletter knows of such a pathway or has any ideas, we would like hear them.

 

THE EVIDENCE

  In medicine, the prototype diseases associated with GABA dysfunction are anxiety and panic attacks. Research has shown that with properly prescribed serotonin and dopamine 5-HTP, tyrosine, levodopa, and cysteine precursors, over 95% of people show complete resolution of anxiety and panic attacks - a rate that is far greater than treatment with GABA precursors. “So, what is happening here?”

 

CLINICAL IMPLICATIONS

  Even though we have not directly identified the chemical pathway that indicates how serotonin and the catecholamines control GABA to relieve symptoms of diseases associated with GABA dysfunction, the clinical evidence is clear. Proper use of serotonin and dopamine precursors relieve symptoms of diseases associated with GABA dysfunction far better than any approach we have seen using GABA precursors. There are numerous doors that we have opened with our work, which have led to more research. The area of GABA being controlled by serotonin and the catecholamines appears to be another open door.

 

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CORTISOL REGULATION BY SEROTONIN, DOPAMINE, AND NOREPINEPHRINE NEUROTRANSMITTER LEVELS
 
NEUROTRANSMITTERS 14
 

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HORMONE REGULATION BY SEROTONIN, DOPAMINE, AND NOREPINEPHRINE NEUROTRANSMITTER LEVELS

 
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MELATONIN REGULATES SLEEP

 
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