Old 07-26-2005, 08:09 AM
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michski
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Join Date: Sep 2004
Location: California
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Vitamin supplements for alcohol withdrawel and anxiety

I wish I would've had this information handy in my first 30 days! Be aware that many of these supplements are harmful to your liver when combined with booze!!

Many alcoholics are deficient in B vitamins, including vitamin B3. John Cleary, M.D., observed that some alcoholics spontaneously stopped drinking in association with taking niacin supplements (niacin is a form of vitamin B3). Cleary concluded that alcoholism might be a manifestation of niacin deficiency in some people and recommended that alcoholics consider supplementation with 500 mg of niacin per day. 4 Without specifying the amount of niacin used, Cleary's preliminary research findings suggested that niacin supplementation helped wean some alcoholics away from alcohol. 5 Activated vitamin B3 used intravenously has also helped alcoholics quit drinking. 6 Niacinamide-a safer form of the same vitamin-might have similar actions and has been reported to improve alcohol metabolism in animals. 7

Deficiencies of other B-complex vitamins are common with chronic alcohol use. 8 The situation is exacerbated by the fact that alcoholics have an increased need for B vitamins. 9 It is possible that successful treatment of B-complex vitamin deficiencies may actually reduce alcohol cravings, because animals crave alcohol when fed a B-complex-deficient diet. 10 Many doctors recommend 100 mg of B-complex vitamins per day.

Alcoholics may be deficient in a substance called prostaglandin E1 (PGE1) and in gamma-linolenic acid (GLA), a precursor to PGE1. 11 In a double-blind study of alcoholics who were in a detoxification program, supplementation with 4 grams per day of evening primrose oil (containing 360 mg of GLA) led to greater improvement than did placebo in some, but not all, parameters of liver function. 12

The daily combination of 3 grams of vitamin C, 3 grams of niacin, 600 mg of vitamin B6, and 600 IU of vitamin E has been used by researchers from the University of Mississippi Medical Center in an attempt to reduce anxiety and depression in alcoholics. 13 Although the effect of vitamin supplementation was no better than placebo in treating alcohol-associated depression, the vitamins did result in a significant drop in anxiety within three weeks of use. Because of possible side effects, anyone taking such high amounts of niacin and vitamin B6 must do so only under the care of a doctor.

Although the incidence of B-complex deficiencies is known to be high in alcoholics, the incidence of other vitamin deficiencies remains less clear. 14 Nonetheless, deficiencies of vitamin A, vitamin D, vitamin E, and vitamin C are seen in many alcoholics. While some reports have suggested it may be safer for alcoholics to supplement with beta-carotene instead of vitamin A, 15 potential problems accompany the use of either vitamin A or beta-carotene in correcting the deficiency induced by alcoholism. 16 These problems result in part because the combinations of alcohol and vitamin A or alcohol and beta-carotene appear to increase potential damage to the liver. Thus, vitamin A-depleted alcoholics require a doctor's intervention, including supplementation with vitamin A and beta-carotene accompanied by assessment of liver function. Supplementing with vitamin C, on the other hand, appears to help the body rid itself of alcohol. 17 Some doctors recommend 1 to 3 grams per day of vitamin C.
Kenneth Blum and researchers at the University of Texas have examined neurotransmitter deficiencies in alcoholics. Neurotransmitters are the chemicals the body makes to allow nerve cells to pass messages (of pain, touch, thought, etc.) from cell to cell. Amino acids are the precursors of these neurotransmitters. In double-blind research, a group of alcoholics were treated with 1.5 grams of D,L-phenylalanine (DLPA), 900 mg of L-tyrosine, 300 mg of L-glutamine, and 400 mg of L-tryptophan (now available only by prescription) per day, plus a multivitamin-mineral supplement. 18 This nutritional supplement regimen led to a significant reduction in withdrawal symptoms and decreased stress in alcoholics compared to the effects of placebo.

The amino acid, L-glutamine, has also been used as an isolated supplement. Animal research has shown that glutamine supplementation reduces alcohol intake, a finding that has been confirmed in double-blind human research. 19 In that trial, 1 gram of glutamine per day given in divided portions with meals decreased both the desire to drink and anxiety levels.
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