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trouble with supplements
FDA doesn’t review dietary supplements for safety, effectiveness or label accuracy which means supplements might contain additives not on the labels
verifying supplements
if you consider supplements, look for ones that have third-party certifications
serotonin (t-HydroxyTryptamine)
neurotransmitter made from tryptophan, which comes from our diets, which can be excitatory OR inhibitory, and has 13+ types of serotonin receptors
serotonin & behavior
diets low in tryptophan increase feelings of sadness, serotonin is important for sleeping, mood, appetite, and aggression
medications for depression
increase serotonin levels in the brain
localization of 5-HT neuronal pathways
Almost all serotongergic neurons in the CNS are found along the midline of the brainstem, associated with the raphe nuclei. The dorsal and median raphe nuclei give rise to most of the serotonergic fibers in the forebrain and cortex.
role of serotonin in sensory perception
serotonin can enhance sensory perception and drugs that activate serotonin receptors alter our perceptual experiences
psychedic drugs that activate 5-HT2A receptors
LSD, psilocybin, DMT/Ayahuasca, MDMA (ecstacy)
serotonin and psychedelic drugs
produce changes in mood, sensory distortion, altered awareness, hallucinations
brain on LSD
LSD increased the number of brain regions participating in visual processing
the brain on psilocybin
may induce neuroplasticity and disrupt existing network connectivity in the brain; increased activation of derived neurotrophic factor (BDNF)
serotonin modulates memory formation
modulates protein synthesis and LTP in the hippocampus; in Alzheimer’s the loss of serotonin may contribute to mild cognitive impairment during early stages of the condition
5-HT2a and fear processing
LSD impairs recognition of fear in faces and increases emotional empathy by decreasing amygdala activity
medical indications for psychedelics
5-HT2A agonists are being investigated as treatments for mental health conditions like PTSD, MDD, and SUD
how MDMA (ecstasy) works
MDMA blocks serotonin, norepinephrine, and dopamine transporters which increases the levels of these neurotransmitters in the synapse
MDMA medical uses
reduces brain activation to trauma-related scripts/PTSD symptoms
MDMA high doses
can lead to loss of serotonin neurons and may contribute to depression symptoms in people who use
neurobiology of depression
associated with reduced volume and activity in the hippocampus
ketamine’s effect on BDNF
can enhance BDNF in some people, reducing depression symptoms
medical use of ketamine
esketamine is a nasal spray for treatment resistant depression (the lingering symptoms in people ho have taken multiple antidepressants)