REBUILDING RECOVERY
In the past few weeks, I have been reading about the concept of "long covid". I have referenced the idea of our experiencing cultural PTSD. I think the neurochemical impact is much like recovery from stimulant addiction. Too much, too fast, more than can be processed. No rest, no down time, no recuperation.
I think that looking at our knowledge of stimulation addiction and its
neurochemicak impact can inform us about healing. Stimulant addiction includes things like cocaine, methamphetamine, diet pills, ephedrine drinks, psuedopepipephrine drinks, Sudafed, caffeine, Ritalin, or NutraSweet products.
All of these substances activate or cause to be activated a brain chemical called dopamine. Dopamine makes you feel bright, clear, focused and functional and creates a state of
hyper alertness. When you first start using these substances, you feel like you can take on the world. After a while, your brain adjusts and you simply feel “normal” after use and very discombobulated when the effect wears off. Addiction sets in when you start needing your substance in order to stave off the withdrawal.
But if the stimulation comes from DANGER, it really wouldn't occur to you that
you would have "withdrawal." But think about this: withdrawal from stimulants makes you feel dull, foggy, sludgy, torpid, teary, scattered and incapable of functioning. If we feel this coming down from the hyper-alert state of COVID, and all the other DANGER things that have been happening in the world. It makes sense that we would be drawn to something to take care of it.
And it is fascinating to me
that all of a sudden ADHD diagnosis is spreading like wildfire. And as soon as you get your ‘drug”, even if it is a Diet Coke, you feel better. Stimulant addiction is seductive. As a sidebar, this is true of restriction and intermittent fasting as well. You feel so fine when you are using and so bad when you are not, it is almost inconceivable to imagine not having it.
But, part of you has known that
it is progressive and you are feeling worse. You no longer have times of feeling good, and a particular kind of bone weary exhaustion started setting in. You had to up the dose, or shorten the time between your “fixes”. What started as one latte in the morning became a triple in the morning and a single in the afternoon just to function. Or your "fast" drops another meal. You knew you were in trouble and decided it was time to do something.
Doing the steps helped to get you to this place. You have been reasonably steady with your food and you were ready to get out from under this addiction. For the sake of this discussion, I am going to assume you feel pretty crappy. This is a how to intervention to hold you up and restore your brain so that your willingness to get clean can stick over time.
There are 3 very specific changes you are going to make over a 3-month period to get your old brain back. [and yes, you can get back to normal!]
- Increase your protein intake to .6 grams per pound of your body weight. But play with it to see what has the best effect. Or, since many of you have
been cutting your protein because you are concerned about gaining weight or because it just seemed like the right thing to do, maybe just slide it back up to .5.
- You are working to increase the level of large neutral amino acids, particularly one called tyrosine. Tyrosine is the precursor to dopamine just like tryptophan is the precursor to
serotonin. Do not just go get some tyrosine [you see I know the addict’s mind, LOL]. You want the “package” that comes with protein meals. 1
- In the early weeks of your recovery plan, you may want to add a protein snack mid morning and mid afternoon. .
- Increase the size of your potato at night. Or actually have the potato LOL. Serotonin reduces the craving for stimulants. If you start having wild or hallucinogenic dreams, simply cut back on the size of the potato.. Find the edge so you are getting restorative and restful dreaming and not getting uncomfortable dreams.2
- Take omega 3 fatty acids. Do not take mega doses. More is not better. These fatty acids are abundant in the membranes that are associated with synaptic function – the place where the neurotransmitters talk with one another. Increasing the omega 3s helps restore this function. 3
Make a concerted effort to stay away from foods that are high in omega 6 fatty acids – things like margarine and saturated fats [butter, cream, and meat fat] Eat foods high in omega 3 like cold water fishes such as salmon.
I am including some citations here if you would like to read more about this. They are linked so you can read the actual
abstract on line. If you click on the link that says related articles, you can follow the topic and gather more information. The cites are older, but you can read what people are writing now about each topic. I posted these in June. I want you to read them so I am posting again.
And of course, you may always email me at radiantkd@mindspring.com. But if you want to argue with me about IF - do it on a list LOL so everyone hears my answers over and over.
Kathleen
1Fernstrom, JD, Can nutrient supplements modify brain function? Am J Clin Nutr. 2000 Jun;71(6 Suppl):1669S-75S. Review.
http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10837313&dopt=Abstract
2Yu DS, Smith FL, Smith DG, Lyness WH. Fluoxetine-induced attenuation of amphetamine self-administration in rats. Life Sci. 1986 Oct 13;39(15):1383-8.
http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3489876&dopt=Abstract
3Zimmer L, Vancassel S, Cantagrel S,
Breton P, Delamanche S, Guilloteau D, Durand G, Chalon S. The dopamine mesocorticolimbic pathway is affected by deficiency in n-3 polyunsaturated fatty acids. Am J Clin Nutr. 2002 Apr;75(4):662-7.
http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11916751&dopt=Abstract