SAM-e as a nootropic-improves concentration

SAM-e

David Tomen
Author:
David Tomen
15 minute read
SAM-e has been shown to relieve depression, anxiety, brain fog, and pain including arthritic and fibromyalgia pain, improve memory, mood and sociability, and support liver health

Key Takeaways

  1. SAM-e (S-Adenosyl Methionine) is a naturally occurring amino acid crucial for brain health and bodily functions.
  2. It regulates neurotransmitters, impacting mood, memory, and behavior.
  3. SAM-e treats depression and anxiety effectively, faster than traditional antidepressants and without their side effects.
  4. SAM-e enhances neuroplasticity, brain-cell membrane fluidity, and muscarinic receptors, leading to improved learning, memory, and mood.
  5. SAM-e supplementation with B vitamins at recommended dosages of 400 to 1600 mg daily benefits conditions like depression, anxiety, osteoarthritis pain, fibromyalgia, and chronic liver disease.

SAM-e (S-Adenosyl Methionine, Ademethionine, Adomet) is the naturally-occurring amino acid methionine bound to an ATP molecule. And is found in nearly every cell in your body.

SAM-e helps produce and breakdown the neurotransmitters acetylcholine, dopamine, serotonin, norepinephrine and melatonin in your brain. SAM-e maintains cell membranes and plays a role in a healthy immune system.

Studies show that SAM-e is very effective in treating depression without the side effects of prescription antidepressants. And while pharmaceutical antidepressants can take from 6 to 8 weeks to begin working, SAM-e can work much faster.

The latest research shows that SAM-e can be anti-anxiety, reduces pain including in fibromyalgia, and can improve learning, memory and mood.

SAM-e helps:

  • Neuroplasticity. SAM-e is involved in the formation of myelin that surrounds and protects axons. And SAM-e can improve brain-cell membrane fluidity. Enhancing the function of neuroreceptors.
  • Neurotransmitters. SAM-e is involved in the synthesis of acetylcholine, dopamine, serotonin, and norepinephrine. Helping to normalize mood, moderate behavior, and elevate emotions.
  • Neuroprotectant. SAM-e helps produce the powerful antioxidant glutathione through a process called transsulfuration. SAM-e helps stabilize cell membranes and promotes the secretion of bile. And through a process called aminopropylation, SAM-e is converted into the antioxidant methylthioadenosine, which has anti-inflammatory and analgesic (pain-relieving) properties.

Overview

SAM-e (S-Adenosyl Methionine) is a naturally occurring coenzyme that plays many critical roles in your body.

SAM-e (S-Adenosyl Methionine) chemical structure
SAM-e (S-Adenosyl Methionine)

SAM-e is made from methionine and ATP (adenosine triphosphate) during a cycle that recycles the amino acid homocysteine. This cycle requires Vitamin B6 and B12 and folate (B9) to work properly.

SAM-e is a precursor to the crucial antioxidant glutathione which is used in your brain and liver. When glutathione levels drop in your body, liver damage from oxidative stress begins within seconds of exposure to alcohol or toxins.

SAM-e is a methyl donor that contributes to several essential processes in your brain. As a methyl donor, SAM-e is involved in the production and recycling of hormones, cytokines, and the neurotransmitters acetylcholine, dopamine, norepinephrine, and serotonin.

This methyl donor process is call ‘methylation’, and contributes to gene expression. Affecting how your cells work and communicate including your cell DNA.

SAM-e modifies important molecules in cell membranes that control communications within and between brain cells. SAM-e boosts the number of muscarinic receptors in certain parts of your brain which are critical to this cellular communications network.

SAM-e is used to treat depression, anxiety, osteoarthritis pain, fibromyalgia, and chronic liver disease.

SAM-e is sold as an OTC dietary supplement in the United States and Canada. And as a prescription drug in several European Union countries, and Russia. SAM-e is marketed under the brand names Adomet, Gumbaral, Samyr, Heptral, Agotan, Donamet, Isimet and Admethionine.

SAM-e supplementation can help prevent depression

How does SAM-e work in the Brain?

SAM-e boosts brain health and function in several ways. But two in particular stand out.

  1. SAM-e helps alleviate depression. SAME-e is one of the main building blocks your brain needs to produce the neurotransmitters acetylcholine, dopamine, serotonin, norepinephrine and melatonin. By raising the levels of dopamine in your brain, SAM-e helps enhance memory, motivation and learning.

Researchers at the West Los Angeles VA Medical Center studied the antidepressant effect of oral SAM-e in a randomized, double-blind, placebo-controlled trial for 15 patients with major depression.

The researchers found that SAM-e is a safe, effective antidepressant with few side effects and a rapid onset of action. And may be useful for those who cannot tolerate prescription tricyclic antidepressants.[i]

  1. SAM-e directly influences neuronal signaling. SAM-e increases the number of muscarinic receptors in the hippocampus. We have two kinds of acetylcholine (ACh) receptors in our brain. 1) Nicotinic receptors and 2) Muscarinic receptors

Most of the nootropics we investigate here at Nootropics Expert influence nicotinic receptors and ACh. Muscarinic receptors have a very different mechanism of action. They are part of a large family of G-protein-coupled receptors (GPCRs) which are used as an intracellular secondary messenger system.

Your brain has a very complex system of control to regulate different processes going on in different cells at different times. For this to work, there must be a sophisticated means of communication between cells.

GPCRs and their G proteins provide this intercellular communication. And form one of the most important signaling systems in your brain. They are involved in nearly every aspect of your physiology and behavior.

G proteins work by binding neurotransmitters, hormones, growth factors, cytokines, odorants and photons at the cell surface to the GPCR, and activating that receptor. Everything you see, hear, smell, or taste goes through this signaling process.

And SAM-e increases the number of these muscarinic receptors in parts of your brain, including your hippocampus. In one study, aged rats were given SAM-e for 30 days. Supplementation with SAM-e restored the number of muscarinic receptors to levels found in the same areas in young animals.[ii]

Supplementing with SAM-e to increase muscarinic receptors in your brain can boost neuroplasticity and increase learning, memory, mood and even smell and vision.

How things go bad

You have healthy levels of SAM-e throughout your body when you’re young. But as you age, your body makes less of it. This is why young people bounce back from difficult experiences more easily. They’ve got higher levels of dopamine and a higher pain threshold than adults.

SAM-e is a major methyl donor in your body. It is involved in the biosynthesis of hormones, neurotransmitters, proteins and phospholipids.[iii]low SAM-e can cause depression

SAM-e participates in a sequence of events involving folic acid (folate) and Vitamin B12. Folate converts to 5-MTHF (5-methyltetrahydrofolate) which converts freely circulating homocysteine back into the amino acid Methionine (using Vitamin B12). L-Methionine then binds to an Adenosine group from ATP to create SAM-e.

SAM-e is then able to donate methyl groups (called methylation) to a variety of reactions including the production and breakdown of the neurotransmitters dopamine, serotonin, norepinephrine and melatonin in your brain.

This methylation process degrades SAM-e into S-Adenosylhomocysteine. Which is then fed back into this cycle from the beginning. This process is referred to as a ‘one-carbon cycle’.

If you don’t have enough folate or Vitamin B12 available, this SAM-e methylation process breaks down. And the result can be depression, brain fog, poor recall and memory, and pain.

This lack of folate and Vitamin B12 can affect you regardless of age. This is a big enough problem that the Canadian government mandated folate fortification of all flour, and some corn and rice products to address this issue in 1998.[iv]

Low levels of SAM-e, methylfolate, Vitamin B6 and B12 can lead to all kinds of problems. And genetic defects that don’t allow the use of these important vitamins can result in the same symptoms.

Cognition, memory, recall, and mood diminish

↓ Methylfolate, Vitamin B6 & B12 absorption declines

↑ Homocysteine levels rise

↑ Pain levels rise

↓ Mental health, language and fine motor skills decline

All of these changes in brain energy metabolism are contributing factors to neurodegenerative diseases, including Alzheimer’s, Parkinson’s, ALS, epilepsy, dementia, and other cognitive symptoms.

But even if you’re not concerned with genetic defects, a lack of B-Vitamins, or the effects of aging, SAM-e can help.

SAM-e supplements are anti-anxiety

SAM-e benefits

Stress-related disorders like anxiety, major depression and PTSD are some of the most debilitating illnesses known to man. And if you’re reading this, and dealing with any of these, supplementing with SAM-e may help.

To cope with stress requires changes in the expression of “immediate-early genes” in your hippocampus. The same area of your brain you use for learning and memory.

Stressful events result in epigenetic (gene) modifications within ‘immediate-early genes’ in your hippocampus neurons. DNA methylation acts to suppress the expression of these genes. This is where SAM-e comes in…

SAM-e is a methyl donor for the enzyme that methylates your DNA. When SAM-e levels are high enough, a stressful event will not result in DNA de-methylation.

Instead, a stressful event enhances DNA methylation of ‘immediate-early genes’. Which suppress their expression and allows you to adapt in a healthy way to this stressful situation.[v]

SAM-e is a powerful antidepressant. In 2005, researchers combed through the databases of Medline, Psychinfo, AMED, and Cochrane Controlled Trials Register. And collated the findings of randomized, controlled trials studying SAM-e for depression through to September 2001.

The team concluded after analyzing all the clinical evidence that SAM-e was effective in treating major depression in adults.[vi]

SAM-e is also a potent pain-killer. A recent study looked at 56 people with arthritis in their knees for 16 weeks. One group took the COX-2 inhibitor Celebrex while the other group took SAM-e.

Researchers found that SAM-e was as effective as Celebrex at eliminating pain. And without the potential side effects of heart attack or stroke that can be caused by using Celebrex.[vii]

Another study on the effect of SAM-e with 17 fibromyalgia patients confirmed a close relationship between primary fibromyalgia and psychologic problems including depression.

SAM-e treatment improved the depressive state of these patients. And SAM-e was found to be an effective and safe therapy in the management of fibromyalgia.[viii]

How does SAM-e feel?

For some, supplementing with SAM-e can be life-changing.supplementing with SAM-e can increase your sense of well-being

SAM-e can have a profound effect on emotions, depression, and feelings of anxiety. You may experience improved concentration, energy, alertness, and feelings of well-being. Even vision can become clearer.

Once you start supplementing with SAM-e, you should experience at the very least, a general sense of well-being.

SAM-e works particularly well for those who deal with depression or anxiety. Neurohackers report that they no longer have panic attacks. And the feeling of doom is gone.

Adding SAM-e to your nootropic stack can improve sociability, and not feeling overwhelmed by life. Brain fog lifts and thinking is clearer and faster.

Others say that the “dark cloud has lifted”, and all the negativity and stress is gone. Things that normally would irritate are just brushed off, and you move on.

One big word of caution: SAM-e needs Vitamins B6 & B12 and folate to work. Or supplementing with SAM-e may be a waste of time and money because without adequate levels of these B-Vitamins it will not provide any benefit.

You’ll notice reference to B-Vitamins several times in this article on SAM-e. It is that important. Use Vitamin B6 & B12 and folate every day that you supplement with SAM-e. Or use a B-Complex formula that contains methylfolate (B9) (avoid folic acid).

SAM-e improves learning and memory

SAM-e Clinical Research

SAM-e Lifts Mood

We have made significant progress in the last 100 years in diagnosing and treating depression. And yet, 10’s of millions still suffer from depression. In 2014, an estimated 15.7 million adults in the United States had at least one major depressive episode in the past year.[ix]

In the United States, one in ten Americans are using antidepressants.[x] I don’t have statistics from other countries but I suspect many have similar problems. Unfortunately, antidepressants only work 30 – 50% of the time. And often come with a host of side effects.

One reason that many people continue to suffer from depression is that most doctors are not aware of the link between homocysteine and depression.

If you’re dealing with depression and have had little success with antidepressants, you may have something as simple (and as serious) as a folate deficiency. Or low levels of Vitamin B12. Studies show a link between folate deficiency and impaired metabolism of serotonin, dopamine, and norepinephrine.

One study looked at 46 patients with severe depression. 24 of these patients had raised levels of homocysteine. And significantly lower levels of folate, SAM-e, and other metabolites.

The researchers concluded that looking at total homocysteine levels could be a measure of depression. When it is caused by a folate deficiency, impaired methylation (SAM-e), and poor neurotransmitter metabolism (SAM-e). And a potential benefit to simply using vitamin replacement to treat severe depression.[xi]

Or supplementing with SAM-e to treat depressive symptoms.

SAM-e for ADHD in Adults

Ritalin and Adderall are thought to be the most effective treatment in children and adults with ADHD. These stimulants work by potentiating both dopamine and norepinephrine at the synaptic cleft. But stimulant meds for ADHD come with side effects.

SAM-e acts as a methyl donor and is involved in many metabolic pathways. It has both adrenergic and dopamine receptor agonist activity.

A research team at the University of California used SAM-e with subjects diagnosed with Adult ADHD in a 9-week double-blind, placebo-controlled trial.

The research team found that 75% of the patients had a significant improvement in ADHD symptoms while using SAM-e. And the 25% who did not respond to SAM-e, did not respond to Ritalin either.[xii]

SAM-e Treats Depression

Scientists at the US Department of Health and Human Services conducted an analysis of 102 individual studies in 25 databases on SAM-e and depression in 2002. The report distilled data gleaned from published studies conducted around the world up to 2002.

This comprehensive report is called, “S-Adenosyl-L-Methionine for Treatment of Depression, Osteoarthritis, and Liver Disease.” The researchers found that SAM-e is just as effective as standard antidepressant drugs at treating depression.

The agency concluded, “Treatment with SAM-e was equivalent to standard therapy for depression”.[xiii]

SAM-e Recommended Dosage

Recommended dosage of SAM-e for nootropic benefit is 400 mg per day.SAM-e nootropic dosage

SAM-e for depression: 400 – 1600 mg daily in divided doses

SAM-e for bone and joint health: 200 – 1200 mg daily in divided doses

SAM-e for liver function issues: 1600 mg daily in divided doses

SAM-e for alcoholic liver disease: 600 – 1200 mg daily in divided doses

Some research and many user reports suggest that once positive effects are achieved, SAM-e doses can be reduced. Some report benefit with as little as 100 mg of SAM-e daily.

Studies show that SAM-e should be consumed with B-Vitamins. When SAM-e donates its methyl group, it breaks down into homocysteine. Elevated homocysteine levels are associated with increased heart disease, birth defects and depression.

Choose a bioactive B-Complex to use with SAM-e. Like the high quality B-Complex like Performance Lab® B-Complex  which contains therapeutic amounts of each of the B-Vitamins you need while using SAM-e.

In order to prevent homocysteine accumulating, logic tells us based on its mechanism of action that sufficient levels of B-Vitamins must be present to convert homocysteine into the potent antioxidant glutathione.

Take SAM-e on an empty stomach and an hour before eating any food. SAM-e is best digested in your intestines and not your stomach. Not letting SAM-e settle into your digestive tract could cause stomach upset.

SAM-e Side Effects

SAM-e is produced naturally in your body. So is considered well-tolerated and safe.

If you have bipolar disorder, you could develop mania when supplementing with SAM-e. So check with your doctor before using SAM-e.

If you’re on antidepressant medication, you should check with your doctor before supplementing with SAM-e.

High doses of SAM-e can cause gas, upset stomach, diarrhea, constipation, dry mouth, headache, dizziness, anxiety or skin rashes. SAM-e may also trigger an allergic reaction in some people.

Type of SAM-e to buy

SAM-e is available in 200 and 400 mg tablets.

For optimal effects with SAM-e, stable, enteric-coated tablets are recommended. SAM-e should be taken on an empty stomach, either one hour before or two hours after meals.

SAM-e is highly unstable so check expiration dates. And you should get tablets that are packed in sealed, gel-packs for freshness.

Avoid SAM-e in powder form as you’ll likely be unsatisfied with the results.

Nootropics Expert Recommendation

SAM-e 400 mg per day

Nootropics Expert Tested and ApprovedI recommend using SAM-e as a nootropic supplement.

Your body does make some SAM-e on its own. But SAM-e levels decrease as we age. And you cannot get SAM-e from food.

SAM-e is critical for the methylation process needed for making important neurotransmitters including acetylcholine, dopamine, serotonin, norepinephrine and melatonin.

SAM-e is also involved in the cycle which produces the critical antioxidant glutathione.  And it’s involved in maintaining brain cell membrane integrity and fluidity.

SAM-e increases muscarinic receptors in your hippocampus which boosts the activity of acetylcholine and other critical neurotransmitters in your brain. Leading to improved learning, memory and mood.

SAM-e is especially helpful if you’re dealing with depression. Or having difficulty coping with any kind of stress.

We suggest a dose of 400 mg daily. It may take a while for SAM-e to build up in your system. So be patient. Once you’re achieving the affects you want from SAM-e, you can eventually try scaling back your dose to 100 or 200 mg.

SAM-e needs Vitamins B6 & B12 and folate to work. Or SAM-e may not provide the benefit you are looking for. Most integrative medicine doctors and naturopaths recommend stacking a high quality B-Complex when using SAM-e. So make sure you stack SAM-e with the B-Vitamins listed above, or a good Vitamin B Complex formula that uses methylfolate (NOT folic acid).

A high quality B-Complex containing these bioactive B-Vitamins like the Performance Lab® B-Complex  .

As an Amazon Associate I earn from qualifying purchases. This post may also contain other affiliate links and I will be compensated if you make a purchase after clicking on my links.

[i] Kagan B.L., Sultzer D.L., Rosenlicht N., Gerner R.H. “Oral S-adenosylmethionine in depression: a randomized, double-blind, placebo-controlled trial.” American Journal of Psychiatry. 1990 May;147(5):591-5. (source)

[ii] Muccioli G., Scordamaglia A., Bertacco S., Di Carlo R. “Effect of S-adenosyl-L-methionine on brain muscarinic receptors of aged rats.”European Journal of Pharmacology. 1992 Nov 2;227(3):293-9. (source)

[iii] Park L.K., Friso S., Choi S.W. “Nutritional influences on epigenetics and age-related disease.” Proceedings of the Nutrition Society. 2012 Feb;71(1):75-83. (source)

[iv] Ray J.G., Cole D.E., Boss S.C. “An Ontario-wide study of vitamin B12, serum folate, and red cell folate levels in relation to plasma homocysteine: is a preventable public health issue on the rise?” Clinical Biochemistry. 2000 Jul;33(5):337-43. (source)

[v] Saunderson E.A., Spiers H., Mifsud K.R., Gutierrez-Mecinas M., Trollope A.F., Shaikh A., Mill J., Reul J.M. “Stress-induced gene expression and behavior are controlled by DNA methylation and methyl donor availability in the dentate gyrus.” Proceedings of the National Academy of Sciences U S A. 2016 Apr 26;113(17):4830-5 (source)

[vi] Williams A.L., Girard C., Jui D., Sabina A., Katz D.L. “S-adenosylmethionine (SAMe) as treatment for depression: a systematic review.” Clinical and Investigative Medicine. 2005 Jun;28(3):132-9. (source)

[vii] Najm W.I., Reinsch S., Hoehler F., Tobis J.S., Harvey P.W. “S-adenosyl methionine (SAMe) versus celecoxib for the treatment of osteoarthritis symptoms: a double-blind cross-over trial.” BMC Musculoskeletal Disorders. 2004 Feb 26;5:6. (source)

[viii] Tavoni A., Vitali C., Bombardieri S., Pasero G. “Evaluation of S-adenosylmethionine in primary fibromyalgia.” A double-blind crossover study. American Journal of Medicine. 1987 Nov 20;83(5A):107-10. (source)

[ix] “Major Depression Among Adults” National Institute of Mental Health nimh.nih.org Retrieved July 25, 2016 (source)

[x] Rabin R.C. “A Glut of Antidepressants” The New York Times blogblogs.nytimes.com Retrieved July 25, 2016 (source)

[xi] Bottiglieri T., Laundy M., Crellin R., Toone B.K., Carney M.W., Reynolds E.H. “Homocysteine, folate, methylation, and monoamine metabolism in depression.” Journal of Neurology, Neurosurgery and Psychiatry. 2000 Aug;69(2):228-32. (source)

[xii] Shekim W.O., Antun F., Hanna G.L., McCracken J.T., Hess E.B. “S-adenosyl-L-methionine (SAM) in adults with ADHD, RS: preliminary results from an open trial.” Psychopharmacology Bulletin. 1990;26(2):249-53. (source)

[xiii] “S-Adenosyl-L-Methionine (SAMe) for Depression, Osteoarthritis, and Liver Disease” US Department for Health and Human Servicesarchive.ahrq.gov Retrieved July 25, 2016 (source)

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Join The Discussion - 390 comments

Samaiyah Henderson
September 7, 2021

Hello Dr. Tomen,

I have a question for you, I hope this comment finds you well. What would you recommended for a child suffering with liver problems? I know the recommended dosage for adults liver conditions is 800 mg twice a day, usually child dosages are half. So would you recommended 400 mg twice a day? Please advise. Also, if someone has the MTHFR gene, can they add methyl-folate to folic acid and it be sufficient?

    David Tomen
    September 7, 2021

    Samaiyah, I cannot offer dosage recommendations for children because my area of expertise is with adults. I suggest checking with your child’s doctor to confirm the best dosage. This is important because depending on the child’s age it could be 1/2 or even 1/3 of the adult dosage.

    And for someone with a MTHFR gene mutation it is best to avoid folic acid altogether because it cannot be converted into a form of this vitamin that can be used by the body. It ends up attaching to receptors unused and prevented methyl-folate from attaching. This goes or any age of human with a faulty MTHFR gene. Only methyl-folate and methylcobalamin should be used.

Amy
September 3, 2021

Hi. Great information. I’ve been taking Sam-e with success for depression almost 2 months. I began 400mg then switched to 200mg (with a b-complex). While I feel 85% better i’m hesitant to stop due to some recent stressors & life changes but also feel the 200mg too activating and actually causing elevated anxiety and sleep disturbance. I cannot find 100 mg anywhere. I was considering 200 mg every other day but can’t find any literature on this. Any thoughts?

Thank you! Amy

    David Tomen
    September 5, 2021

    Amy, are you using your SAM-e with a high quality B-Complex supplement? Because if you are not chances are you are increasing homocysteine which is not only dangerous but could be contributing to your symptoms.

    If you are using a B-Complex and cannot find a 100 mg SAM-e supplement then try using it every 2nd day and see if that helps.

Oscar
August 28, 2021

how many vitamin b should i take while taking 200mg of sam e a day for 12 days?

    David Tomen
    August 29, 2021

    Oscar, all you need is a high-quality, bioactive B-Complex like this one: https://amzn.to/3BhEixs

      Oscar
      August 29, 2021

      after i stop taking sam e there is no need to take vitamin b no more?

        David Tomen
        August 30, 2021

        Oscar, most are deficient in at least some of the B-Vitamins so I think everyone should be using a high quality B-Complex. Because the B-Vitamins are involved in nearly everything going on in your brain.

Gary Simone
August 23, 2021

Can I use sam-e and saffron together as I ween off valium 4mg

    David Tomen
    August 27, 2021

    Gary, you should be able to use them together.

Nancy
August 18, 2021

David,
I want to take SAM-E for occaisonal depression, fibromyalgia and joint pain. I started with a low does of 200mg first thing in the morning on an empty stomach. After 2 days, I had horrible insomnia and I had to stop. I had noticed that my joint pain had gotten better in 2 days, but of course when I stopped it came back. I really want to take this because I believe it can help, but I can’t sleep by the 2nd day. Do you have any idea on what can help with insomnia. I took over the counter sleep aids and nothing worked. Also, I am going to add the Vitamin b12,b6 and folate. I doubt this will help with insomnia. Any suggestions are greatly appreciated. I know I was able to take this 15 years ago without insomnia. Also, I think 200 mg is the lowest dose. I was thinking of taking it for 2 days and stop 1 day and then 2 days and try to build up.

    David Tomen
    August 18, 2021

    Nancy, SAM-e needs some of the B-Vitamins to work properly. The other thing is that as a methyl donor, SAM-e is involved in the production and recycling of hormones, cytokines, and the neurotransmitters acetylcholine, dopamine, norepinephrine, and serotonin.

    Your hormones 15 years ago are likely very different than your hormones now which may have something to do with it.

Malik G
August 10, 2021

How does this stack sound for alievating depression , anxiety brain fog , lack of motivation, and just the feeling that everything is pointless , I know I’ve had gut issues that I’m currently working on healing that have led to this , but would stack help me in the short term

1000 mg of NALT IN THE AM
200 mg of SAM-E In the AM
B complex AM 1 of 2 capsules

AFTERNOON
1000 MG of NALT
200 MG of SAM-E
B complex AM 2 of 2 capsules
5htp 100 MG

    David Tomen
    August 11, 2021

    Malik, your stack will only alleviate anxiety, depression, and brain fog if you are low in dopamine. Because that is what you are primarily working on by using NALT. And SAM-e is a methyl donor that contributes to the synthesis of dopamine.

    You need to activate AMPA receptors to boost motivation. See this article: https://nootropicsexpert.com/hacking-motivation-with-nootropics/

    If that stack does not provide the benefit you are looking for then I suggest testing each of the other neurotransmitters to see which one is dysfunctional. This article tells you how: https://nootropicsexpert.com/best-nootropics-for-anxiety/

      Malik Gilmore
      August 12, 2021

      Ok so after reading that article I assume this stack could also work then since it’s covering all basis

      AM
      Rhodiola rosea 120 MG

      Alpha GPC 600 MG

      B complex

      Sam-E 200
      MG

      NALT 500 MG

      Aniracetam 750 MG

      Does that cover all my basis in terms of neurotransmitters? Also I planned on another dose of these in the afternoon around 4 , the first round would be around 9 AM

        Malik Gilmore
        August 12, 2021

        I also forgot to add that I’ll be taking 5G of L glutamine a day as well

        David Tomen
        August 12, 2021

        Malik, I think you missed the message I was trying to convey in the Anxiety article. That article explains trying each precursor one-at-a-time to test each neurotransmitter. And see if you can isolate which one is giving you problems. You’ll find that in this section called “How to Find the Root Cause” in my anxiety article. That applies to depression as well if depression is caused by a neurotransmitter dysfunction.

        The intention is not to “cover all the bases”. It should be in my opinion to find which one is causing problems. And one you find it then find other nootropics that support that neurotransmitter.

      Malik
      August 12, 2021

      Also I forgot to mention more than anything at all, my biggest thing I want to rid myself of is the anxiety that I’m experiencing, as I’ve stated before I know it’s due to nutritional imbalances due to stomach issues I’ve been happening , I just wanted to make sure with that particular stack I was covering all my basis in regards to neurotransmitters, I have a very taxing job and my performance has been lackluster , and needed a stack that could pick me up in the meantime

Tas
July 12, 2021

Hi David,

Is it safe taking SAM-e with St John’s Wort?

Thanks
Tas

    David Tomen
    July 12, 2021

    Tas, it depends on the person and how you react. Because SAM-e will potentially potentiate the effects of St. John’s wort.

Patrick
July 9, 2021

Hi David, you might want to include the following systematic reviews of the antidepressant properties of SAM-e:

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011286.pub2/full

https://pubmed.ncbi.nlm.nih.gov/16021987/

These are from 2016 and 2020 respectively, so presumably they’re more reliable than the 2005 review you’ve linked as a source for the antidepressant claims here. The former also seems to suggest relatively little effect, although the latter seems more positive again.

Hope this is helpful, and thanks for all the effort you’ve put into this site!

    David Tomen
    July 9, 2021

    Patrick the second study you linked to was published in 2005 and favorable to concluding SAM-e could be used for depression.

    But I suggest you take a look at the author “Declarations of interest” in the first meta-analysis. I think it’s clear that once you learn who paid these guys why they would conclude “more study” was necessary before declaring SAM-e useful for depression.

      Patrick
      October 14, 2021

      Sorry, I must have accidentally pasted the wrong link, here’s the 2020 review:

      https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487540/

      While I agree that one should be skeptical of ties between researchers and pharmaceutical companies, as far as I can tell the 2016 analysis was publicly funded, and what potential conflicts of interests are listed mainly seem problematic for three of its authors: Lam, Yatham and Young. The former two are listed as having “commented on the protocol and on the final draft”, while Young “commented on the protocol and on the final draft, performed assessment of risk of bias, and was a third author to resolve any disputes on study inclusion, study quality and data extraction”.

      Considering the relatively minor roles apparently played by these potentially unreliable researchers, compared to the lack of potential conflicts of interests among the majority, including the leader and central contributors, it appears to me a bit hasty to dismiss the results as biased.

      The 2020 analysis is funded by a pharmaceutical company, so it might be tempting to similarly dismiss that too, although it does include several studies showing significant effect, and concludes that SAM-e treatment for MDD seems promising.

      However, in both these cases, these are reviews of existing literature, not original research. While there is still the possibility of tweaking the inclusion criteria to include or exclude certain studies, or interpreting results in ways amenable to certain views, a cursory scan by a layman at least gives the impression that their methodology is sound, and one can always check the studies they’re examining to judge whether or not they’re accurately represented.

      And on the topic of bias, should we dismiss your selection of scientific sources due to your ties with Performance Lab? You’re upfront about the fact that you have a financial interest in recommending substances included in their products, after all. I’m not saying I will, and trust you to at least try to stay neutral and follow the science, but I’m not convinced there’s a substantial difference between your site and the 2016 review you’re dismissing…

        David Tomen
        October 14, 2021

        Patrick, well said and a good analysis. I stand by my comment about conflicts of interest. But it may not be as important in this case because this is just a review of several SAM-e clinical studies. I like your attitude in the way you look at this information. While I’m a skeptic a heart the science speaks for itself.

        It’s best to educate ourselves and keep an open mind when it comes to biohacking. The bottom line of course is “does it work”.

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