Just a quick update. I have now worked my way up to 10mg mB12 and 600mcg folate as well as the usual B Rights and supporting supplements. I added in the carnitine fumarate a couple of weeks ago. After two months of detox and occasional herx I was feeling increasingly better - clear head, better sleep, more optimistic, almost euphoric yesterday.
Yesterday I added in one capsule of TMG (500mg) that I had at the back of the supplement cupboard, and today I have been flattened by a new intensity of detox. Today I feel nauseous, fluey, shaky, BIG metal taste. Unfortunately I already took another TMG capsule today - that was before I had made the connection. Hard to believe I can get such detox from one TMG capsule, but the proof is in the pudding. Guess I'll have to ride this one out...
Freddd - can you tell me what the difference is between SAME and TMG?
This process really is one step forward, two steps backwards.... but my improvements to date tell me that this is the way to go.
Nicola
Hi Nicola,
SAM-e is S-adenosylmethionine. It is an intermediate step between homocycteine and methionine. It is generated by taking mb12 in much small quantities than contained in a tablet. It is a methylator, sometimes called a "universal methylator" because of the large number of reactions in which it is involved. It is expensive. TMG is TriMethyGlycine. Choline is the same thing with one more methyl group. It is in molassis and is a natural product of the sugar beet. It is very inexpensive.
The newest and most effective natural methylation enhancing compound is TMG. Commonly known as betaine**, glycine betaine, or oxyneurine, TMG is found in most microorganisms and almost all marine and fresh water invertebrates. The best known natural sources of TMG are plants from the chenopodiaceae family, namely, the sugar beet. TMG is often referred to as a quasi-vitamin because although humans and other animals can synthesize it from choline, it can't be synthesized in adequate quantities and generally needs to be included in the diet. TMG is a natural methyl donor, and is one of the phytochemicals recently extruded from plants. Metabolically, TMG is broken down into dimethylglycine (DMG) during the synthesis of the amino acid methionine from homocysteine,the main pathway for the degradation of TMG. A diet high in broccoli, spinach or beets can provide as much as a fifth or even a quarter teaspoon of TMG, just over 500 mg. In the process of extracting pure TMG from sugar beets (a process which does not use any solvents or alcohol called chromatographic separation--the best method), separates betaine based on its physical and chemical properties. There is a residue from extraction from other parts of beets. This residual is less than 1% of the resulting TMG, leaving a 99% pure product in its best and most effective form. In its natural form, TMG is a white crystal with a distinctive mildly sweet taste and aftertaste. TMG may be dissolved into juice, water or tea. http://www.arrowheadhealthworks.com/TMG.htm
Trimethylglycine TMG (also known as betaine), and Dimethylglycine DMG, are methyl donors that help in the production of several brain chemicals and hence improve mood, energy, wellbeing, alertness, concentration, and visual clarity.
Unless your major is college was chemistry, chances are you don’t remember learning about methyl donors. But if you find the field of mind boosting interesting, you will certainly want to learn more about these supplements. A methyl donor is simply any substance that can transfer a methyl group [a carbon atom attached to three hydrogen atoms (CH3)] to another substance. Many important biochemical processes rely on methylation, including the metabolism of lipids and DNA. Scientists suspect that adequate methylation of DNA can prevent the expression of harmful genes, such as cancer genes. It’s quite likely that our body’s ability to methylate declines with age, potentially contributing to the aging process, and therefore supplementation is an interesting idea in terms of health benefits.
The Chemistry of DMG and Trimethylglycine
DMG (dimethylglycine) is basically the amino acid glycine attached to two methyl groups while TMG has three methyl groups.In brief, choline (tetramethylglycine) has four methyl groups, and when it donates a methyl group it becomes Trimethylglycine and when Trimethylglycine donates a methyl group it becomes DMG. DMG, in turn, has two methyl groups left to methylate other substances in the body. Commonly these methyl groups are added to homocysteine, converting it into the amino acid methionine which is then converted to SAMe. SAMe is a nutrient available over the counter, which has been used as a powerful antidepressant. DMG plays a crucial role in the respiratory cycle of the cells, transporting oxygen and serving as a potent methyl donor. DMG acts as a building block for the synthesis of many important substances such as choline, SAM-e, the amino acid methionine, several hormones, neurotransmitters, and DNA. The formation of the neurotransmitters norepinephrine and dopamine requires a methyl group donated by SAMe. Dopamine enhances sex drive. TMG (trimethylglycine), also known as betaine, is basically the amino acid glycine attached to three methyl groups. Simply, Trimethylglycine has one more methyl group than DMG.
Trimethylglycine Recommendations
Trimethylglycine and DMG are underutilized nutrients that hold a great deal of promise but unfortunately, few doctors are familiar with these nutrients. At this time the clinical uses of Trimethylglycine and DMG are not well defined and whether they would be helpful in the therapy of Alzheimer and Parkinson’s disease is not known. Since the body’s ability to methylate declines with age, supplements of Trimethylglycine or DMG in small amounts, such as 50 to 100 mg a day, may benefit middle aged and older individuals. I recommend not exceeding 250 mg of Trimethylglycine or DMG on a daily basis until more is known about these supplements. Your dose of Trimethylglycine and DMG should be reduced if you are taking B vitamins, SAMe, DMAE, or choline since all of these nutrients have overlapping functions.
Trimethylglycine Research
Trimethylglycine (Betaine) supplementation decreases plasma homocysteine concentrations but does not affect body weight, body composition, or resting energy expenditure in human subjects.
Am J Clin Nutr. 2002 Nov;76(5):961-7.
Betaine ( trimethylglycine ) is found in several tissues in humans. It is involved in homocysteine metabolism as an alternative methyl donor and is used in the treatment of homocystinuria in humans. In pigs, trimethylglycine decreases the amount of adipose tissue. The aim of the study was to examine the effect of trimethylglycine supplementation on body weight, body composition, plasma homocysteine concentrations, blood pressure, and serum total and lipoprotein lipids. DESIGN: Forty-two obese, white subjects (14 men, 28 women) treated with a hypoenergetic diet were randomly assigned to a trimethylglycine-supplemented group (6 g/d) or a control group given placebo for 12 wk. The intervention period was preceded by a 4-wk run-in period with a euenergetic diet. RESULTS: Body weight, resting energy expenditure, and fat mass decreased significantly in both groups with no significant difference between the groups. Plasma homocysteine concentrations decreased in the trimethylglycine group. Diastolic blood pressure decreased without a significant difference between the groups. Serum total and LDL-cholesterol concentrations were higher in the trimethylglycine group than in the control group. CONCLUSION: A hypoenergetic diet with trimethylglycine supplementation (6 g daily for 12 wk) decreased the plasma homocysteine concentration but did not affect body composition more than a hypoenergetic diet without trimethylglycine supplementation did.
http://www.raysahelian.com/trimethylglycine.html
Sam-e is definitely a critical cofactor not replaced by anything else for some people. It can be critical in getting the systems funtioning again and can trigger large rounds of healing
I've been back and forth on the issue of whether TMG is one of the critical cofactors as opposed to a simple cofactor. It seems to be "critical" for some people. For some, it is the breakthrough supplement that gets things going and breaks through logjams allowing healing to happen that haden't happened before. In the people for who it is a critical cofactor there are often large startup reactions.
I choose to continue the word "startup" because it denotes the timing so well. Also, the startup symptoms appear to be self-limiting. I have noticed that those who choose to user the word "startup" tend to have shorter less severe reaction periods than those who apply "detox" to the symptoms. Startup symptoms may indeed include "detox" symptoms and as the toxins flush from the body or are chemically changed the problem leaves. Those who do a start and stop approach appear to have long drawn out problems repeating the same unplesant steps over and over agian and not getting past them for long durations. There is a lot of fear wrapped up in the assumptions of "detox". Fear and anxiety make any of these startup reactions worse.
In my experience with a lot of people those who continue to press on ahead, regardless of pace, get through it. Titration can work in that. But stopping and starting appears to be a strategy that doesn't work because one becomes stuck in the very worst steps.
In mystical voyaging there are "places" where there is a strong urge to vomit. Those who continue through undistracted don't vomit. Those who bail and stop right there where the effects are worst, vomit. I had one man vomit perhaps 50 times, each time he tried to make it through and each time stopping because he had the inherent fear of "if I continue it will keep getting worse and worse" instead of realizing that it was already as bad as it gets and the next steps get better. It can be like that at each spritual "initiation" threshold. If fear takes hold the person gets stuck at the worst possible places, and it can happen over and over. It also can happen with these nutritional supplements in a similar way. They have a peak effect and more doesn't make it worse after the peak effect is reached. What "more" does is do it faster and reach the turnaround faster. I experienced that over and over and have observed it over and over.
Unfortunately I already took another TMG capsule today - that was before I had made the connection. Hard to believe I can get such detox from one TMG capsule, but the proof is in the pudding. Guess I'll have to ride this one out...
I would say fortunately instead of unfortunately. First, it may just be coincidental. Second consider this. Many things have the most effect in the first small increment and each additional increment adds less effect. So the first 125mg can have a huge effect, 250mg a small increment, 500mg only slightly more and 1000mg makes no noticable difference over 500mg. Additionally, most of these effects are short lived, happening only until the "empty" spot is filled up. With TMG the time to empty is less than a week in many people so the same intial step with the same unpleasantness can be repeated over and over because one never gets past that intial filling up step, the functions that TMG plays never get full started and stable.
So perhaps the thing to do is to back off to 250mg until stable, and that might be within a few days after 2 days of 500mg, and then up it to 500mg after that which might have very little additional effect. However, if you are getting the flu for instance, you will have that experience whatever you do with TMG.
Consider carefully your assumptions and your actions. I have found over and over that some of these things that work the best are counter-intuitive.
This process really is one step forward, two steps backwards.... but my improvements to date tell me that this is the way to go.
It certainly can be. However, I don't consider startup reactions to be steps backwards. If you have, as an arbitray number, 1000 units of "detox" to do, and 10 units (again arbitrary number) are sufficient to be miserable, then it could take 100 such instances to get through if done minimally. If 100 units is no more miserable then it would take 10 instances to get through. I found over and over that more of the supplement in question brought the unpleasantness to completion faster and when it ended it was always very quick. I went through all sorts of things for 9 months, and when the fog cleared I was able to discontinue most of the medications being used to control symptoms no longer present. I was able to discontinue 100% dilantin (tapered) (many are on neurontin instead now), compazine suppositories 100%, albuterol 100%, 90% of valium(tapered), 90% of lorazapam (tapered), 100% of ibuprofen 2400mg/day, 100% of another asthma med I can't remember the name of, 100% of provigil, 100% of antihistamines, and 40% of morphine.
Only small amounts of brainfog and fatigue remained to be dealt with as I added some addtional cofactors over the next several years. At 9 months I no longer could be diagnosed with CFS or FMS as most of the symptoms were gone or dramatically reduced. I was able to sensibly and progressively exercise and it wasn't nearly so easy to overdo.
After that point, the only steps backwards are when I have discontinued something that worked or took glutathione precursors. That brought back direct b12 and folate deficiency symptoms and not the CFS/FMS ones though they may have eventiually returned if I continued for a year or something.
Good luck. Consider carefully what you are doing and try to keep taking forward steps, even if small.
One thing I would like to say that one of thje quotes mentions. As one includes SAM-e, choline, methylfolate and methylb12 and changes quantities, the amount of the other factors might need to be rebalanced/. For instance, at first I needed 400mg of SAM-e, b ut after starting TMG and methylfolate, I only needed 200mg of SAM-e. More didn't make a difference. Same with TMG. I went up to 1000mg originally as that made a difference but after methylfolate, only 500mg made a difference.