Hi @
Lance S
First off, I will just repeat that I am a (somewhat) educated amateur. But it is pretty cool what we can learn given enough time, motivation, and health!
Here is an approximation of my supplement regimen.
5-htp100mg
Lithium (Orotate)35mg
5-MTHF6mg
Vitamin B-1 (actually Benfotiamine)50mg
Vitamin B-3 (Niacinamide)40mg
Vitamin B-12 (methylcobalamin)6mg
Vitamin B-12 (hydroxycobalamin)2mg
Vitamin B-12 (adenosylcobalamin)6mg
Vitamin C1500mg
Vitamin C0.6g
Vitamin D5000iu
Vitamin E (succinate)400iu
Vitamin K14000mcg
Vitamin K2-4mcg
Vitamin K2-7mcg
Animal Pancreas425mg
Animal Duodenum
Intrinsic Factor
Animal Kidney435mg
Animal Adrenal160mg
Lactoferrin350mg
Co-Q 1050mg
Grape Seed Extract100mg
Policosanol (membrane fluidity)10mg
NADH7.5mg
Pine Bark Extract (or Pycnogenol)100mg
Idebenone150mg
Selenium400mg
Manganese (arginate)0
magnesium (liposomal)1-6 (?)g
Molybdenum (amino acid chelate)1500mcg
Fish Oil1t
GAGs150mg
Sodium-Butyrate1.8g
Carnitine-Fumarate4275mg
Choline CDP500mg
GABA0.819672131147541g
Vitamin B-2 (Riboflavin-5-phosphate)0.05g
Vitamin B-5 (d-calcium pantothenate)0.5g
Vitamin B-6 (p-5-p)8 mg
Vitamin B-7 (Biotin)5000mcg
Inositol hexaphosphate (IP6)0.025g
Acetyl-L-Carnitine1 g
Betaine HCl (TMG)0.5g
DMG HCl1g
Zinc Picolinate0.275g
L-Glutamine1 g
Vitamin B-8 (Phosphatidyl Inositol aka Inositol)0.025g
Phosphatidylserine200mg
Choline (bitartrate)0mg
Phosphatidylcholine0T
Yucca Root Powder3 tablespoons
Digestive Enzymes7pills
Psillium Husks3T
ATP20mg
Acai2T
Animal Thymus1mg
Animal Spleen0
Animal Lymph0
Animal Placenta0
Animal Parotid0
Animal Bone Marrow0
Nucleotides300mg
Sunflower Lecithin40 g
BH425mg
Uridine Monophosphate10-50 ?mg
Licorice Rootin tea with meals
Glucosamine HCl1.5 pills
Milk Thistle Extract150+ mg
I know, it is a lot. B6 I get entirely from kombucha at this point, but that isn't a general recommendation, just what seems to work for me right now. I take my malic acid in a liposomal form, so the actual malic acid content is very low...maybe 10 mg? I am not sure. Liposomal stuff tends to be more potent, but this seems more than the increase in potency one might get with, say, vitamin c.
Although (regular) malic acid has been used for fibromyalgia, I think you are the first person on this thread to say that regular malic acid is working for your ammonia issues--and it seems like we are only guessing that it helped with ammonia, right?
I googled methylfolate and blood pressure, and found a post by Freddd suggesting that a few days after taking both methylfolate and methylcobalamin, the body's need for potassium increases somewhat dramatically, and that insufficient potassium can cause high blood pressure. Too much or too little potassium can kill you, so I would be careful with adding a bunch of potassium. I actually have very little experience with potassium dosing, but Freddd would know more.
Hmm. I cannot find a way that low BH4 would cause "fight or flight," but heartfixer has a good bit on sulfates and sulfites. Apparently sulfates (the
less toxic variety) can increase your adrenaline and cortisol. Perhaps your high protein diet is contributing to high sulfates, and the whole thing explodes when you take b6 as that is necessary for CBS to function?
EDIT: I realized this theory doesn't explain why the malic acid would help bring you down from the fight of flight. So to state the obvious, it would seem that either 1) You are right, and BH4 deficiency causes the fight or flight in some way we do not know; 2) I am right, and sulfates are pumping you full of adrenaline, and malic acid helps alleviate this somehow; 3) My theory might also pan out if the malic acid-adrenaline connection was just a coincidence. Sorry I couldn't be of more help. Pretty cool thing to chew on, although I am sure it doesn't feel so hot to go through. END EDIT
Here is
Heartfixer on sulfites and sulfates:
Have you considered taking a multi-b vitamin? I admit, I am not sure how they might all fit with your picture, but I imagine taking only some b vitamins could easily cause some kind of imbalance.
One final question: Do you have chronic fatigue or fibromyalgia? My whole reasoning about malic acid only holds for people experiencing mitochondrial dysfunction as seen in CFS/FM and maybe autism.
Best of luck, Lance!
Aaron C