About Thiamine treatment for Alzheimer's Disease:
Research has shown that in Alzheimer's Disease, magnesium is generally deficient - no surprise since
most Americans consume less magnesium than recommended. However the magnesium deficit is particularly critical in Alzheimer's Disease because the thiamine dependent enzymes also require magnesium to function - meaning to utilize the thiamine, you must have magnesium.
Thiamine is required to prevent delirium and dementia, but magnesium is what allows thiamine to be used in the brain and body. Thus supplementation of both magnesium and thiamine may be required for improvement in Alzheimer's.
The most important laboratory study for Thiamine Deficiency is measurement of the activity of the enzyme transketolase.
Magnesium research has become quite extensive. Databases of human enzymes currently list
over 600 enzymes for which (Magnesium) Mg2+ serves as cofactor, and an additional 200 in which Mg2+ may act as activator (
32,
73)
Mg values are found to be significantly decreased in brain regions of diseased patients compared to the controls.
Magnes Res. 2000 Sep;13(3):189-96.
Disturbances of magnesium concentrations in various brain areas in Alzheimer'sdisease.
Andrási E1,
Igaz S,
Molnár Z,
Makó S.
Magnes Res. 2000 Sep;13(3):189-96.
PMID: 11008926
Gerontology 2007;53:419–422
(DOI:10.1159/000110873)
Serum Magnesium Level and Clinical Deterioration in Alzheimer’s Disease
Çilliler A.E. · Öztürk Ş. · Özbakır Ş. 1st Department of Neurology, Ankara Numune Education and Research Hospital, Ankara, Turkey
J Neurol Neurosurg Psychiatry. 1974 Aug;37(8):959-62.
Magnesium deficiency: a possible cause of thiamine refractoriness in Wernicke-Korsakoff encephalopathy.
Traviesa DC.
Abstract
The determination of blood transketolase before and serially after thiamine administration, and the response of clinical symptomatology after thiamine are reported in two normomagnesaemic patients and one hypomagnesaemic patient with acute Wernicke-Korsakoff encephalopathy.
The response of the depressed blood transketolase and the clinical symptoms was retarded in the hypomagnesaemic patient.
Correction of hypomagnesaemia was accompanied by the recovery of blood transketolase activity and total clearing of the ophthalmoplegia in this patient, suggesting that hypomagnesaemia may be a cause of the occasional thiamine refractoriness of these patients.
PMID: 4420329
PCID: PMC494812
[PubMed - indexed for MEDLINE] Free PMC Article
Physiological Reviews Published 1 January 2015 Vol. 95 no. 1, 1-46 DOI: 10.1152/physrev.00012.2014
http://physrev.physiology.org/content/95/1/1
IV. MAGNESIUM IN PHYSIOLOGY AND PATHOPHYSIOLOGY
The human body contains ∼24g Mg2+, of which 99% is stored in bone, muscle, and other soft tissues. Mg2+ is critical to the function of basically every organ in the human body. Moreover, Mg2+ deficiency is associated with a wide range of diseases, and as a result Mg2+ supplementation is considered as potential treatment in many of them (
Table 2).
Nutrients 2015,
7(9), 8199-8226; doi:
10.3390/nu7095388
Magnesium in Prevention and Therapy
Uwe Gröber 1,* ,
Joachim Schmidt 1 and
Klaus Kisters 1,2
1
Academy of Micronutrient Medicine, Essen 45130, Germany
2
Department of Internal Medicine I, St. Anna-Hospital, Herne 44649, Germany
Published: 23 September 2015
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7.6. Alzheimer’s Disease
Alzheimer’s disease (AD) is the most widespread reason for dementia. AD is characterized by profound synapse loss and impairments of learning and memory.
Recent studies have demonstrated that the brain, serum and ionized magnesium levels are decreased in AD patients; however, the exact role of magnesium in AD pathogenesis remains unclear. In mice a chronic reduction in dietary magnesium impairs memory [
131], and
the treatment of dementia patients with nutritional magnesium improves memory [132,133].
@picante In the U.S., as soon as a senior facility assumes responsibility for dispensing pills they require a doctor's prescription for guidance concerning the administration, thus the facility is relieved of the legal liability - and they are not eager to open themselves to lawsuit. Employees can be fired for inappropriate pill control.
In independent living the senior and/or his family controls and dispenses the pills.
@Jimbo39 You may find this post of interest.