We need to talk about the role of GABA in mental illness and neurological disorders. And then I am going to explain to you why ketones can help regulate this neurotransmitter. 🧵 (1/21)
GABA (gamma-aminobutyric acid) is the main inhibitory neurotransmitter in the brain, and it plays a critical role in regulating neuronal excitability and maintaining the balance between neuronal excitation and inhibition. (2/21)
GABAergic dysfunction has been implicated in a wide range of psychiatric and neurological disorders, including #anxiety disorders, #depression, #epilepsy, #schizophrenia, and #autism spectrum disorders. (3/21)
Changes in GABA signaling can alter the balance between excitatory and inhibitory neurotransmission in the brain, leading to various symptoms depending on the affected brain regions and circuits. (4/21)
Anxiety disorders and depression are often characterized by an imbalance between excitatory and inhibitory neurotransmission in brain regions such as the amygdala and prefrontal cortex. #brain (5/21)
Reduced #GABA signaling in these regions can lead to increased neuronal excitability and hyperarousal, which may contribute to anxiety and #mood disorders. (6/21)
Epilepsy is a neurological disorder characterized by recurrent seizures, and it is often associated with perturbations in GABA signaling. (7/21)
Reduced GABA signaling can lead to hyperexcitability and seizure activity, while increased GABA signaling can lead to sedation and anticonvulsant effects. (8/21)
Schizophrenia is a complex psychiatric disorder that is associated with abnormalities in multiple neurotransmitter systems, including GABA. (9/21)
Reduced GABA signaling in the prefrontal cortex and other brain regions has been implicated in the cognitive deficits and positive symptoms (such as hallucinations and delusions) of schizophrenia. (10/21)
Autism spectrum disorders are neurodevelopmental disorders that are characterized by impaired social communication and repetitive behaviors. (11/21)
GABAergic dysfunction has been implicated in the pathophysiology of autism, and alterations in GABA signaling have been observed in several brain regions in individuals with autism. (12/21)
What does all this have to do with a ketogenic diet? I am going to tell you. Because I want you to understand all the ways you can feel better. ⬇️ (13/21)
D-β-hydroxybutyrate (BHB; a ketone body) has been shown to enhance GABA signaling in the brain, which may have beneficial effects on cognitive function and neurological disorders. (14/21)
Acetoacetate (Another ketone body) has also been shown to modulate GABA signaling in the brain. We are still figuring out how, but the effect is absolutely there. (15/21)
One proposed mechanism for acetoacetate's effect on GABA signaling is that it may increase the availability of GABA by enhancing the activity of the GABA-synthesizing enzyme glutamic acid decarboxylase (GAD). (16/21)
GAD requires the cofactor pyridoxal 5'-phosphate (PLP) for its activity, and acetoacetate has been shown to increase the availability of PLP in the brain. This may result in increased GABA synthesis and release, leading to enhanced GABA signaling. (17/21)
For those that don't know, PLP is the active form of B6. Vitamin B6 is involved in the metabolism of amino acids, the synthesis of neurotransmitters such as serotonin and dopamine, and the regulation of gene expression. (18/21)
Another proposed mechanism is that acetoacetate may modulate GABA receptors, which are the proteins that mediate the effects of GABA on neuronal excitability. (19/21)
Acetoacetate has been shown to enhance the activity of GABA-A receptors in the brain. This helps maintain an important balance between brain activity and relaxation. (20/21)
So there you have it. Now you understand more about how a ketogenic diet helps balance the neurotransmitter GABA and the implications this has for the treatment of many neurological disorders and mental illnesses. Tell all your friends (and even some strangers). :) (21/21)
Why do we need seniors to have access to a ketogenic diet to help ward off dementia? Because telling them to eat more fish and blueberries is woefully insufficient! Think I am making this up? I am not. It's time for a thread on a recent study. 🧵 (1/19)
The objective of this study was to examine the relationship between consumption frequency of meat, fish, fruits, and vegetables and long-term risk of dementia and Alzheimer’s disease while taking into account the possibility of protopathic bias (i.e., reverse causation). (2/19)
The researchers analyzed data from the Three-city study, which followed 5,934 volunteers aged 65 and over for 12 years. (3/19)
You may not know who Dr. Carlo Longhiano is, but you will after this thread. I met him at the Metabolic Psychiatry Retreat put on by @janellison and @Metabolic_Mind this year! 🧵(1/8) #metabolicpsychiatry
@janellison@Metabolic_Mind Dr. Carlo Longhitano is the Associate Professor of Psychiatry at James Cook University (Australia) and a psychiatrist at North Queensland Forensic MH Services. (2/8)
@janellison@Metabolic_Mind He obtained his MD in 1999 (Italy) before completing his psychiatric residency in Oxford and London (United Kingdom). (3/8)
Dr. Eric Kossoff was an excellent addition to the Metabolic Psychiatry Retreat put on by @janellison and @metabolic_mind this year! Let me tell you why this was helpful in paving the way towards #metabolicpsychiatry 🧵(1/8)
@janellison@Metabolic_Mind Dr. Eric Kossoff is a Professor of Neurology and Pediatrics at Johns Hopkins University in Baltimore, Maryland. (2/8)
@janellison@Metabolic_Mind He is a pediatric epilepsy specialist and is currently the Medical Director of the Pediatric Ketogenic Diet Center at Johns Hopkins. (3/8)
I want you to know that the ketone body Acetoacetate is a powerful gene-signaling molecule. (1/14)
Acetoacetate has been shown to inhibit histone deacetylase (HDAC) activity in the brain, leading to increased histone acetylation and altered gene expression. (2/14)
Acetoacetate has been shown to inhibit HDAC activity, leading to increased histone acetylation and altered gene expression. This affects the expression of genes involved in synaptic plasticity and cognitive function in the brain. (3/14)
Did you know that Dr. Elena Gross was at this years' Metabolic Psychiatry Retreat hosted by @janellison and @metabolic_mind? I want you to know about some of the people bringing #metabolicpsychiatry to the masses through their work! So it's time to learn about Elena! 🧵(1/7)
@janellison@Metabolic_Mind Dr. Elena Gross has a BSc in Psychology (University of York), an MSc in Neuroscience (University of Oxford), and PhD in Clinical Research (University of Basel). She is the founder and CEO/CSO of KetoSwiss AG. (2/7)
@janellison@Metabolic_Mind Elena used to be a chronic migraine patient, and due to the lack of tolerable and efficacious treatment options, she pursued an MSc in Neuroscience (University of Oxford), where she discovered the key role of metabolism in migraine. (3/7)
Would you like to read about a case report in which a ketogenic diet resolved lifelong asthma symptoms? 🧵(1/22)
The case study is about a 32-year-old man from Saudi Arabia who is an English teacher, married with two children, and has a history of obesity and bronchial asthma since childhood. (2/22)
Shortness of breath, cough, and audible wheezing chest were usual symptoms during his asthma exacerbations. His asthma triggers were seasons transitions, exercise, animals like horses, and some fruit like melons. (3/22)