9 of my favourite cheap, studied and easily accessible supplements when it comes to better mental health.
Thread🧵
It’s George.
No matter who you are, at some point, you will probably struggle with a "light" mental health issue, whether that's called minor depression, anxiety and so on.
This is totally normal since, in this day and age, we face the following conditions that create the perfect storm for them:
-Everyone grew up in a less-than-ideal environment.
No matter how loving or well-intentioned someone’s parents or caregivers were, the upbringing everyone receives is almost always imbalanced in one way or another.
This is totally normal and this imbalance tends to create both vulnerabilities and strengths.
It’s just that you’ll always be aware of your weaknesses, but you’ll have to discover your strengths.
As a side note, a very foolish attempt to engineer a “perfect” childhood will simply produce a fragile individual rather than a resilient human being with normal flaws.
Paradoxically, some degree of overcorrection is itself a natural part of psychological development.
-Most of the structure of modern life is profoundly unnatural both for our biology but for our minds as well.
From the fact that you can no longer operate at a basic human level and have to master 90 different things just to survive, to overstimulation, constant noise 24/7, high caloric malnutrition, isolation, chronic stress, material overconsumption and the fact that you have to sit in a chair for hours on end, all these create an environment our nervous systems were never designed to handle.
-Your genes no longer match your environment.
Your genes, shaped over thousands of generations in very different environments, no longer perfectly match the modern world we live in.
Variants in genes such as COMT, MTHFR, and MAO have received a lot of attention in recent years for their links to mood, focus, and stress resilience.
It’s important to remember that these variants are not simply “defects.”
Many of them likely played useful roles in ancestral environments.
For example, certain low-activity variants in the MAOA gene are associated with higher impulsivity, irritability, or difficulty concentrating in today’s settings.
In the context of hunter-gatherer or high-threat environments, however, the same traits may have conferred advantages, such as quicker reactions, higher drive, or greater willingness to take risks in hunting, competition, or defense.
Similar trade-offs exist with other genes.
The COMT Val158Met variant influences dopamine levels in the prefrontal cortex, with different alleles potentially favoring either stress resilience (“warrior” strategy) or cognitive performance in stable conditions (“worrier” strategy).
MTHFR variants affect folate metabolism and may have offered advantages related to fetal viability or cancer protection in certain historical dietary contexts, even while increasing risks in others.
In short, what feels like a liability today was often an asset yesterday.
-We are trying to pathologize as many things as we can for profit.
In some contexts for example, not experiencing problems such as anxiety and depression can be problematic.
These feelings and situations by themselves should not be pathologized out of a certain context.
Let’s say that my mom has to undergo a routine surgery in a month.
Not feeling the tiny bit of anxiety or worry is as pathological as feeling anxiety to the point of me not being able to eat, sleep or focus on work.
And this is of course without even mentioning issues suchas that technological innovation has reached the point of quite literally driving some people mad and inducing psychosis.
Now thankfully, some supplements can help us with all these.
Of course, supplements are not magic cures or standalone therapies.
Think of them as helpful adjuncts, tools that can support your nervous system and make it easier to engage in the real work, such as exposure therapy in case you have social anxiety for example or consistent behavioral changes for other conditions.
The goal is to improve the conditions under which you do the deeper therapeutic work.
That’s all.
For specific supplement recommendations tailored to ADHD, OCD, depression, anxiety, and other issues, see the dedicated articles/threads/programs (not everything that demands labour is free and it shouldn't) etc.
Here’s the list:
Number 1: PLP (Pyridoxal 5’-Phosphate)
PLP is the biologically active coenzyme form of vitamin B6.
It serves as an essential cofactor for over 140 enzymatic reactions, many of which are critical for brain function and mental health.
A few examples include:
GABA synthesis: PLP is a required cofactor for the enzyme glutamic acid decarboxylase (GAD65 and GAD67), which converts the excitatory neurotransmitter glutamate into the inhibitory neurotransmitter GABA.
So PLP supports greater inhibitory signaling in the brain, helping to reduce neuronal hyperexcitability, racing thoughts, amygdala over-reactivity, and the persistent “on edge” feeling common in anxiety disorders.
Serotonin and melatonin synthesis: PLP is a cofactor for aromatic L-amino acid decarboxylase (AADC), which converts 5-HTP into serotonin. Serotonin is then converted into melatonin, the hormone that regulates sleep-wake cycles.
Dopamine synthesis: PLP is also required by AADC for the conversion of L-DOPA into dopamine.
Histamine metabolism: PLP acts as a cofactor for histidine decarboxylase (which synthesizes histamine) and indirectly supports histamine breakdown pathways. More importantly, adequate B6 status helps maintain proper diamine oxidase (DAO) activity, the main enzyme that degrades dietary and endogenous histamine. Low PLP can contribute to histamine intolerance, which in turn can drive anxiety, palpitations, restlessness, and brain fog through excessive histamine stimulation of the nervous system.
Helps regulate the kynurenine pathway, reducing production of quinolinic acid (an excitotoxic NMDA receptor agonist).
Supports homocysteine metabolism (lowering levels of homocysteine, which can be neurotoxic and pro-inflammatory).
Acts as an antioxidant and supports overall neurotransmitter balance (including norepinephrine and epinephrine).
Clinical evidence (as always, all studies are presented at the end):
A well-designed 2022 randomized controlled trial found that high-dose vitamin B6 supplementation (100 mg daily, primarily as PLP) significantly reduced self-reported anxiety in young adults compared to placebo, with a modest effect size. It also showed a trend toward reduced depression symptoms.
Animal and mechanistic studies confirm that elevating PLP levels can increase brain GABA concentrations (up to ~20% in some models) and improve behavioral markers of anxiety and cognition.
PLP deficiency is known to exacerbate neurological symptoms, including anxiety-like states, while supplementation can restore inhibitory tone in the central nervous system.
Dosing: Start with 10mg in the morning and you can work up to 40mg into 2 split doses (one in the morning and one in the evening) (increase by 10mg every 5 days).
If you do not notice the benefits within 1 month, discontinue the use.
Number 2: Myo-Inositol
Myo-inositol is a naturally occurring sugar alcohol (a carbocyclic polyol) and a key component of cell membranes.
It serves as a precursor for inositol phosphates (particularly phosphatidylinositol 4,5-bisphosphate or PIP2), which play a central role in intracellular signal transduction.
Key mechanisms of action when it comes to mental health include:
Reduces neuronal hyperexcitability
Myo-inositol helps regulate the phosphoinositide (PI) signaling pathway. Overactive PI signaling is linked to excessive intracellular calcium release and heightened neuronal excitability. By modulating this pathway, myo-inositol can dampen overactive signaling in fear and worry circuits, particularly in the prefrontal cortex, anterior cingulate cortex (ACC), and amygdala.
Enhances inhibitory signaling
It promotes better balance between excitatory (glutamate) and inhibitory (GABA) neurotransmission. Some research suggests it indirectly supports GABAergic tone and helps normalize the excitatory-inhibitory (E/I) ratio that is often disrupted in anxiety disorders.
Modulates serotonin and dopamine receptors
Myo-inositol influences the sensitivity and function of serotonin (5-HT) receptors (especially 5-HT2A and 5-HT1A) and dopamine receptors. This helps regulate mood, emotional processing, and the brain’s response to uncertainty and threat.
Reduces obsessive and panic-like symptoms
It has been shown to decrease excessive activity in the cortico-striato-thalamo-cortical (CSTC) loop and orbitofrontal cortex (the same circuits implicated in OCD and panic disorder).
Clinical evidence:
Multiple clinical trials have demonstrated that myo-inositol supplementation is effective for panic disorder, with reductions in frequency and severity of panic attacks comparable to some medications.
It has also shown benefits in generalized anxiety disorder (GAD), obsessive-compulsive symptoms, and depression with anxious features.
A notable study in patients with panic disorder found that 18 grams per day of myo-inositol reduced the number of panic attacks by over 50% in 4 weeks.
Smaller studies suggest benefits for trichotillomania, binge eating, and premenstrual dysphoric disorder (PMDD).
Dosing: Start with just 500mg and work up to 2grams.
If there is not gut discomfort you can then go to 4-6 grams (with meals/split into 2 doses) or try sublingual.
Discontinute the use if you do not notice any benefits within 4-6 weeks.
*Treat with caution if you have any conditions that makes you prone to hypomania.
Number 3: Magnesium Acetyl-L-Taurate (or other well-absorbed forms like glycinate/threonate).
Magnesium Acetyl-L-Taurate is a chelated form of magnesium bound to the amino acid L-taurine.
This specific form was developed to improve magnesium delivery across the blood-brain barrier, making it one of the most effective magnesium compounds for neurological and mental health support.
It works through several complementary pathways that make it particularly effective for anxiety:
1. GABA-A receptor modulation
Magnesium acts as a positive allosteric modulator of GABA-A receptors.
It binds to a specific site on the receptor and increases the receptor’s sensitivity to GABA, the brain’s primary inhibitory neurotransmitter.
This results in:
Stronger inhibitory signaling across the central nervous system
Reduced neuronal hyperexcitability
A calming effect that promotes relaxation without sedation or cognitive dulling
2. NMDA receptor antagonism
Magnesium is a natural voltage-dependent blocker of NMDA receptors (a subtype of glutamate receptors).
When magnesium levels are sufficient inside the neuron, it sits in the NMDA channel and prevents excessive calcium influx triggered by glutamate. This action:
Reduces glutamate-driven excitotoxicity
Calms overactive fear circuits, particularly in the amygdala and anterior cingulate cortex (ACC)
Decreases “racing thoughts,” hypervigilance, and the kind of mental overstimulation common in anxiety disorders
Helps break the vicious cycle where anxiety increases glutamate release, which then fuels more anxiety
3. The acetyl-L-taurate form was specifically designed to cross the blood-brain barrier more efficiently than common magnesium forms (oxide, citrate, or even glycinate).
Once in the brain, the taurine component provides additional benefits:
Mild GABA-A agonist activity: taurine itself binds to and activates GABA-A receptors, enhancing the overall calming effect.
Antioxidant and anti-inflammatory effects: protects brain cells from oxidative stress and neuroinflammation, both of which worsen anxiety.
Mitochondrial support: improves cellular energy production in high-demand brain regions (amygdala, prefrontal cortex, and hippocampus), helping the brain better regulate stress and emotion.
4. HPA axis and cortisol regulation
Magnesium plays a critical role in modulating the hypothalamic-pituitary-adrenal (HPA) axis.
It helps:
Reduce excessive cortisol release during chronic or acute stress
Prevent cortisol from impairing prefrontal cortex function (the brain’s “braking system”)
Support healthier stress recovery
Lower cortisol levels translate into reduced background anxiety, better sleep, and improved emotional resilience.
5. Neuroplasticity and BDNF Support
Adequate brain magnesium levels are essential for synaptic plasticity (the brain’s ability to form and strengthen connections).
Magnesium Acetyl-L-Taurate:
Increases expression of BDNF (brain-derived neurotrophic factor)
Supports long-term potentiation (LTP), the cellular basis of learning and memory
Helps the brain adapt and recover from the “wear and tear” of prolonged anxiety and stress
This is one reason consistent magnesium supplementation often leads to gradual, sustained improvements rather than just short-term symptom relief.
Dosing: Start with 300-400mg and work up to 1 gram into 2 split doses (A.M/P.M) with meals.
Number 4: L-Theanine
This is an amino acid naturally found in green tea and some mushrooms.
Here’s how it can help you:
1. Increases GABA levels and enhances GABAergic signaling
L-Theanine directly promotes the synthesis and release of GABA in the brain.
It also acts as a positive allosteric modulator of GABA-A receptors, increasing their sensitivity to GABA.
This dual action (more GABA + better receptor response) helps quiet overactive neural circuits, particularly in the amygdala and the salience network (ACC + insula).
The result is a reduction in excessive fear signaling, worry, and the constant “on edge” feeling characteristic of anxiety disorders.
By strengthening inhibitory tone, L-Theanine helps restore balance in the excitatory-inhibitory (E/I) ratio that is often disrupted in anxiety.
2. Modulates Glutamate Activity
Due to its structural similarity to glutamate, L-Theanine competitively binds to several glutamate receptors, including NMDA and AMPA receptors.
This gentle antagonism reduces excessive excitatory signaling without completely blocking glutamate transmission (which would impair cognition).
By lowering glutamate-driven hyperexcitability, L-Theanine helps prevent:
Racing thoughts and mental restlessness
Glutamate-mediated excitotoxicity
Overactivation of fear circuits in the amygdala and extended amygdala (BNST)
3. Boosts alpha brain waves
Multiple EEG studies consistently demonstrate that L-Theanine significantly increases alpha brain wave activity (8–12 Hz) within 30–40 minutes of ingestion.
Alpha waves are associated with a relaxed yet alert mental state, the same pattern observed during meditation, creative flow, or light mindfulness practice.
This shift in brainwave activity correlates with subjective feelings of calm focus and reduced mental chatter, making L-Theanine particularly useful for “wired but tired” anxiety or performance-related stress.
4. It gently elevates levels of dopamine and serotonin in the prefrontal cortex and striatum.
Unlike stimulants that cause sharp spikes and crashes, L-Theanine provides a smooth, moderate increase that supports:
Better mood regulation
Improved motivation and reward processing
Enhanced emotional resilience without overstimulation or jitteriness
5. Blunts the release of cortisol and norepinephrine during acute stress.
It lowers sympathetic nervous system activation, leading to measurable reductions in:
Heart rate and blood pressure
Muscle tension
Physiological arousal (sweating, trembling, etc.)
Dosing: 200-400mg timed 1-2 hours before a stressful event/your most stressful part of the day taken for 2-3 weeks and discontinue in case you don’t notice any benefits.
Number 5: NAC
NAC is a stable, bioavailable form of the amino acid cysteine.
Its main mechanisms of action when it comes to how it can assist our mental health include:
Glutamate regulation
NAC promotes the cystine-glutamate antiporter (also called System xc⁻) on glial cells.This exchanger imports cystine into the cell while exporting glutamate into the extracellular space.
This process normalizes excessive synaptic glutamate levels, particularly in the prefrontal cortex (PFC) and nucleus accumbens.
By reducing glutamate overflow, NAC decreases neuronal hyperexcitability, racing thoughts, obsessive worry, and the “stuck” feeling common in anxiety and OCD.
It helps restore balance to the excitatory-inhibitory (E/I) ratio without directly blocking glutamate receptors (unlike some medications).
Boosts glutathione production
NAC is a rate-limiting precursor for the synthesis of glutathione, the body’s most powerful intracellular antioxidant.
It combats oxidative stress and neuroinflammation, both of which amplify anxiety circuits (especially in the amygdala and ACC).
Higher glutathione levels protect neurons from damage and support mitochondrial function.
Anti-inflammatory and neuroprotective effects
NAC reduces pro-inflammatory cytokines (IL-6, TNF-α) and inhibits microglial activation.
It also increases BDNF (brain-derived neurotrophic factor) expression, supporting neuroplasticity and resilience in stress-sensitive brain regions.
Dopamine Modulation
By regulating glutamate in the reward pathways (nucleus accumbens), NAC helps stabilize dopamine signaling, which can reduce impulsivity, craving, and compulsive behaviors.
Dosing: For general brain support 300mg every other day.
For OCD, bipolar disorders and ADHD the doses studied are 3 grams per day but this is usually too much and will result in gut discomfort + fast depletion of copper.
So opt for 300mg twice per day.
Don’t use it for more than 8 weeks at a time (take 4-12 weeks off).
Number 6: Lithium orotate.
Lithium orotate is a form of lithium bound to orotic acid so it is not the same as prescription lithium carbonate.
Its key mechanisms of action include:
Inhibiting GSK-3β (Glycogen Synthase Kinase-3β)
This is lithium’s most well-studied molecular target.
GSK-3β is a multifunctional enzyme involved in inflammation, apoptosis (cell death), and mood regulation. Inhibiting GSK-3β promotes cell survival, enhances neuroplasticity, and helps stabilize mood circuits.
This mechanism is shared with prescription lithium and is thought to underlie many of its neuroprotective effects.
Low-dose lithium upregulates BDNF expression, which supports neuron survival, synaptic plasticity, and neurogenesis (especially in the hippocampus). Higher BDNF levels are associated with better resilience to stress and improved emotional regulation.
Stabilizes dopamine signaling
Lithium helps normalize dopamine transmission in the prefrontal cortex and striatum.
This can reduce emotional reactivity, irritability, and the “all-or-nothing” thinking often seen in mood instability or anxiety with bipolar traits.
Reduces neuroinflammation
Lithium has anti-inflammatory effects, including downregulation of pro-inflammatory cytokines and inhibition of microglial overactivation.
This helps calm overactive fear circuits (amygdala and extended amygdala) that are frequently inflamed in chronic anxiety and mood disorders.
Enhances neuroprotection and mitochondrial function
It protects neurons from oxidative stress, improves mitochondrial energy production, and may help restore healthy calcium signaling.
These effects support overall brain resilience under chronic stress.
Dosing: start with 2.5mg and you can work up to 10.
But lithium can lower transit time quite a lot in some people so if you’re dealing with constipation, you might even want to start with 1mg.
Also if your TSH is high or if you have issues with your thyroid, it might also not be ideal in doses higher than 2.5mg.
Number 7: Saffron.
Saffron is derived from the stigmas of the Crocus sativus flower and its main bioactive compounds are crocin, safranal, and crocetin.
Its key mechanisms of action include:
Restores DARPP-32 signaling.
DARPP-32 is a key regulatory protein highly expressed in medium spiny neurons of the striatum (including the nucleus accumbens) and also present in the prefrontal cortex (mPFC) and other limbic areas.
It integrates signals from multiple neurotransmitter systems (primarily dopamine, serotonin, and glutamate) to fine-tune neuronal excitability, synaptic plasticity, and behavioral responses to rewards, stress, and motivation.
When phosphorylated at Thr34 (by Protein Kinase A / PKA, often downstream of dopamine D1 or serotonin receptors), DARPP-32 becomes a potent inhibitor of Protein Phosphatase-1 (PP-1).
This amplifies signaling cascades, enhancing the effects of dopamine and serotonin.
When phosphorylated at Thr75 (by Cdk5), it inhibits PKA, acting as a brake on the pathway.
In depression and chronic stress models(*), the normal dynamic phosphorylation response of DARPP-32 to rewarding stimuli is often blunted, contributing to anhedonia (reduced ability to feel pleasure), motivational deficits, and persistent negative emotional states.
(*)Chronic stress disrupts the normal increase in phospho-Thr34 DARPP-32 in response to a natural reward (e.g., sucrose consumption) in the nucleus accumbens (NAc) and medial prefrontal cortex (mPFC).
Repeated administration of saffron extract reinstated this phosphorylation response.
Crocin and safranal inhibit reuptake of serotonin, dopamine, and norepinephrine (similar to some antidepressants) and may act as mild monoamine oxidase (MAO) inhibitors.
Stronger monoamine signaling activates PKA, which phosphorylates DARPP-32 at Thr34.
Saffron also influences the cAMP/PKA pathway and may indirectly affect DARPP-32 via improved BDNF-TrkB signaling (which supports neuroplasticity and resilience).
In other words, saffron helps restore the brain’s ability to properly activate DARPP-32 signaling when a positive stimulus occurs.
Reduces neuroinflammation
Crocin and safranal potently suppress pro-inflammatory cytokines (TNF-α, IL-6, IL-1β) and inhibit microglial activation in the brain. Lower neuroinflammation helps calm overactive amygdala and salience network activity, reducing the “threat bias” common in anxiety disorders.
Antioxidant and neuroprotective effects
Saffron increases levels of BDNF (brain-derived neurotrophic factor) and protects neurons from oxidative stress and glutamate excitotoxicity. It also supports mitochondrial function, which is often impaired in chronic stress and anxiety states.
HPA axis modulation
It helps normalize cortisol responses and reduces stress-induced hyperactivity of the HPA axis.
Dosing: You can do 15mg 2-3 times a day (2–3% crocin and 0.5–1% safranal).
If you don’t experience any benefits with 4 weeks, discontinue.
Number 8: Magnolia bark
Magnolia bark has been used for centuries in Traditional Chinese Medicine for calming the mind, reducing tension, and improving sleep.
Here’s why:
Positive Allosteric Modulators of GABA-A Receptors
Both honokiol and magnolol act as positive allosteric modulators of GABA-A receptors (similar to benzodiazepines, but with important differences).
They enhance the binding of GABA to its receptor without directly activating the receptor site.
This results in increased inhibitory signaling, producing anxiolytic (anti-anxiety), sedative, and muscle-relaxant effects that are generally gentler and less likely to cause heavy sedation, tolerance, or dependence compared to pharmaceutical benzodiazepines.
Anti-inflammatory and neuroprotective effects
Honokiol and magnolol potently inhibit pro-inflammatory pathways, including NF-κB and COX-2.
They reduce neuroinflammation and oxidative stress, which can otherwise amplify amygdala reactivity and salience network hyperactivity.
Cortisol and HPA axis modulation
Magnolia bark has been shown to lower elevated cortisol levels and blunt the stress-induced activation of the HPA axis. This helps break the chronic stress-anxiety feedback loop.
Additional Benefits from magnolol and honokiol:
Mild modulation of serotonin and dopamine systems
Antioxidant properties that protect neurons
Improvement in sleep quality without significant next-day grogginess
Dosing: 200–400 mg of standardized magnolia bark extract (containing 1–2% honokiol/magnolol) per day, split into 2 doses.
Number 9: Creapure.
Creatine is a naturally occurring compound synthesized in the body from the amino acids arginine, glycine, and methionine.
While it is best known for its role in muscle energy metabolism, the brain also uses large amounts of creatine to maintain cellular energy balance.
Key mechanisms of action for mental health
Enhances brain energy metabolism
The brain has extremely high energy demands. Creatine is converted to phosphocreatine, which rapidly regenerates ATP (adenosine triphosphate). This is especially important in high-energy-demand regions such as the prefrontal cortex, hippocampus, and amygdala during periods of stress or anxiety.
Buffers energy deficits under stress
Chronic anxiety and elevated cortisol increase energy consumption in the brain. Creatine helps stabilize ATP levels, preventing energy crashes that can worsen cognitive fog, fatigue, irritability, and difficulty regulating emotions.
Neuroprotective and anti-inflammatory effects
Creatine reduces oxidative stress, supports mitochondrial function, and has mild anti-inflammatory properties. It also increases brain-derived neurotrophic factor (BDNF) levels, promoting neuroplasticity and resilience.
Modulates neurotransmitter systems
Emerging research suggests creatine influences glutamate signaling (by supporting energy-dependent glutamate uptake) and may indirectly support GABAergic tone. It has also been shown to increase dopamine levels in some brain regions.
Improves prefrontal cortex function
By providing more readily available energy, creatine enhances executive function, working memory, and emotional regulation — all of which are often impaired in anxiety disorders.
Dosing: Two 5 gram doses/day.
Not ideal for people with slow COMT/tend to get hypomanic.
Now these are the main swiss knives.
Some other supplements that might help include:
Lactobacillus plantarum PS128 (a specific psychobiotic strain)
This probiotic strain has been shown in studies to increase GABA production, elevate BDNF (brain-derived neurotrophic factor), and reduce histamine levels by supporting diamine oxidase (DAO) activity.
It also modulates the gut-brain axis via the vagus nerve and reduces systemic inflammation, offering benefits for both anxiety and stress-related mood issues.
Lemon Balm
Lemon balm inhibits the enzyme GABA transaminase, slowing the breakdown of GABA and thereby increasing its availability.
Valerian rootValeria root contains valerenic acid, which also modulates GABA-A receptors.
Phosphatidylserine (PS)
A phospholipid that helps regulate cortisol release from the HPA axis. When taken consistently for at least 14–30 days, it can blunt the cortisol response to acute and chronic stress, improving resilience, reducing perceived stress, and supporting cognitive function under pressure.
Lactobacillus plantarum PS128 (one of the best-studied psychobiotics)
Increases GABA production in the gut and brain, elevates BDNF (brain-derived neurotrophic factor), reduces systemic inflammation, and lowers histamine levels by supporting diamine oxidase (DAO) activity.
Lactobacillus rhamnosus GG and other Lactobacillus strains
Can modulate the HPA axis (reducing cortisol response), increase GABA receptor expression in the brain, and decrease pro-inflammatory cytokines.
Bifidobacterium longum, Bifidobacterium breve, and Bifidobacterium infantis
These strains produce short-chain fatty acids (especially butyrate), which have anti-inflammatory effects and can cross the blood-brain barrier to support neuronal health.
Yeah, looking at screens as a dude makes you gay.
Here's why 👇
Several neurotransmitters and neuropeptides regulate erections in the penile tissue but also the central nervous system.
Neurotransmitters are chemical messengers released by neurons at synapses.
They directly excite or inhibit the target cell (whether that’s another neuron, a muscle or a gland) by binding to receptors and triggering rapid responses (within milliseconds).
So a neurotransmitter can excite the neuron, inhibit a message or adjust the communication at the synapse.
Now neuromodulators are a bit different as they are not restricted to the synaptic cleft between two neurons, and so can affect large numbers of neurons at once.
Neuromodulators therefore regulate populations of neurons, while also operating over a slower time course than excitatory and inhibitory transmitters.
Some molecules (like nitric oxide or certain peptides) can act as both, depending on context.
These (neurotransmitters and neuromodulators) operate at two levels:
Central (brain and spinal cord): Initiating psychogenic/nocturnal erections via arousal, motivation and autonomic control.
Peripheral (penile tissues): Executing tumescence by relaxing/contracting smooth muscle in the corpora cavernosa.
Psychogenic erections (from thoughts, sights, fantasies) and nocturnal ones involve the limbic system (amygdala, hypothalamus like paraventricular nucleus/PVN and medial preoptic area/MPOA) descending to spinal centers.
Now the pro-erectile (facilitatory) ones include:
Dopamine
Oxytocin
Nitric oxide (NO)
Glutamate
Vasoactive intestinal polypeptide (VIP)
Acetylcholine
The anti-erectile or mixed (inhibitory) ones include:
Serotonin (5-HT)
Noradrenaline
GABA
Opioids
Endocannabinoids
Endothelin-1
Prolactin
The most common “combination” in ED for example is low dopamine + oxytocin that leads to reduced psychogenic drive and excess serotonin/prolactin that inhibits arousal.
Dopamine is arguably the most important central neurotransmitter for facilitating sexual motivation, arousal, and penile erection.
It is synthesized from phenylalanine and tyrosine with the help of phenylalanine hydroxylase and tyrosine hydroxylase.
The steps are:
L-Phenylalanine → L-Tyrosine.
This conversion is catalyzed by phenylalanine hydroxylase (PAH), primarily in the liver. PAH uses tetrahydrobiopterin (BH₄ (see previous parts on this series)) as a cofactor and adds a hydroxyl group to phenylalanine.
Phenylalanine is an essential amino acid (must come from diet), while tyrosine is conditionally essential (can be synthesized from phenylalanine or obtained directly from diet/proteins).
L-Tyrosine → L-DOPA (L-3,4-dihydroxyphenylalanine).
This is the rate-limiting step, catalyzed by tyrosine hydroxylase (TH) in dopaminergic neurons (e.g., in the brain and adrenal medulla).
TH also requires BH₄, oxygen, and iron (Fe²⁺) as cofactors.
TH is highly regulated (by feedback inhibition from dopamine and phosphorylation for example).
L-DOPA → Dopamine.
Catalyzed by aromatic L-amino acid decarboxylase (AADC, also called DOPA decarboxylase), using pyridoxal phosphate as a cofactor.
Now dopamine is involved in motor control, the reinforcement of certain behaviors through reward, motivation, learning, concentration and sleep but when it comes to erections, it acts primarily in the brain to integrate psychogenic and reflexogenic stimuli, bridging libido with the consummatory phase (actual erection and copulation).
Unlike peripheral mechanisms such as NO-cGMP in penile tissue, dopamine’s effects are predominantly central, with key actions in hypothalamic and limbic areas.
It influences erection through three main systems:
Incertohypothalamic system: Dopaminergic neurons from the A11-A14 groups project to the medial preoptic area (MPOA) and paraventricular nucleus (PVN) of the hypothalamus (the primary sites for pro-erectile DA action).
Mesolimbic system: From ventral tegmental area (VTA) to nucleus accumbens (drives sexual motivation/reward).
Nigrostriatal system: More for motor coordination during copulation.
In the PVN, DA activates oxytocinergic neurons projecting to the spinal cord (thoracolumbar and sacral levels), triggering parasympathetic outflow for erection.
The core pathway in the PVN are the following:
DA binds to receptors → increases intracellular Ca²⁺.
NO (via cGMP-independent mechanisms, e.g., protein nitrosylation) activates oxytocinergic neurons
Oxytocin release in spinal cord → pro-erectile parasympathetic signals → penile smooth muscle relaxation and tumescence.
This loop links DA to central NO and oxytocin, explaining why DA agonists induce erections even with NOS inhibitors peripherally.
Non-selective agonists like apomorphine for example, induce erections within 10-25 minutes (sublingually).
When it comes to the dopamine receptors we have 5 (D1, D2, D3, D4, D5 and potentially a D6 (some of the recent literature includes the D6 and some does not)).
They divide into D1-like (D1, D5: stimulate adenylate cyclase) and D2-like (D2, D3, D4: inhibit it).
Pro-erectile effects are mainly via D2-like receptors in the PVN.
Now, when it comes to supporting dopamine production and its receptors in general, the first things you have to do are to:
Provide bioavailable protein, retinol, zinc, P5P, B9, vitamin C, vitamin K, vitamin D and vitamin E.
Avoid overstimulation (D2 receptors specifically are susceptible to downregulation from overstimulation (this is why meditation is shown to increase their density)).
Get some sun and avoid too much artificial blue light since in some animal models its shown to lead to an up to 30% reduction of tyrosine hydroxylase-positive neurons in the substantia nigra.
Monitor stress and relax.
Don’t live a sedentary lifestyle (we are meant to move thought the day which is why even 10 minutes of exercise can increase the density of the D2 and D3 receptors in some cases).
If you can go and measure your prolactin, insulin and androgens (testosterone for example upregulates dopamine (DA) pathways, particularly in brain regions like the nigrostriatal system).
Then, once you’ve addressed these, the supplements that might help you specifically with libido, in case low dopamine plays a role in your case are (note: in case you are struggling with any condition that includes hypomania or in the case you are using an antipsychotic, do not add these without medical supervision):
CDP-chole or uridine, both of which upregulate D2 receptor density/signaling
Sulbutiamine also upregulates D2 receptor density/signaling
Forskolin also upregulates D2 (and D1) but through cAMP elevation
Rhodiola rosea + taurine that enhance dopamine receptor sensitivity (general, some D2 overlap).
Mucuna Pruriens (velvet bean) that’s a natural L-DOPA source (do not use it for more than 3 days at a time (note: if the comedown from it is too strong, you may not have enough B6 in your system)).
So as always, pick the supplement that might also assist other goals you might have.
Other things can help when it comes to dopamine in general, but caffeine for example, which can impact D2 receptors, is a vasoconstrictor so it’s not ideal in the context we are talking about.
Now let’s move on to glutamate.
This is the brain’s primary excitatory neurotransmitter and even though in excess it’s toxic to neurons, it plays a crucial pro-erectile role centrally, particularly in integrating sexual stimuli and activating downstream pathways for penile tumescence.
The primary synthesis (~70-80% of neuronal glutamate) pathway is the glutamine-glutamate cycle.
Here’s a summary.
Glutamine → Glutamate (in neurons)
Enzyme: Phosphate-activated glutaminase (PAG or GLS)
Glutamine (from blood or astrocytes) enters neurons → PAG hydrolyzes it → glutamate + ammonia.
This is the rate-limiting step for neurotransmitter glutamate replenishment.
Astrocytes provide glutamine:
Astrocytes take up synaptic glutamate (via transporters like EAAT1/2) → convert to glutamine via glutamine synthetase (GS) (astrocyte-specific enzyme).
Glutamine released → taken up by neurons → completes the cycle (prevents excitotoxicity and recycles nitrogen).
There’s also an alternative/de novo pathway (α-Ketoglutarate route (~20-30% of glutamate)), utlizied especially during development or high demand:
Or via transamination reactions:
Enzymes: Alanine aminotransferase (ALT) or aspartate aminotransferase (AST)
Example: α-Ketoglutarate + alanine → glutamate + pyruvate.
There are also some supporting pathways from ornithine for example, via ornithine aminotransferase (OAT) (→ pyrroline-5-carboxylate → glutamate (minor in brain)).
Note: Glutamate is not efficiently transported across the blood-brain barrier → almost all neurotransmitter glutamate is synthesized locally in the brain.
So its effects are mediated mainly through ionotropic receptors (NMDA, AMPA/kainate) in key hypothalamic/limbic areas, with NMDA receptors being the dominant player.
Glutamate release surges during sexual activity, facilitating arousal and erection via nitric oxide (NO) and oxytocin pathways.
For example it activates oxytocinergic neurons projecting to the spinal cord, it rises ~170% during mounting/intromission and ~300% at ejaculation.
A quick summary is basically the following:
Sexual stimuli → glutamate release in MPOA/PVN.
Glutamate binds primarily NMDA receptors (coupled to Ca²⁺ channels) on oxytocinergic neurons.
Ca²⁺ influx → activates neuronal NO synthase (nNOS) → NO production.
NO (via nitrosylation or other cGMP-independent paths) activates oxytocin release.
Oxytocin projections to spinal cord → parasympathetic activation → penile smooth muscle relaxation and erection.
Now it’s unlikely that you are struggling with low glutamate so we’ll move on to the next.
Even if you think (which is surprisingly common) that a particular GABA supplement or benzodiazepines led to low glutamate, this is not the case.
The opposite is often the case, where there’s a glutamate rebound/hyperactivity.
Almost everyone these days (even seemingly fit people) seems to have the combination of:
-High LDL
-Low HDL
-High blood pressure
-High triglycerides
Now, even if one of these markers in isolation might not be as problematic as it is advertised, this combination is in fact quite problematic.
So here's how you can start managing it.
Thread 🧵
First and foremost, let's start by breaking down cholesterol to a basic degree.
As we’ve said multiple times, cholesterol is a 27-carbon steroid alcohol with the systematic name cholest-5-en-3β-ol.
It has four fused rings (A, B, C, D), a hydroxyl group on carbon 3, a double bond between carbons 5 and 6, methyl groups on carbons 10 and 13, and an eight-carbon iso-octyl side chain on carbon 17.
Every animal on Earth needs it.
Plants, fungi and bacteria make zero cholesterol.
Your liver alone synthesises 800–1,200 mg daily even if you eat none, because every single one of your 37 trillion cells requires it for survival.
Its key functions include:
-Cell-membrane integrity.
Cholesterol molecules sit between phospholipid tails, preventing crystallisation at low temperature and excessive fluidity at high temperature.
-Precursor for every steroid hormone.
-Vitamin D synthesis 7-dehydrocholesterol in skin is converted to previtamin D3 by UVB, then to vitamin D3.
Low skin cholesterol = low vitamin D production.
-Bile-acid synthesis.
Cholesterol is converted to 7α-hydroxycholesterol by CYP7A1, then to cholic acid and chenodeoxycholic acid.
These are conjugated to glycine or taurine and secreted into bile.
Without bile acids you absorb almost no dietary fat or fat-soluble vitamins.
-Myelin sheath.
Myelin is seventy percent lipid by dry weight, and cholesterol is the major lipid (25% of total body cholesterol is in the brain, mostly in myelin).
-Synaptic vesicles/neurotransmitter release.
Neurotransmitter release requires cholesterol-rich lipid rafts for vesicle fusion.
Too little cholesterol = impaired acetylcholine, GABA, and dopamine release.
Revealing the root causes of hair loss (with actual proof).
An entire guide on understanding the common myths, realities, the real root causes and what to do about them.
Thread🧵
It’s George.
First and foremost, losing some hair as the years go by is normal.
We can't look at 70 like we did at 25 and believe it or not this is not common sense these days and the demands to avoid any sign of "ageing" are at an all time high because anything that can cause a negative emotion, is avoided and masked like the plague.
So, some hair loss if you are older, is fine.
BUT, younger and younger people are losing their hair and in A LOT of the cases, no one in the family had a history of premature hair loss.
So, if you just recently started noticing your hair falling off a bit, immediately address these because you might as well stop it within even a couple of months compared to the daily effort you'll have to put forever if you let it get worse and worse.
Now this thread will basically provide you with the MOST effective strategies you can use to manage premature hair loss.
If you find it helpful, make sure to leave a like.
Let’s start by stating the following: there’s no “one thing” that causes all types of hair loss all the time.
Sorry.
It’s a myth capitalised to sell whatever magic solution is trending at the time, at best, and usually a symptom of someone mistaking byproducts as the root cause of the problem.
Hair loss is driven by a complex interplay of genetics, hormones, certain lipid compounds, environmental factors and a few more things that we discuss in this thread.
Yet it goes unrecognized quite frequently, even though it’s a common driver behind issues such as:
-Chronic fatigue
-Brain fog
-Skin issues
-Hormonal imbalances
-Autoimmune conditions
-Mental issues such as generalized anxiety and depression
-Systemic inflammation
If you still think that SIBO can't be one of the primary drivers behind your health issues, think again since:
-At least half of the people who’ve used PPIs or antibiotics have it.
-Most people who eat the S.A.D have it.
-Up to 78% of people an IBS diagnosis actually just have SIBO.
-Sibo is present in up to 50% of hypothyroid patients.
and there's more as you will see in this thread.
So without further ado, here’s the ultimate guide for conquering SIBO 🧵
*Standard disclaimer that nothing in this thread should be used as a substitute for medical advice*
It's George.
Let's start with the basics.
SIBO or small intestinal bacterial overgrowth is a well, almost a self-explanatory condition that marks an abundance of bad bacteria, such as the ones belonging to the firmicutes, bacteroidetes or proteobacteria phyla families overgrow in the small intestine.
The problem with this is that the small intestine and its parts, such as the duodenum, jejunum and ileum, are designed for nutrient breakdown and absorption, not bacterial fermentation.
Normally, it hosts fewer than 10^3 colony-forming units (CFU) per mL of bacteria, compared to 10^9–10^12 CFU/mL in the colon.
When this balance is disrupted, bacteria ferment carbohydrates for example, producing gases like hydrogen, methane or hydrogen sulfide.
These can drive symptoms such as bloating, abdominal pain and altered bowel movements (diarrhea, constipation and so on).
But SIBO is not just a gut issue.
It has systemic effects, including nutrient deficiencies, systemic inflammation and neurological symptoms for example.
Overall, some symptoms of SIBO to look out for include:
-Bloating and gas (especially 30–60 minutes post-meal).
-Very frequent constipation or diarrhea.
-Too many food "intolerances" all of a sudden.
-Abdominal pain or cramping.
-Acid reflux or nausea.
-Low B12 and high B9.
-Chronic fatigue paired with brain fog.
-Skin issues.
-Your autoimmune disease/s becoming way worse all of a sudden.
-Histamine intolerance/MCAS.
The thyroid gland affects more processes than we could imagine and its dysfunction could lead to severe fatigue, hair loss, SIBO, high LDL, impaired detoxification, low levels of DHT and more.
So here's a thread on some things worth knowing when it comes to the thyroid gland🧵
It's George.
Most people still don't truly understand the impact of thyroid dysfunction.
The thyroid gland directly communicates with the brain, the pituitary, the parathyroid, the pancreas, the liver, the adrenal glands, the intestinal system and much more.
You already know this to be true if you are suffering from any type of thyroid dysfunction but here's an example i always try to mention.
Let's suppose that you want to lose weight, well in order to put in perspective how much the thyroid gland affects our metabolism, resistance training which is promoted as one of the best tools to increase BMR, can only lead to a 10% increase (which is still great).
Now here's what's fascinating, untreated hypothyroidism can lead to a BMR that's even 40% below normal and an even 50mcg of T3 day can increase BMR by even 30% in some cases.
You can also look into for example how T3 influences the tight junctions, how it upregulates the LDL-receptor, how it helps with the release of bile or even how it facilitates the production of lactase in the intestinal tract so thyroid dysfunction could even make you react badly to dairy.
In some studies, up to 90.5% of depressed people have subnormal T3 levels.
So thyroid dysfunction could lead to things such as:
-Severe fatigue
-Dry skin
-Hair loss
-Depression
-High LDL
-Insulin resistance/metabolic dysfunctions
-Low libido
-Low testosterone
-Gut issues with SIBO and H.Pylori being the most common one
Even though more and more people are developing acne, it's not a mysterious disease that you can't do anything about.
Here's the most basic and effective roadmap for beating acne.
Thread 🧵
*Standard disclaimer that nothing in this thread should be used as a substitute for medical advice*
First and foremost and i am fully aware that plenty of you will dislike this suggestion, the first thing you should do if you have any issue related to your appearance such as acne, eczema or even if your hair has started thinning or you’re overweight, is to accept it.
After all, all of us will end up looking like raisins at 80, 90+ but i’m not seeing any sane old person become depressed about it.
Yeah, yeah, our appearances matter.
But not accepting something we have and can probably change is giving it too much power.
Now, i know that some of you will choose to use Accutane and i can not stop you from doing so.
What i can do though, is remind you that acne is a sign that something interally is going wrong that you need to address (or else it will create more problems in the future) and that most likely you should NOT use these ridiculously high doses of Accutane such as 0.3-0.5mg/pound and that doses such as 7.5-10mg/day might even work better.