Showing posts with label t4. Show all posts
Showing posts with label t4. Show all posts

Wednesday, November 4, 2015

Tryptophan, an Overlooked Natural "Anabolic"? Increased Follistatin (Myostatin Inhibitor), mTOR, and IGF-1 In-Vitro and In-Vivo Shed a Whole New Light on Serotonin Precursor

Poultry is high in tryptophan and so is spirulina, cod, soy beans, parmesan and pork. They all have higher tryptophan contents than turkey. So, it doesn't always have to be poultry ;-)
As a waredownloadsoft reader you know that "[n]utrition plays a key role in the maintenance of muscle and bone mass, and dietary protein deficiency has in particular been associated with catabolism of both muscle and bone tissue" (Dukes. 2015). You will also be aware that leucine and some other amino acids play a particularly important role in the accrual and maintenance of muscle mass.

Until today, l-tryptophan, the amino acid the "happy neurotransmitter" serotonin is not among the usual suspects when it comes to building muscle. If the results of a recent study from the Georgia Regents Univ. translate into practic-ally relevant research, this may change soon (Dukes. 2015).
Learn more about amino acid and BCAA supplements at the waredownloadsoft

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Glutamine for Glycogen ?

GLU as Intra-Workout BV?

BCAAs deplete neurotransmitters
The aim of said study was to test the hypothesis that the essential amino acid tryptophan, and its metabolite kynurenine, might directly affect muscle metabolism in the setting of protein deficiency. To this ends, adult mice (12 mo) were fed a normal diet (18% protein), as well as diets with low protein (8%) supplemented with increasing concentrations (50, 100, and 200 uM) of kynurenine (Kyn) or tryptophan (Trp; 1.5 mM) for 8 weeks.
Table 1: Dietary formulations for the different groups in the study | Kyn, kynurenine; Trp, tryptophan (Dukes. 2015).
To be able to elucidate the exact mechanisms that made the mice that received Trp supplementation on top of the low protein diet leaner and more muscular than any other group, the scientists conducted an additional study on myoprogenitor cells which were also treated with Trp and Kyn in to determine their effects on cell proliferation and expression of myogenic differentiation markers.
Figure 1: Body composition (% body fat and % lean mass) of the rodents on the different diets (Dukes. 2015).
Ok, I have to admit the differences of the body composition of the rodents is not extremely impressive, but if you take into account that the changes were driven by significant differences in some of the most important drivers of skeletal muscle hypertrophy, you will probably understand why they still made the waredownloadsoft news.
Without sufficient tryptophan the levels of serotonin (5-HT), growth hormone (GH) and the thyroid hormones TSH, T4 & T3 plummet (Musumeci. 2015).
Yes, I know this study says nothing about what would happen if you supplement with tryptophan, but in view of the fact that tryptohan is usually overlooked when it comes to listing all pro-anabolic amino acids it's unquestionably worth to memorize its potent effects on muscle anabolism on a low protein diet - even if we don't know if the surprising results will translate to (a) normal / high protein diets and (b) human beings. In addition, evidence from previous studies shows that Trp can significantly affect muscle mass through its metabolite serotonin (Sanfilippo. 1994) and its protein anabolic effects in swine (Lin. 1988).

Against that background and in view of the fact that tryptophan is also important for the production of 5-HT (serotonin), growth hormone (GH) and the thyroid hormones, TSH, T3 and T4 (Musumeci. 2015), we can still conclude that we're not dealing with completely arbitrary / random results here.
Figure 2: An anlysis of muscle samples revealed significant increases in the myostatin suppressing protein follistatin, IGF-1 and leptin, as well as slight decreases in myostatin (Dukes. 2015).
The enzyme-linked immunosorbent assays the scientists conducted show significant increases in skeletal muscle insulin-like growth factor-1, leptin, and the myostatin antagonist follistatin with Trp supplementation. The corresponding mRNA microarray and gene pathway analysis that were performed on muscle samples of the rodents demonstrate that the pro-anabolic mTor/eif4/p70s6k pathway molecules were significantly upregulated in muscles from mice on Kyn and Trp supplementation. Increases in myoprogenitor cell activity, were yet only seen with tryptophan (not shown in Figure 2). Its metabolite kynurenine, however, didn't have any effect on MyoD, myogenin & myosin heavy chain.
Are Intra-Workout BCAA Supplements Useful Only For Those Who Produce, Import and Sell Them ? Find out!
Bottom line: I wouldn't dare to conclude that supplemental tryptophan has any effect on muscle protein synthesis, body fat or total lean mass based on a rodent study that used a low protein diet to make the individual effects of tryptohan visible. What I do dare, though, is to emphasize that the way we focus solely on leucine and BCAAs when it comes to building muscle may be misplaced. If nothing else, the study at hand highlights that other essential amino acids (EAAs) like tryptphan have an important part in the concert of pro-anabolic nutrients you need to build muscle. It's not all about leucine, bros | Comment on Facebook!
References:
  • Dukes, Amy, et al. "The aromatic amino acid tryptophan stimulates skeletal muscle IGF1/p70s6k/mTor signaling in vivo and the expression of myogenic genes in vitro." Nutrition (2015).
  • Lin, Frank D., Trevor K. Smith, and Henry S. Bayley. "A role for tryptophan in regulation of protein synthesis in porcine muscle." The Journal of nutrition 118.4 (1988): 445-449.
  • Musumeci, Giuseppe, et al. "Importance of serotonin (5-HT) and its precursor l-tryptophan for homeostasis and function of skeletal muscle in rats. A morphological and endocrinological study." Acta histochemica 117.3 (2015): 267-274.
  • Sanfilippo, S., R. M. Imbesi, and S. Sanfilippo Jr. "Effects of a tryptophan deficient diet on the morphology of skeletal muscle fibers of the rat. Preliminary observations at neuroendocrinological and submicroscopical levels." Italian journal of anatomy and embryology= Archivio italiano di anatomia ed embriologia 100 (1994): 131-141.
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Study Confirms: Excessive Green Tea Consumption (1-2L) May Reduce Your Thyroid Function (T3, T4) by Almost 50%

If you drink green tea 24/7 you don't have to wonder if your thyroid is sluggish and your belly growing.
I've alluded to the anti-thyroid effects of green tea extracts in previous articles. That simply drinking green tea (albeit excessively) would trigger the exact same effects, though, is news. News I got from a very recent study from the Zagazig University Faculty of Medicine in Egypt.

The authors, Abulfadle K. A., Bakhaat G. A., Shaik R. and Tantry B. A., studied the effect of excessive green tea intake on body weight and serum thyroid hormones in male mice and compared their results to what happens if the rodents are fed only fluoride and caffeine.
Overtraining puts you at a similar risk of low thyroid levels as tons of green tea

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Athlete's Triad is not a female exclusive phen.

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Athlete's Triad - How to Recover Part 3/3
To confirm the ill effects of excessive green tea intake on thyroid gland, the scientists measured both, the level of thyroid hormone and the weight of the thyroid of their 30 male albino mice who were divided into five groups.
  • Control (C) group (6 mice) receiving distilled water. 
  • Green tea (GT) treated group; 6 mice were given a 5 gm% tea hot water extract as their sole water supply (that's similar to you drinking 1-2 L or more). 
  • Fluoride (FL) treated group, 6 mice were given fluorine excess solution as their only water supply. 
  • Caffeine (Caf) treated group, 6 mice were treated with caffeine (6.25 mg/kg ip | that's only 0.51 mg/kg body weight for a human and thus not exactly much). 
  • Propylthiouracil (PTU) treated group, a substance of which we know that it interferes with the synthesis of thyroid hormone, 6 mice were treated with PTU (10 mg/kg ip). 
Each of the five groups wass treated with the corresponding substance for 30 days, then sacrificed under ether anesthesia, blood was collected to study serum levels of T3 and T4.
Green tea triggers weight loss only in overweight subjects (Hase. 2001).
How is it possible that green tea helps people lose weight, then? The answer is quite easy: Green tea helps obese people lose weight (Hase et al. (2001) found sign. reductions in body weight only in subjects with BMI>25kg/m² which is - in Asian terms, because the subjects were Asians - already overweight). For them the anti-inflammatory effect of green tea by far outweighs any negative effects on their thyroid function. Whether or not you can benefit from drinking green tea or using green tea supplements may thus depend on (a) your body weight and (b) the dosage (< 800mg GTE highly suggested).
As you can see in Figure 1, there was the expected significant decrease in serum T3 and T4 in the PTU treated group (T3 = 0.72±0.03). Similar, albeit less pronounced decreases were seen in the green tea (T3 = 0.96±0.04) and the fluoride (T3 = 0.93±0.04), but not in the caffeine group where only the T3 levels were significantly suppressed (T3 = 1.46±0.08) in comparison to the control group (T3 = 1.71±0.05).
Figure 1: Effect of green tea, fluoride & caffeine on final body weight, T3 and T4 | data is expressed in % of control; *P < 0.05 compared to control. ***P < 0.001 compared to control. #P > 0.05 compared to control (Abulfadle. 2015).
In conjunction with these significant decreases in T3 and T4, the scientists observed an increase of the rodents' final total body weight, but no change of the relative thyroid weight (that's in contrast to studies using purified green tea catechins, only, where the thyroid was sign. enlarged | Chandra. 2010) in comparison to the control group.
Figure 2: TSH & T3 levels in rodents with green tea (G) or pure catechins (C) in their diets (Chandra. 2010).
Bottom line: While the study at hand does confirm that making green tea a primary source of your fluid intake will mess with your thyroid function. It's not absolutely clear, whether the effect is due to fluoride, caffeine, both of them or a synergy of the former with other ingredients of green tea, such as the hailed EGCG or other green tea catechins.

What we do know, at least, is that EGCG interacts with thyroid hormones. Kato et al. (2011), for example, found that it inhibits the effects of thyroid hormones on bone cells. In view of the fact that many studies which have observed ill effects of green tea catechins on the thyroid all used regular extracts which may contain both caffeine and fluoride (Sakamoto. 2001, we cannot tell whether EGCG, EC, ECG & co will have a negative effect on your thyroid health if they come in caffeine- + fluoride-free form. Luckily, Chandra et al (2010) must have foreseen this problem in their 2010 study in which they found that purified green tea catechins (no caffeine, no fluoride | C in Figure 2) have even more pronounced anti-thyroid effects than green tea extracts. The independent anti-thyroid effects of green tea catechins would also exlpain why previous studies show that the effect is sign. less pronounced for black tea extracts (Chandra. 2011) | Comment on FB.
References:
  • Abulfadle, Khaled Abdelfattah, et al. "Effect of Excessive Green Tea Versus Fluoride and Caffeine on Body Weight and Serum Thyroid Hormones in Male Mice." Journal of Physiology and Pharmacology Advances 5.2 (2015): 565-573.
  • Chandra, Amar K., and Neela De. "Goitrogenic/antithyroidal potential of green tea extract in relation to catechin in rats." Food and Chemical Toxicology 48.8 (2010): 2304-2311.
  • Chandra, Amar K., Neela De, and Shyamosree Roy Choudhury. "Effect of different doses of un-fractionated green and black tea extracts on thyroid physiology." Human & experimental toxicology 30.8 (2011): 884-896.
  • Hase, Tadashi, et al. "Anti-obesity Effects of Tea Catechins in Humans [和文]." Journal of oleo science 50.7 (2001): 599-605.
  • Kato, Kenji, et al. "(-)-Epigallocatechin gallate inhibits thyroid hormone‑stimulated osteocalcin synthesis in osteoblasts." Molecular medicine reports 4.2 (2011): 297-300.
  • Sakamoto, Y., et al. "Goitrogenic effects of green tea extract catechins by dietary administration in rats." Archives of toxicology 75.10 (2001): 591-596.
  • Wolfram, Swen, Ying Wang, and Frank Thielecke. "Anti‐obesity effects of green tea: From bedside to bench." Molecular nutrition & food research 50.2 (2006): 176-187.
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TSH - A Critical Re-Evaluation of Its Non-Significance: Why Your TSH May Tell You Nothing About Your Thyroid Health

Symptoms of hypo- and hypothyroidism (figure from youngstershub.com) 
In previous articles about overtraining I've already touched on the possibility that training too much and eating to little can put you into a state where your TSH levels are low, even if the same goes for your free T3 and free T4 values.

Normally, your hypothalamus should correct low levels of the two active thyroid hormone T3 and T4 by increasing TSH. This physiological up-and-down is what doctors use to diagnose hypo- and hyperthyroidism by measuring TSH and in many cases only TSH - text-book practice, but still questionable against the background of the latest science.
Learn more about your thyroid, T3, and T4 at the waredownloadsoft

Green tea messes w/ your thyroid hormones

Overfeeding affects thyroid hormones

Fructose prevents decline of T3 while dieting

T2 has thyroid-suppressing ef-fects as T3 & T4

Dieting makes you "hypothyroid" - temporarily

Levothyroxine may not be enough →T4+T3?
Yes, even though everybody knows that you cannot judge the speed of a car by measuring how far its driver pushed the gas pedal into the floor, TSH remains the most commonly used endocrine test in clinical practice, when it comes to testing thyroid function; and this is despite the fact that more and more scientists are questioning the use of TSH, in general, and the reference ranges in particular.

Figure 1: Prevalence of thyroid antibodies across TSH intervals in women (top) and men (Spencer. 2007).
Speaking of reference ranger, if your TSH level is within the 1-1.5 mU/L range, you're considered "normal" (Biondi. 2013; Fontes. 2014; Vadiveloo. 2013). If your TSH is above 4.2-4.5 mU/L doctors believe this would indicate that your free T3 and free T4 levels were low, i.e. that your thyroid is not producing enough thyroid hormones and you're diagnosed hypothyroid - and this is where the problems begin.

After all, there is also an argument that a highly significant number of patients (up to 30%) with TSH above 3.0 mU/L have an occult autoimmune thyroid disease that may remain undiagnosed (Spencer. 2007 | see Figure 1). The same goes for people with subclinical hypothyrodism, simply because textbooks still say that TSH was all you need to test the health of your patients' thyroid.
T4 alone may not be enough: In patients with actual thyroidism, the standard treatment with levothyroxine (T4) only may not fully resolve their problems. I've written about the benefits and often cited risks of a combination therapy with T3 + T4 before, which is why I am not going to go into detail here. If you think your thyroid treatment makes things worse, though, I suggest you read my 2013 article "(Mis-)Managing Hypothyroidism: 7% Reduction in Energy Expenditure & Fat Oxidation in Patients on Levothyroxin (T4) Mono Therapy. Plus: Alternative Dessicated Thyroid?"
Figure 2: High(er) rates of thyroid antibodies in non-frail vs. frail elderly women are suggestive of a protective effect of thyroid antibodies (Wang. 2010).
In contrast to young people, in whom thyroid diseases (esp. hypothyroidism and autoimmune diseases) will often remain undiagosed if doctors rely on TSH, only.

Elderly patients (i.e. 70 plus years), on the other hand, may be falsely diagnosed with hypothyroidism due to age-related increase in TSH ranging to up to 6.0 mU/L - and that despite the fact that that there are no or irrelevantly small changes in free T3 and free T4. This is particularly important, because ill health effects as they are seen in young individuals are rare or non-existent in elderly patients with autoimmune thyroid diseases nor hypothyroidism.

Rather than being detrimental, a 2010 study by Wang et al., which found that elderly subjects with raised titres of thyroid autoantibodies are less frail than age-matched peers (see Figure 2), suggests that having anti-thyroid antibodies in the blood can actually protect older women from the age-induced loss of muscle mass and function - surprising, isn't it? In view of the fact that the TSH levels of elderly patients usually have to rise above 6-7 mU/L before there is an actual decline in T4 below the normal range, the upper limit for TSH in the elderly should be increased (Hadlow. 2013).
Sometimes it doesn't even take meds to bring your thyroid hormones back up - assuming they are not rock bottom, that is. You don't believe that? Well, reread the waredownloadsoft Classic "Dietary Thyroid Treatment: Beef, Green Vegetables, Full-Fat Milk & Butter Normalize TSH in Subclinical Hypothyroidism" | read it!
To treat or not to treat? This is question that can hardly be answered based on TSH values, only. In young patients, the upper limit may be too low. This is particularly true for women with subclinical hypothyroidism or autoimmune disease and TSH levels of ~3 mU/L whose low thyroid hormone levels will significantly increase (+72%) their risk of cardiovascular disease (Rodondi. 2006) - irrespective of being considered "subclinical hypothyroid" by most doctors.

So what can you do if your TSH is "normal", but you have symptoms? Ask your doctor to test fT3 and fT4 as well and look for one of the following patterns: (1) TSH low, fT4 low(-ish), fT3 low(-ish) → overtraining and/or undereating, (2) TSH normal, fT4 low, fT3 low → subclinical hypothyriodism or autoimmune thyroid disease (test for antibodies, to differentiate) - If your fT3 and fT4 are perfect nothing and neither (1) nor (2) applies, but you still "feel hypo" you probably have read about how "low thyroid is rampant" and "always undiagnosed" at StopTheThyroidMadness.com suffer from "imaginary hypothyroidism" | Comment on FB!
References:
  • Biondi, Bernadette. "The normal TSH reference range: what has changed in the last decade?." The Journal of clinical endocrinology and metabolism 98.9 (2013): 3584.
  • Fontes, Rosita, et al. "Reference interval of thyroid stimulating hormone and free thyroxine in a reference population over 60 years old and in very old subjects (over 80 years): comparison to young subjects." Thyroid research 6.1 (2013): 1-8.
  • Hadlow, Narelle C., et al. "The relationship between TSH and free T4 in a large population is complex and nonlinear and differs by age and sex." The Journal of Clinical Endocrinology & Metabolism 98.7 (2013): 2936-2943.
  • Lewandowski, Krzysztof. "Reference ranges for TSH and thyroid hormones." Thyroid Research 8.Suppl 1 (2015): A17.
  • Rodondi, Nicolas, et al. "Subclinical hypothyroidism and the risk of coronary heart disease: a meta-analysis." The American journal of medicine 119.7 (2006): 541-551.
  • Spencer, C. A., et al. "National Health and Nutrition Examination Survey III thyroid-stimulating hormone (TSH)-thyroperoxidase antibody relationships demonstrate that TSH upper reference limits may be skewed by occult thyroid dysfunction." The Journal of Clinical Endocrinology & Metabolism 92.11 (2007): 4236-4240.
  • Vadiveloo, Thenmalar, et al. "Age-and gender-specific TSH reference intervals in people with no obvious thyroid disease in Tayside, Scotland: the Thyroid Epidemiology, Audit, and Research Study (TEARS)." The Journal of Clinical Endocrinology & Metabolism 98.3 (2013): 1147-1153.
  • Wang, George C., et al. "Thyroid autoantibodies are associated with a reduced prevalence of frailty in community-dwelling older women." The Journal of Clinical Endocrinology & Metabolism 95.3 (2010): 1161-1168.
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