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Reactions that seem paradoxical to P5P can be from a plethora of genesis.

Most common are:

  1. Increase CBS and thus increase sulfite load (and if SUOX has been slow this can act like migraine, mania or insomnia) — this also can alter glutathione metabolism creating more “agitation” symptoms. —
  2. Increase TRYP & 5HTP conversion to Serotonin and increase the Melatonin substrate pool leading to either somnolence or agitation —
  3. Increase activity of AST and AALT suddenly relating to “active” liver symptoms —
  4. Also can suddenly cause shift in glutamate/histamine and other neurotransmitter metabolism.

* Most is transient but still may last 2-3 weeks

** If magnesium is not being supplemented enough (it is the main ionic co-factor for B6) then the reactions can be partially from that

*** If Mag is being supplemented then often the fault is in deficient Taurine (which allows magnesium and other minerals to equilibrate at cell membrane sites.

Dr. Paul Anderson

Paul S. Anderson is a naturopathic physician, Medical Director & Founder of Anderson Medical Specialty Associates (AMSA). He is a recognized authority in the field of integrative cancer research and the treatment of chronic diseases, genomic conditions, and auto-immune and infectious disorders.