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Advances in medicine and technology are astounding, nonetheless the critical elements of our well being are often holistic in nature. Unraveling these relationships may change how discomfort from fibroids is perceived by individual women. The UCLA Uterine Fibroid Treatment Program works with UCLA Center for East-West Medicine to help women desiring these approaches to find a suitable practitioner to address these needs.
Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. On August 5 and 6, 2014, a group of roughly twenty persons met in Washington, DC for the First Summit on Diagnostic Alternatives. The tendency for diagnostic systems to privilege internal dysfunction at the expense of psycho-social and contextual factors is not unique to the DSM. The other alternative generating buzz at this year’s APA convention was the Research Domain Criteria (RDoC) initiative. Where does this leave psychologists, counselors, marriage and family therapists, social workers, and any other helping professionals who do not see their role as diagnosing and treating diseases, but instead as understanding and remediating psycho-socially embedded problems in living? Attendees at the summit in DC were both excited and cautious about the move to develop diagnostic alternatives.
The traditional way of seeing mental health problems as being embedded in the person is, in itself, so embedded in the psyche of ( mainly ?) western culture that we must not under-estimate the size of our task. 1 The emphasis on psycho-social factors is spot on and not new even in psychiatry (Adolf Meyer made the same point and his academic followers concede it). 3 Your emphasis on distress is underlined in the next point on science which, notwitstanding my point just made, broadly makes good sense. 5 Professional consensus: this will never happen because human science is perpetually contested.
The parts that I understood did make me re-think the position we`re taking I am looking forward to reading your book David ( as long as it comes out in paperback at a reasonable price ! Because, as a critical realist, I am a weak not a strong constructivist, to my mind our focus should be ontological not just (nb) epistemological. An abiding social contract in all societies is that adults should, when required, render their conduct intelligible. We are sane by common consent and therefore we need to trace cautiously both the roots of madness (could be genetics, could be early trauma, could be mysterious for now-who knows for certain (nb) case by case?) and the conditions of its attribution by others in some social contexts and not others. To be fair to psychiatry, madness is not its wrong- headed and self-interested invention: it emerges everywhere, with or without doctors, in the lay arena first.
Madness really exists and its conditions of possibility might be biological, psychological or social but its attribution is always social and always in a context. I have found the discussion between David and Graham very illuminating on defining mental health and madness. I extend my thanks and congratulations to the group members and to the author of this summary: I believe the content reflects a much-needed and long overdue move away from the reductionist and medicalized perspective reflected in the DSM, ICD, and RDoC approaches. However, I would like to express a concern about the apparent easy dismissal of the PDM as at least a contributor to an alternative classification system (as discussed in point #5).
Given the magnitude of the “daunting task” of starting from scratch, I do wonder whether the PDM work might be at least a component of leverage for a new classification system, focusing as it does on missing “psychological factors”, perhaps by adding more of the “social-contextual factors”. Comments: ‘Hypoglycemia’ is not a medically recognized term, except in connection with diabetes and various other diseases. There is little money to be made from Nutritional Medicine by doctors, because nutrients cannot be patented.
ACUPUNCTURE FOR DEPRESSION: Following treatments specifically designed to address depression, 64% of the women (n = 33) experienced full remission. ADENOSINE TRIPHOSPHATE (ATP) or biological energy, is closely related to motivationsee here. ADRENALINE “Adrenaline, secreted by the medulla of the adrenal gland, is carried by the blood to the liver, where it stimulates the breakdown of glycogen to glucose, thus increasing the blood sugar levels” Lehninger 346 See: Adrenaline to Glucose image. ALCOHOLICS IN RECOVERY: Comorbid depression appears to be a significant risk factor for relapse among recovering alcoholics. Alcohol dependency is accompanied by zinc content decrease in the hippocampus Bovt VD, 2001. Alcoholism Statistics: Approximately 4% of adult drinkers are alcoholics, a figure calculated from the known incidence of mortality caused by cirrhosis of the liver, and therefore probably a conservative estimate. The 2006 survey indicated very little change in drinking habits, with about half of the population (50.9 percent) reported as alcohol drinkers, about one-fifth binge drinkers and about seven percent listed as heavy drinkers. ALCOHOLISM AND VIOLENCE: “Based on clinical observations in a series of studies on Finnish alcoholic, violent offenders, we asserted that the impulsive offenders represented an extreme group of type 2 alcoholics.
ALTERNATIVE SWEETENERS: There is a lot of information on the internet, some of it rather controversial. Peripheral hyperinsulinemia correlates with an abnormal removal of the amyloid beta peptide (Abeta) and an increase of tau hyperphosphorylation as a result of augmented cdk5 and GSK3beta activities. Therapeutic applications: Effects of treating insulin resistance and normalising CNS insulin. One in three seniors die from Alzheimer’s disease– There’s more troubling news for America’s aging population: A new report finds that one in every three seniors now dies while suffering from Alzheimer’s or another form of dementia.
Gingko may be positive for Alzheimers’s disease Weinmann 2010, Kasper 2009 go to URL, but other studies show it to be ineffective. ANTIPSYCHOTIC MEDICATIONS: Significant weight gain experiences in children using anti-psychotic drugs, such as olanzapine (Zyprexa), ariprazole (Abilify), quetiapine (Seroquel) or resipiridone (Risperdal). AMA Statement on Hypoglycemia in 1973   Because of the possible misunderstanding about the matter, three organizations of physicians and scientists (the American Diabetes Association, the Endocrine Society, and the American Medical Association) have issued the following statement for the public concerning the diagnosis and treatment of hypoglycemia: Published 5 February 1973, Statement on hypoglycemia, editorial.
There is a significant association between anxiety attacks and hypoglycemia according to these sources and here. APPLE CIDER VINEGAR: is fermented form crushed apples alcohol into acetic acid-forming bacteria into vinegar. ATTENTION DEFICIT AND HYPERACTIVITY (ADHD) DISORDER: Lendon Smith‘s article about the non-drug treatment of ADHD. Bipolar patients can benefit from lecithin, which contains 10-20% phosphatidylcholine, the precursor of the neurotransmitter acetylcholine.
BIPOLAR DISORDER AND GENES: “Linkage evidence suggests that chromosome 13 (13q32-33) contains susceptibility genes for both bipolar disorder and schizophrenia. BITTER LEMON(Mormordica charantia): also known as Balsam pear, Bitter Gourd, Karela is tropical fruit. Although we treat individual conditions with individual therapies, we recognize that many aspects of our lives interrelate with others including but not limited to stress, sleep, nutrition and exercise. By modifying many of these aspects with any combination of nutrition and lifestyle counseling, vitamin and herbal supplements, homeopathy and bodywork therapies, symptoms may be decreased or even eliminated. The gathering consisted mostly of psychologists, but social work, counseling, and marriage and family therapy perspectives were also represented. By seeing human suffering as a function of broken brains, the DSM overlooks the complex and mutually determining interplay of psychological, socio-cultural, contextual, and biological factors in producing it. At this year’s American Psychological Association convention (which directly followed the summit in DC), there was much talk about shifting from the DSM to the World Health Organization’s International Classification of Diseases (ICD). RDoC’s alluring but grandiose mandate is to build a biologically-based diagnostic system of mental disorders from the ground up by identifying brain mechanisms, tracing their functions, and cataloging the behavioral domains they appear to be affecting. If we are to develop an alternative system for these professionals, what might it look like? One of the attendees at the summit, Jeffrey Rubin, has proposed that we classify concerns that clients bring to therapy, not disorders they have.
Too often, what we call “diagnosis” degenerates into a powerful expert labeling a vulnerable client.
Several years ago, a group of psychodynamic therapists produced their own alternative to the DSM: the Psychodynamic Diagnostic Manual (PDM).
However, this broad desire to be holistic can itself replace biological reductionism with psychological reductionism if psychologists have little or no sociogical imagination or training.
The whole piece seems to presume an individual therapy model where what is being complained about is from the mouth of the identifed (or self-identified) client. Some user critics point out legitimately that the codification of problems by professional models makes for interesting reflection and keeps therapists in their jobs and tribal groups but personal change might emerge largely from simple affirmative relations with others. Reducing madness to a presumed brain disorder is anti-rational and anti-scientific: the complete opposite of what is being claimed now by rabid and arrogant neuroscience. Psych`s used the word madness too frequently, but I do understand and agree entirely with your explanation.Your explanation of the historical and current use of the word madness was brilliant ( I hope that isn`t patronising).
Let me first clarify that I identify as primarily humanistic, so this is not about advocating for one particular theoretical orientation.
Doctors appear to be in denial about the significance of hypoglycemia in relation to many illnesses, probably due to the fact that it can be treated without recourse to drugs. It is a popular term used by people with hypoglycemic symptoms as a result of unstable blood sugar levels, and often seen in a special Glucose Tolerance Test.
There has been much reluctance by the Medical Profession to reward doctors for non-drug therapy based on Clinical Nutrition. 1998, “God belief appears to be relatively unimportant in deriving AA-related benefit, but atheist and agnostic clients are less likely to initiate and sustain AA attendance relative to spiritual and religious clients. While few major independent studies agree the success rate is that high and more than 600 studies have consistently shown the success rate to be substantially lower (18 percent at six months and less than 10 percent at five years), this has not deterred the treatment industry from proclaiming that treatment works.” Source. International comparisons of alcoholism generally rely on data on cirrhosis of the liver (the “Jellinek formula”), and it is known that cirrhosis rates are highly correlated with overall consumption levels. Source “Estimates vary, but recent studies  at UCLA show that “the top 5% of drinkers account for 42%of the nation’s total alcohol consumption.” If 5% of all drinkers account for nearly half of total alcohol sales, it would be folly for the alcohol industry to get serious about encouraging moderation.
We also observed that these subjects were vulnerable to hypoglycemia after the administration of oral glucose load. Compared to people taking another class of diabetes medications called sulfonylureas, those taking metformin had a 20 percent reduced risk of developing dementia over the five-year study period.

Glucose homeostasis is critical for energy generation, neuronal maintenance, neurogenesis, neurotransmitter regulation, cell survival and synaptic plasticity. This leads to cellular cascades that trigger a neurodegenerative phenotype and decline in cognitive function.”Neumann KF et als (2008), Insulin resistance and Alzheimer’s Disease. It appears it can be reversed by fluoxetine in some cases – an SSRI – indicating that it may be due to a serotonin deficiency. 15 (HealthDay News) — Diabetes patients who take a certain class of antibiotics are more likely to have severe blood sugar fluctuations than those who take other types of the drugs, a new study finds. When it occurs, it is often attended by symptoms of sweating, shakiness, trembling, anxiety, fast heart action, headache, hunger sensations, brief feelings of weakness, and, occasionally, seizures and coma. See also:  Anxiety Attacks and Reactive Hypoglycaemia Youtube Clinical anxiety may be associated with an elevated blood lactate level and increased lactate to pyruvate ratio. Comorbid obesity and ADHD symptoms rendered treatment less successful compared to NAD counterparts.
Researchers at Britain’s Oxford University Department of Biochemistry found that mannoheptulose inhibits tumor cell glucose uptake and also inhibits glucokinase, the enzyme used in glycolysis. Recently, genes called “G72? and “G30? were identified, and polymorphisms of these overlapping genes were reported to be associated with schizophrenia. Glucose tolerance of 73% of the maturity onset diabetic patients improved with fruit juice of M. Furthermore, brain glycogen can rebound (super-compensate) after a single episode of hypoglycemia. The difference in behaviour is thought to have something to do with the presence of large amounts of neuroglia (supporting structural tissue) found in the hypothalamus. Moderate hypoglycemia may evoke a significant stress response, behavioral changes, and alterations in cerebral blood flow and metabolism. These approaches can also be complementary to traditional allopathic medical and surgical approaches including watchful waiting, MRgFUS, UFE and robotic surgery. We just want you to know there are alternative treatment methods and physicians who may help you. The topic at hand was whether or not to push ahead with developing alternatives to the Diagnostic and Statistical Manual of Mental Disorders (DSM) that could supplement or—in some settings—replace it as a way to understand human distress. While the DSM does not completely ignore psycho-social factors, it typically sees them as extraneous variables that influence, but are distinct from, the presumed primary cause of emotional suffering: a dysfunction inside the individual.
RDoC is committed to science, but currently relies more on conceptual speculation about hypothetical “domains” than it does on clear and convincing data. Barry Duncan attended the summit and did an eloquent job speaking to the science and practice of collaborative assessment of client difficulties.
This effort was admirable and marked the first attempt in a long time to offer a non-DSM diagnostic system.
This, to me, is utterly simplistic and can only lead to a move to new drugs targeting specific parts of the brain as the answer.
I celebrate this wonderful new movement that we are part of, but recognize the size of the task we have set ourselves – as they say ” Bring it on !
Some people’e complaints are present for direct and obvious social reasons-living in a warzone for example or being propelled into absolute poverty. But the current ambit of DSM and ICD is not only about self-expressed distress from patients or clients. Many other medical diagnoses suffer similar scientific problems in relation to validity, reliability, treatment specificity and aetiological specificity.
Madness emerges then when role-rule failures or transgressions are observed by others and (nb) the offending party is unable or unwilling to render their trangressive conduct intelligible.
Instead we need to approach it cautiously with open minds and hearts as a mystery in our midst.
However, it seems to me that if we are to go beyond the simplistic notion of “symptoms” as reflected in the dominant classification systems today, and really understand the “problems of living” that clients present in treatment, we should be looking deeper into the nature what I will call the “psychic suffering” that underlies those problems. Reactions To The Psychodynamic Diagnostic Manual (PDM) By Psychodynamic, CBT And Other Non- Psychodynamic Psychologists. I am now: calm, serene, happy, energetic, goal oriented and finally part of the human race and it feels good. We as a Association will continue to support those doctors who have a professional interest in holistic medicine.
This apparent reticence to affiliate with AA ought to be clinically recognized when encouraging AA participation.” Tonigan JS, et al. 1978, “Intravenous glucose tolerance tests were given to 31 nondiabetic alcoholics and 11 healthy nonalcoholic controls. Therefore, rates of alcoholism for the countries of the world generally reflect consumption levels, so alcoholism in Canada is about average for Western countries.
Furthermore, we believe that while being hypoglycemic, the impulsive offenders are particularly irritable and aggressive.” Virkkunen M, Kallio E, Rawlings R, et als.
It is associated with some ‘mental’ illnesses such as anxiety, depression, bipolar disorder and schizophrenia. The increased risk was low but doctors should consider it when prescribing the class of antibiotics, known as fluoroquinolones, to people with diabetes, the researchers said. However, the majority of people with these kinds of symptoms do not have hypoglycemia; a great many patients with anxiety reactions present with similar symptoms.
Reasons for the comorbidity are unknown, but may involve brain dopamine or insulin receptor activity. We postulate that brain glycogen serves as an energy store during hypoglycemia and that it may participate in the creation of reduced physiological responses to hypoglycemia that are involved in a symptom often observed in patients with diabetes, hypoglycemia unawareness” Choi IY, et als. Figure 4 shows how the brain ‘reflects’ blood glucose levels yet the hypothalamus may have different glucose content.
We encourage you to understand your options and make a treatment choice that's comfortable for you.
However, moving from the DSM to the ICD isn’t much of a shift because both manuals are conceptually similar, right down to sharing the same diagnostic codes. RDoC is grounded on the presumption that human distress is explicable primarily in terms of biological (usually brain) dysfunction. While we might applaud such an alternative, developing it—much less ensuring its success—is admittedly a very challenging task. Concerns are things such as feeling anxious about one’s job, unhappy about one’s marriage, emotionally distraught about past abuse, or unable to move past what one saw while fighting in a war. By comparison, there is a great deal of existing literature on psycho-social ways of concretely formulating understandings of emotional distress. His scholarship focuses on constructivist psychology and psychotherapy, with special emphasis on how people construct conceptions of abnormality. Therapy is not required then but peace and security: therapy would be an insulting mystification.
It also covers experiences and conduct which are problematic to others (unintelligible and incorrigibly egocentric conduct). The science argument is only a good one to knock the medical model down but it does not itself build a credible alternative. For example Socrates considered that (because like all aspects of humanity it was given by the gods) madness had both positive and negative qualities. However, what does exist are people who hear things others do not and have thought processes which, when verbalised, make no immediate sense to others (which will typically then offend or scare them). Madness is a form of social not individual dis-order and so neither biological nor narrowly intra-psychic definitions will ever suffice.
The PDM represents an enormous and impressive body of evidence-based work on these psychological factors. Below is just a small sample of the research carried out on topics under major headings in alphabetical order which has a bearing on hypoglycemia and Clinical Nutrition.
This triggers the release of adrenaline and cortisol replenishing the brain with glucose (energy) again.
In almost half of the alcoholics peak glucose concentration was higher and glucose elimination from the plasma was slower than in the controls.” Sereny G, Endrenyi L, Devenyi P. Cheek 1981, & Cheek 1981 (A), Holt AB et als 1980, Zinc administration improves gastric alcohol dehydrogenase activity in alcoholics, rat model, Caballeria J, 1997 Alcoholics may be deficient in zinc, an essential coenzyme in alcohol dehydrogenase.
About 2200 persons annually die in Canada from cirrhosis of the liver, which is equivalent to a death rate per year of 8.0 per 100 000 population.
1994, “Partner violence is a serious problem for women in alcoholism treatment.” Chase KA, et als.
In an insulin resistance condition, there is a reduced sensitivity to insulin resulting in hyperinsulinemia; this condition persists for several years before becoming full-blown diabetes.
Furthermore, there is no good evidence that hypoglycemia causes depression, chronic fatigue, allergies, nervous breakdowns, alcoholism, juvenile delinquency, childhood behavior problems, drug addiction or inadequate sexual performance. While more studies are needed, it appears that normalizing an elevated blood lactate level will sometimes relieve anxiety”, Werbach, 1991, 48, Low levels of phosphorus (hypophosphatemia) may be associated with anxiety, irritability, numbness, paresthesia (subjective feelings, numbness, ‘pins and needles’) no abstract, mentioned in Werbach 1991, 53 A good web site dealing with the connection between anxiety and hypoglycemia is at Sweet Nothings. If replicated in further studies, these findings have important implications for treatment of severe and extreme obesity.” Altfas JR. 1978, A case study of a bipolar disorder with a deficiency of folate and vitamin B12 leading to pseudodementia. Hirsch MJ et als, 1996 Stoll AL, et als 1996 , however this should not be used in the depressive phase of bipolar disease. Taken together with the earlier report, this is the first demonstration of a novel gene(s), discovered through a positional approach, independently associated with both bipolar illness and schizophrenia.” Hattori E, et als. Both attribute distress to categorical disorders people have and, in doing so, gloss over psycho-social factors. Psychological, social, and contextual factors influence biology as much as biology influences them. The current diagnostic system encourages clinicians to translate these concerns—which clearly are contextual and not reducible to biology alone—into disorders that afflict people.

A good diagnostic alternative system must make sure that client voices have a prominent role in the process because to leave them out is to ignore a vitally important data source. Clinicians who did not identify as psychodynamic were therefore not especially inclined to utilize the PDM.
The title of the piece says it all it is an attempt by the group explicitly to tie formulations to personal therapy. A unitary alternative does not automatically build itself from the rubblem-see point 5 below.
Models give therapists security and status but might miss the point about responding honestly to misery, madness and incorrigibility in our midst. On the one hand the mad wandered aimlessly and were prone to explosive and unintelligible conduct (which then as now scared others). Thus intelligiblity in its cultural context is central to the demi-regular existence of madness. It should also be remembered that hypoglycemia is one aspect of a much wider cluster of symptoms relating to degenerative diseases in general. 1988, “When a person is preoccupied with sex and continues to engage in compulsive sexual activity despite adverse consequences (eg, loss of marriage, job, health, freedom), he or she is a sex addict.
Untreated depression may increase risk for relapse to problem drinking.” Lippmann S, et als. 1975, “It was concluded that glucose intolerance in alcoholic patients is a common finding that occurs in the presence or absence of liver damage.” Iturriaga H, et als. Bahmer 1981, Lorentzen HF 2000, Menzano E et als 1994, Prasad AS 1991, See Zinc “The synthesis of serotonin involves Zn [zinc] enzymes and since serotonin is necessary for melatonin synthesis, a Zn deficiency may result in low levels of both hormones.
A few hundred more die of other alcohol-related conditions (poisoning, automobile accidents, etc).
2003, “The odds of severe male-to-female physical aggression were more than 11 times (11 times) higher on days of men’s drinking than on days of no drinking. See also Xylitol.   See also erythritol a fairly safe sweetener in addiction to stevia and xylitol Wikipedia See also Herbs with Hypoglycemic Effects.
Toxic levels of insulin negatively influence neuronal function and survival, and elevation of peripheral insulin concentration acutely increases its cerebrospinal fluid (CSF) concentration.
Reid SD 2000 Omega-3 fatty acids contained in fish oil may benefit people with bipolar disorder. Samra, 2003, Chapter 3 “The glucose solution produced more substantial EEG effects than the other three carbohydrate solutions.
In its biological idealism, RDoC is even more extreme than DSM or ICD in framing psychological and social-contextual factors as ancillary at best.
To be viable, a diagnostic alternative relevant to clinicians must account for the complex and mutually determining interplay of psycho-social and biological aspects of human experience.
But therapists and counselors don’t actually treat disorders; rather, they talk to people about their concerns—some of which are quite serious and lead to extremely challenging and often intransigent difficulties. The point is that any useful diagnostic alternative should rely on the best science has to offer.
OK but watch out for the observation that this is simply a bid for legitimacy for psychological therapists to displace the authority of chemical solutions from biological psychiatry. These are complex socio-ethical challenges which psychological models describe quite differently and together they do not exhaust all of the factors required in rendering the roots of the challenges intelligible. On the other hand there was the madness of lovers, the madness of the poets and the madness of prophecy. When it comes to mood disorders, there are many other silent diseases that have an influence on our mind. Preferred treatment includes professional counseling and attendance at self-help programs based on the Alcoholics Anonymous model.” Schneider JP.
1987, “Sleep variables, anxiety, and depression are considered as possible markers of relapse in persons treated for alcoholism.” Mackenzie A, et als. 1986, “These findings indicate that glucose metabolism in alcoholics in a withdrawal state can be disturbed by impaired insulin secretion and insulin resistance.” Adner N, Nygren A. Rates of death caused by cirrhosis of the liver increase markedly with age and are higher in urban areas and in the west and north, the areas with the highest levels of alcohol consumption in Canada. These findings support the proximal effect model of alcohol use and partner violence.” Fals-Stewart W.
For more information see: Anhedonia, Anhedonia related to clinical depression and insulin resistance.
Absolute blood glucose level was the primary determinant of electrocortical changes found predominantly in the left parietal-occipital and left temporal cortical regions. It is common to hear people say things such as “depression is a brain chemistry issue exacerbated by situational factors”—as if the latter could not possibly have primacy in determining the former. Any diagnostic alternative that wishes to better fit with what therapists and counselors actually do must make sure that it classifies problems, not people. Actually the evidence is that both conversational and chemical solutions can be fairly irrelevant to mental health outcomes. There is more to complaints than the client’s distress for the very reason that problems in living are relational problems (as you note). Both hypoglycemia and diabetes share Insulin Resistance and so if you want to do research into non-diabetic hypoglycemia, you need to look for medical terms such as ‘insulin resistance’, ‘hyperinsulinism’, Glucose Intolerance, hyperglycemia, HPA (hypothalamus-pituitary-adrenal axis), metabolic syndrome, cerebral glucose metabolism.
Because hypoglycemia shares with diabetes “insulin resistance”, much of the research findings concerning diabetes applies equally to hypoglycemia, but the reader should keep in mind the differences between the two, when assessing the data. Moreover, high estrogen levels tend to cause increased absorption of Cu and Cd, and smoking and eating food contaminated with Cd result in high levels of the latter. 2003, “A defect in central serotonin metabolism may manifest itself in poor impulse control leading to attempts at suicide, violence towards others, and Type II alcohol abuse. There are studies to show that the supplementation with phenylalanine (Precursor of L-tyrosine (amino acids found in food) can benefit Bipolar patients.
Implications for the study and evaluation of cognitive function were discussed.” Fishbein DH, et als.
Psychotherapists and counselors know better and need a system that allows them to contextualize psycho-social and biological aspects of human suffering in a more nuanced manner. The latter can be over-determined by ecological and social contingencies in troubled biographies. Some scientists studying schizophrenia have already come up with terms such as ‘Cerebral diabetes’, ‘brain diabetes’, pointing to abnormal glucose transport systems across the membranes of brain cells. Furthermore, ethanol ingestion increases the elimination of Zn and Mg (which acts as a cofactor for CuZnSOD)[superoxidedismutase]” Johnson S. 1987, Diabetes poses a greater risk , Frey J 2001, Prediabetes (Hypoglycemia)  linked to Alzheimer’s Disease See also Hypoglycemia and dementia. Phenylalanine with vitamin B6 are the forerunners of phenylethylamine (found in chocolate). 1990,  Nine studies showing that impairment in mitochondria energy production of ATP from glucose may be a mechanism underlying pathophysiology of psychiatric disorders, like bipolar disorder, depression and schizophrenia. Coercive psychiatry is correctly attacked but if mental health law were abolished tomorrow, tough socio-ethical challenges would remain for us all. This comes very close to what we understand hypoglycemia to be, but we would prefer Dr George Samra’s definition of ‘Cerebral Hypoglycia‘, in his book: The Hypoglycemic Connection II, which more accurately points out the importance of glucose transport into cell, including brain cells. Assessment revealed that 91% of the alcohol impaired drivers complained of at least some acute symptoms of depression. 2001 “Alcoholism impairs zinc absorption and increases zinc loss via urine” Milne DB et al (1993) A case study of an alcoholic with severe long-term hypoglycemia: “The probable etiology of low blood sugar in our patient was alcohol-induced inhibition of gluconeogenesis along with starvation.
They showed significantly increased central noradrenaline metabolism, perhaps related to sensation seeking.” Roy A, Linnoila M. 2003, “CONCLUSIONS: The results of this study suggest that bipolar disorder is associated with alterations in the metabolism of cytosolic, choline-containing compounds in the anterior cingulate cortex. However, in total 38% of the sample showed significant signs of a clinical psychiatric syndrome (one requiring intervention or treatment) in addition to alcohol dependence.” Sutton LR. As this resonance arises primarily from phosphocholine and glycerophosphocholine, both of which are metabolites of phosphatidylcholine, these results are consistent with impaired intraneuronal signaling mechanisms.” Moore CM, et als. It is to be expected that the medical science will soon recognize ‘hypoglycemia’, although this term may not be used. Ten months in to follow-up patient is still in persistent vegetative state with no noticeable neurological recovery.” Jain H, et als. Until such time when medical scientists can agree on a common term, we will be using the popular term ‘hypoglycemia’.
2002, “acute alcohol consumption brings on hypoglycemia in many individuals, since it inhibits gluconeogenesis from lactate and amino acids” Lehninger, 762 Hypoglycemia may be antecedent: “The origin of this atypical blood glucose response may antedate the onset of alcoholism, or it may be secondary to alcohol-related damage that persists beyond 6 months.
The point is that ‘hypoglycemia’ is a real disease and is forgotten by the medical profession.
These findings indicate that nutrition therapy can aid in the recovery from alcoholism.” Biery JR, at als. Previous accounts of increased sweet consumption in alcoholics were not substantiated, although they may be present in the peri-withdrawal period.” Umhau JC, et als.
The scarcity of research into hypoglycemia is due, no doubt, to the fact that most medical research is carried out by global pharmaceutical companies with an eye on profits for their investors. The financial reward for the production of xenobiotic chemical agents cannot be matched by scientific research about nutritional influences on disease and mental disorders without a ‘profit’ component. For a critical view of the benefits of pharmaceuticals on our health see: Death by Medicine by Gary Null et als.

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