My finalized treatment plan II

When I was taking pharmaton capsules with ginseng and selenium, my libido was boosted up, my mood was up, my motivation level was OK but my stuttering and loudness of voice were worsened with time. I experienced non stutterable pause in my speech and inrregular breathing while speaking. This irregular breathing led to unfinished words and incomplete sentences (where I spoke words that did not have enough volume to be heard by the other person. It occured at the end of the speech). I feel that these effects could be due to the accumulation of trace minerals in the body. I learnt from one article published in jorunal of orthomolecular medicine that minerals and vitamins do have agonism and antagonism effect with other minerals and vitamins. Copper regulates GABA and dopamine neurotransmission. So, when I was taking pharmaton capsules with selenium and ginseng (contains copper 2 mg), it might have affected my GABA and dopamine neurotransmission. And also, it contains only 1 mg of zinc. So, i feel these two factors along with selenium (50 mcg) were responsible for the observed side effects.

 

Hence, I decided to try a formulation without much of these trace minerals. Because, I feel that trace minerals when supplemented to 100% of RDA, they may accumulate in the body and produce toxic symptoms. So, I tried Blackmores Executive B tablets. I am doing stationary bicycling for 30 minutes in the morning also. I am using lifebuoy's mild care body wash for bathing and no deodorant and no body sprays.

Positive effects:

• Good and pleasant mood - no worries and no fears
• Reduced anxiety while speaking and driving
• Reduced stuttering - improved fluency and improved loudness and no pronounced non stutterable pause. A slight pause or delay occurs sometimes but I could overcome it by pronouncing other substituted words.
• Able to complete the long sentences with the same volume.
• More bass frequency in the voice - bass frequency increases with noodle intake probably with wheat intake.
• Good affection towards wife - led to no arguments and no fights with wife
• Slightly improved libido - however libido is lesser than that obtained with pharmaton capsules with selenium and ginseng. I have observed that while taking these combination, the libido increases proportionately with increase in protein intake in the lunch or in the breakfast.
• Erections are strong. 
• Motivation is good enough for me to sustain in the failing research work instaed of escaping.
• Concentration is also good enough to sustain in the tasks until complete. But, after taking lunch, tiredness occurs and concentration drops.

Negative effects:

• Tiredness after taking lunch.
• Feeling sleepy after taking lunch despite taking tea.
• Loudness of voice is not as much as when obtained with 5-HTP and DL-Phenylalanine.
• Even though alertness is there while driving, reduced anxiety makes me to think other things other than driving. This effect may also be due to adaptation for driving. 

Suggestions:

• To improve the libido, ginseng can be added 20-40 mg of ginseng extract standardised to 4% ginsenosides.
• To improve the loudness of voice, DL-phenylalanine can be added in the morning OR folic acid 800 mcg may be tried in the morning OR 400 mcg of folic acid in morning and 400 mcg of folic acid in lunch may be tried.

https://www.blackmores.com.my/products/executive-b

 

Composition of Blackmores executive B tablets:

 

Vitamin C (Ascorbic acid)	180 mg
Vitamin B3 (Nicotinamide)	60 mg
Vitamin B6 (Pyridoxine hydrochloride)	10 mg
Vitamin B2 (Riboflavin)	8.5 mg
Vitamin B1 (Thiamine nitrate)	7.5 mg
Biotin	50 mcg
Vitamin B5 (Pantothenic acid)	20 mg
Folic acid	200 mcg
Potassium (from Potassium sulfate)	75 mg
Magnesium (from Magnesium phosphate)	175 mg
Vitamin B12 (Cyanocobalamin)	10 mcg
Zinc (from Zinc sulfate)	15 mg

 

In this formulation zinc is present as almost 100% of RDA and magnesium as ~50% of RDA. Along with this formulation I am taking folic acid 400 microgram also in the morning.

 

Time and food	Drugs	Remarks
Morning - Breakfast with low fat noodles or rice noodles - 1 packet ~ 250kcal	Blackmores Executive B multivitamin tablet - 1 Folic acid - 400 microgram - 1 tablet	This multivitamin formulation contains anti-stress vitamins and minerals. Executive B contains 200 microgram of folic acid. But, I feel that I may need more folic acid since my homocysteine level is on the borderline high. So I take 400 microgram of folic acid. This gives me more energy, good mood, good loudness in voice (loudness is not as louder when supplemented with 5-HTP and DL-phenylalanine), less stuttering and less anxiety.
Noon - Lunch with rice, Indian curry (avoid protein intake)	No drugs	Protein intake is avoided to minimize the fluctuations in neurotransmitter levels mainly to avoid stuttering. Protein intake in the morning or in the lunch increases adrenaline, noradrenaline and dopamine and give more energy but at the same time producing more pronounced stuttering. So, protein intake can be safely allocated to the night meal. Then the next whole day's neurotransmitter levels can be maintained adequately.
Night - Dinner with rice or bread or chappathi or low fat noodles or rice noodles with one piece of fried chicken preferably with a chicken breast piece	No drugs	Once I took 400 mcg of folic acid. It produced tiredness next day probably interfering with sleep cycles. Once I took omega 3 supplement in night, it made me tired next day and made me to sleep excessively.

Effect of appeton teen grow - multivitamin and multimineral capsules

Long back I used to take appeton teen grow capsules. It used to increase the libido for few days. But, after that, it will be normalized. It increased my stuttering mainly.

Each capsule contains:

 

vitamin A 3000iu,
vitamin E 20iu,
vitamin D3 400iu,
vitamin B1 3mg,
vitamin B2 3mg,
vitamin B6 4mg,
vitamin B12 6mcg,
nicotinamide 20mg,
folic acid 400mcg,
vitamin C 100mg,
calcium 147.1mg,
iron 10mg,
potassium 4.98mg,
iodine 0.749mcg,
copper 0.7mg,
magnesium 6.13mg,
manganese 0.56mg,
zinc 0.863mg.

 

Positive effects:

• Slight mood elevation - But not very much mood elevation
• Slightly increased energy

Negative effects:

• Pronounced stuttering 

Treatment strategy to have less stuttering for public speaking and class

Today, I have just finished a class at 3.30 pm. The classroom does not have a microphone and speaker. So, I have to speak louder to the audience of 45 students. My voice usually will not be louder enough to be heard by even 30 students. However, today I could speak louder and without any pronounced stuttering, I could talk for 50 minutes continuosly. No long pauses in the speech. No mispronounciations. No non stutterable pauses. I am really surpised by my lecture today. I like to record the things I followed to achieve this.

These days, I am taking Pharmaton capsules with ginseng. For the past two weeks+ I am taking it.

Yesterday, I took

• 1 capsule of pharmaton capsules with ginseng + 200 microgram of GTF chromium in the morning.
• No folic acid in the morning or in the night.
• Yesterday night, I took 1 cup of low fat noodles (No MSG), 1 piece of chicken drum stick piece, 1 piece of fish, 1 masal vada, 1 apple, 2 bananas

Today

• I had sleep of 9 hrs. I slept at 12.30am and got up at 9.30am. I kept the alarm at 5.50am to get up and do exercises. But, I could not get up on time. I just snoozed my alarm until i get up at 9.30am. Also, I slept on a small bed (bed with little thickness - like a comforter) on the floor. If I sleep in a regular bed (thickness 7-12 inches), my body heat increases. I think it increases my serotonin level in certain araes of the brain. If I sleep on a mat on the floor, my body heat reduces, my stuttering improves.
• No drugs in the morning or in the lunch.
• I took bath with Lifebuoy's mild care body wash. I found that certain bodywash products alter the serotonergic transmission. This Lifebuoy's mild care body wash promotes increased serotonergic neurotransmission and improves flow of speech and loudness.
• I took 1 cup of rice noodles with 1 teaspoon of sunflower oil and little chilli powder.
• In the lunch, I took 1.5 cups of rice (~300 gms) with some sambhar (with toor dhal) and rasam and I had a ice milk tea.
• Today morning, as soon as I arrived at my office, I experienced a non stutterable pause in my speech with my roommate. I think that could be the effect of yesterday's drugs. I have also observed that the drugs effect remain in the body for up to  ~ 24 hrs. After that, I could witness more fluent speech. This could be because of the increased serotonin due to the intake of rice noodles. I have also observed that taking rice with sambhar with dissolved toor dhal, helps stabilise the fluctuation in the serotonin levels and reduces my stuttering. It is a kind of supplying protein with fibre which may give a sustained release effect. If I take animal proteins, since the amount of protein is more, it creates fluctuations in the serotonin levels.

So, this strategy helps me to do my lecturer job to my satisfaction.
I observe here that in the next day after the multivitamin intake, I feel good energy and reduced stuttering. I observed the same effect with Zincovit tablets (contains 1 mg of folic acid). So, probably, I may need sub optimal levels of multivitamins. Overdosage, gives me problems. Also, I feel that pure multivitamins may be good enough for me rather than the minerals. Certain trace minerals like copper and selenium are linked with stuttering and I also feel that these minerals may be responsible for worsened stuttering and non stutterable pause. 
 
Along with this strategy, I have to include folic acid to improve my energy levels and the bonding effect. To improve upon, I must try

• Exercising (aerobic and anaerobic)
• Including folic acid in the morning or in the evening and see its effect on stuttering.