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  #1   ^
Old Thu, Sep-09-10, 05:52
Pilili Pilili is offline
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Default Vitamin B slows down Alzheimer's Disease

Trying my best at translating an article that appeared in the Flemish newspaper today.

Vitamin B slows down Alzheimer's Disease

British research at the university of Oxford has demonstrated that vitamin B may slow down the deterioration of the human brain. It should be possible to use the vitamin as a new weapon against dementia and possibly even Alzheimer.

168 elderly people were followed, who recently started having language and memory problems.

The group was divided in two. One half took Vitamin B6 And B12 tablets for two years. The other half were given placebo. Then brain scans were taken.

From the scans it appears that the brains of the people who were given vitamin supplements had 30 to 50% less deterioration than normal.

Researcher David Smith says "Vitamins such as B6 and B12 protect the brain. This is important since we want to protect the brain as much as possible so that Alzheimer can be prevented".

The researchers plan to expand their research now. They want to be certain that such large doses of vitamins do not cause health problems.
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  #2   ^
Old Thu, Sep-09-10, 06:39
terque terque is offline
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This has been one of the top stories on the news here today. An English version can be found here:

http://www.bbc.co.uk/news/health-11232356
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  #3   ^
Old Thu, Sep-09-10, 07:32
Hutchinson's Avatar
Hutchinson Hutchinson is offline
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Plan: Dr Dahlqvist's
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Homocysteine-Lowering by B Vitamins Slows the Rate of Accelerated Brain Atrophy in Mild Cognitive Impairment: A Randomized Controlled Trial
Quote:
Abstract
Background

An increased rate of brain atrophy is often observed in older subjects, in particular those who suffer from cognitive decline. Homocysteine is a risk factor for brain atrophy, cognitive impairment and dementia. Plasma concentrations of homocysteine can be lowered by dietary administration of B vitamins.

Objective
To determine whether supplementation with B vitamins that lower levels of plasma total homocysteine can slow the rate of brain atrophy in subjects with mild cognitive impairment in a randomised controlled trial (VITACOG, ISRCTN 94410159).

Methods and Findings
Single-center, randomized, double-blind controlled trial of high-dose folic acid, vitamins B6 and B12 in 271 individuals (of 646 screened) over 70 y old with mild cognitive impairment. A subset (187) volunteered to have cranial MRI scans at the start and finish of the study. Participants were randomly assigned to two groups of equal size, one treated with folic acid (0.8 mg/d), vitamin B12 (0.5 mg/d) and vitamin B6 (20 mg/d), the other with placebo; treatment was for 24 months. The main outcome measure was the change in the rate of atrophy of the whole brain assessed by serial volumetric MRI scans.

Results
A total of 168 participants (85 in active treatment group; 83 receiving placebo) completed the MRI section of the trial. The mean rate of brain atrophy per year was 0.76% [95% CI, 0.63–0.90] in the active treatment group and 1.08% [0.94–1.22] in the placebo group (P = 0.001). The treatment response was related to baseline homocysteine levels: the rate of atrophy in participants with homocysteine >13 µmol/L was 53% lower in the active treatment group (P = 0.001). A greater rate of atrophy was associated with a lower final cognitive test scores. There was no difference in serious adverse events according to treatment category.

Conclusions and Significance
The accelerated rate of brain atrophy in elderly with mild cognitive impairment can be slowed by treatment with homocysteine-lowering B vitamins. Sixteen percent of those over 70 y old have mild cognitive impairment and half of these develop Alzheimer's disease. Since accelerated brain atrophy is a characteristic of subjects with mild cognitive impairment who convert to Alzheimer's disease, trials are needed to see if the same treatment will delay the development of Alzheimer's disease.


The full text of the article is online and free at the above link.
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  #4   ^
Old Thu, Sep-09-10, 07:33
Hutchinson's Avatar
Hutchinson Hutchinson is offline
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Plan: Dr Dahlqvist's
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From the above study we see
Quote:
The treatment group received oral TrioBe Plus® (Meda AB/Recip AB, Box 906, Pipers väg 2A, SE-170 09 Solna, Sweden) containing 0.8 mg folic acid, 0.5 mg cyanocobalamin and 20 mg pyridoxine HCl,


I've only done a quick google search and can't find a source for that particular blend.

However this selection is similar.

Now Foods, B-6 Pyridoxine HCl, 50 mg, 100 Tablets
Quote:
Because the half-life of pyridoxine is 15-20 days and it is not significantly bound to plasma proteins, and the limited stores may be depleted within two to six weeks on a pyridoxin-free diet, a daily supply is required. Excess pyridoxine is excreted in the urine.


Now Foods, Methyl B-12, 1000 mcg, 100 Lozenges

This form of B12 is regarded as the best absorbed and therefore an improvement on the type used in the study.
It is double the amount used more about
More about Vitamin B12 here from which you see
Quote:
Safety

Large intakes of vitamin B12 from food or supplements have caused no toxicity in healthy people. No adverse effects have been reported from single oral doses as high as 100 mg and chronic administration of 1 mg (500 times the RDA) weekly for up to 5 years. Moreover, there have been no reports of carcinogenic or mutagenic properties, and studies to date indicate no teratogenic potential. The main food safety authorities have not set a tolerable upper intake level (UL) for vitamin B12 because of its low toxicity.


Now Foods, Folic Acid with Vitamin B-12, 800 mcg, 250 Tablets
The B12 in this form while the same as in the study (but just half the study amount) is not well absorbed so taking one of the above Methyl B-12 once weekly will make up the deficit and be more likely to be used.
More on Folic acid
This is exactly as used in the study.
The links provided to examples go to IHERB because their shipping to UK is cheapest.The total cost is $14.94 and that provides a longer supply than using a Vitamin B complex and I haven't actually (only spent a short time searching) found an exact equivalent Vit B complex to match the study. Introductory code ~~~~~~ saves $5 at IHERB.

Don't forget this isn't to say that correcting vitamin D, omega 3 and magnesium deficiency status won't also improve brain function as all three work as anti inflammatory agents in the brain. So please don't take the results of this study to ditch those and convert to vitamin B complex alone.
Mercola has a reasonable article on strategies to reduce Alzheimer risk so you can cover all options.

I should perhaps add that those study participants who prior to and during the study, used a multivitamin, showed no change from the extra provided during the study, so, if you are already taking a multivitamin adding the above may not make any difference at all. However note the difference between the form B12 used and the one I suggest. That may make a difference.

In "Is risk of Alzheimer disease a reason to use dietary supplements?" Dwyer & DeTolve Donoghue conclude" dietary supplement use is unlikely to prevent cognitive impairment or AD, nor is e41 status an indication for their use. Behaviors that reduce cardiovascular disease risk are more promising."

"e41 status" is a high risk genotype for AD.

So really all this is saying is that people who already have mild congitive impairment and who don't take a multivitamin, may well slow the rate of decline if they use folic acid, B12, B6 complex or a multivit.
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  #5   ^
Old Thu, Sep-09-10, 10:00
M Levac M Levac is offline
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Or you can just eat a fat juicy steak.
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  #6   ^
Old Thu, Sep-09-10, 11:47
ReginaW's Avatar
ReginaW ReginaW is offline
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Plan: Atkins/Controlled Carb
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Quote:
Originally Posted by Hutchinson
From the above study we see


I've only done a quick google search and can't find a source for that particular blend.

However this selection is similar.

Now Foods, B-6 Pyridoxine HCl, 50 mg, 100 Tablets


Now Foods, Methyl B-12, 1000 mcg, 100 Lozenges

This form of B12 is regarded as the best absorbed and therefore an improvement on the type used in the study.
It is double the amount used more about
More about Vitamin B12 here from which you see


Now Foods, Folic Acid with Vitamin B-12, 800 mcg, 250 Tablets
The B12 in this form while the same as in the study (but just half the study amount) is not well absorbed so taking one of the above Methyl B-12 once weekly will make up the deficit and be more likely to be used.
More on Folic acid
This is exactly as used in the study.
The links provided to examples go to IHERB because their shipping to UK is cheapest.The total cost is $14.94 and that provides a longer supply than using a Vitamin B complex and I haven't actually (only spent a short time searching) found an exact equivalent Vit B complex to match the study. Introductory code ~~~~~~ saves $5 at IHERB.

Don't forget this isn't to say that correcting vitamin D, omega 3 and magnesium deficiency status won't also improve brain function as all three work as anti inflammatory agents in the brain. So please don't take the results of this study to ditch those and convert to vitamin B complex alone.
Mercola has a reasonable article on strategies to reduce Alzheimer risk so you can cover all options.

I should perhaps add that those study participants who prior to and during the study, used a multivitamin, showed no change from the extra provided during the study, so, if you are already taking a multivitamin adding the above may not make any difference at all. However note the difference between the form B12 used and the one I suggest. That may make a difference.

In "Is risk of Alzheimer disease a reason to use dietary supplements?" Dwyer & DeTolve Donoghue conclude" dietary supplement use is unlikely to prevent cognitive impairment or AD, nor is e41 status an indication for their use. Behaviors that reduce cardiovascular disease risk are more promising."

"e41 status" is a high risk genotype for AD.

So really all this is saying is that people who already have mild congitive impairment and who don't take a multivitamin, may well slow the rate of decline if they use folic acid, B12, B6 complex or a multivit.




One word.......METANX =)
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  #7   ^
Old Thu, Sep-09-10, 11:48
ReginaW's Avatar
ReginaW ReginaW is offline
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Default

Quote:
Originally Posted by M Levac
Or you can just eat a fat juicy steak.


Steak doesn't have folate.....or, if supplementing, methyl-folate. One can get toxic with folic acid, so methyl-folate is much better for supplementing.
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  #8   ^
Old Thu, Sep-09-10, 12:28
Hutchinson's Avatar
Hutchinson Hutchinson is offline
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Plan: Dr Dahlqvist's
Stats: 205/152/160 Male 69
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Default

I thought I ought to read a bit more about Homocysteine.

Homocysteine as a Risk Factor for Disease

Homocysteine Reduction How Much Is Safe?
The first link says
Quote:
Osteoporosis: Women with high homocysteine levels were found to have significantly lower bone mineral density in the hip than control subjects. In fact, the risk of low bone density was 96% higher among women with high homocysteine (greater than 15 μmol/L) compared to women with lower homocysteine less than 9 μmol/L).

And the second says
Quote:
The Life Extension Foundation prefers an aggressive stance on homocysteine, striving for a level between 7 µmol/L and 8 µmol/L.
So although the Alzheimer's study showed no extra benefit for those who took at multivitamin before the study and continued with it as well as the study protocol vits as far a atrophy rate was concerned their baseline tHcy was 9.9 and the study found no one with levels around 9.5 showed benefits from their extra Bvits.

So are there better more effective choices that would lower homocysteine more?

If we change my original cheapo selection of the B vitamins used in this study for versions that offer potential advantages.
Source Naturals, Coenzymated B-6 (Pyridoxal -5'-phosphate), 100 mg, 60 Tablets $9.80

Pure Advantage, B-12, methylcobalamin 500 mcg Spray, 1 fl oz $10.82

Life Extension, Optimized Folate (L-Methylfolate), 1000 mcg, 100 Veggie Caps $21.00

I found this Thorne article on B6 interesting

Nicotinic acid (NA), a widely used drug to lower elevated plasma lipid levels, induced Nicotinamide N-methyltransferase enzyme activity in white adipose tissue of mice. In tissue culture nicotinamide treatment led to an increase in adipose tissue homocysteine secretion. These data support the concept that adipose tissue Nicotinamide N-methyltransferase contributes to the increased plasma homocysteine levels in patients treated with Nicotinic acid.
So do human fat cells increase homocysteine levels in people who use Niacin?

Perhaps some of us do have to work harder at lowering homocysteine.
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  #9   ^
Old Thu, Sep-09-10, 14:07
amandawald amandawald is offline
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If you want natural B vitamins, the absolute best source is calf's liver, not meat.

amanda
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  #10   ^
Old Thu, Sep-09-10, 14:31
Dodger's Avatar
Dodger Dodger is online now
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Calf's liver is a meat!
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  #11   ^
Old Thu, Sep-09-10, 18:40
sln88 sln88 is offline
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did they actually do any cognitive tests on the participants to see if the brain scan results= real life disease?
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  #12   ^
Old Thu, Sep-09-10, 19:17
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WereBear WereBear is offline
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This suggests that what might be going on is indeed malnutrition.
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  #13   ^
Old Thu, Sep-09-10, 19:42
Fauve Fauve is offline
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I'm with Martin, eat steak!
And Hi Pilili! I am originally from Belgium too!
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  #14   ^
Old Fri, Sep-10-10, 01:04
Pilili Pilili is offline
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Plan: Avoid PUFA, sugar & bread
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Quote:
Originally Posted by Fauve
And Hi Pilili! I am originally from Belgium too!



Nice to meet a compatriot!
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  #15   ^
Old Fri, Sep-10-10, 02:32
jmh's Avatar
jmh jmh is offline
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Quote:
B vitamins are found naturally in many foods, including meat, fish, eggs and green vegetables.


This is in the BBC article posted earlier in this thread.

Pity that the advice from the GP on BBC breakfast news was to add wheat germ to the diet. No mention of meat at all.
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