I had Serotonin Syndrome in 2012 and I am still battling against serotonin toxicity 2 years later. I have regressed my progress to square one multiple times by trying things such as Lithium and Lamictal to stabilize my mood on different occasions. I can't even try another one because they all work with GABA which I also can't tolerate anymore.
Currently I'm on Seroquel 600mg/day but it isn't strong enough and does nothing for the cause. It is my only anti-psychotic option. I occasionally have to use Cyproheptadine but that destroys my working/ST memory. I take BCAAs 20g every day in 2 divided doses to block serotonin uptake to brain and gut, without which I would be in pain with Gastritis too (by 5-ht3). I am wondering if it would work more to increase the dose like they use in studies (up to 60g)?
My diet is also extremely limited, I go to great lengths to ingest a tryptophan/methionine deficient diet after repeated toxicity. This means no meat, fish, or dairy whatsoever. Even many vegetable proteins are out of the question. All of it has instant effects depending on the buffer - severe agitation. I even have to avoid certain vegetables/fruits because of the Quercetin content (MAOI).
So what I really need is some guidance and knowledge about how to deplete Serotonin effectively.
For example, I suspect ratios matter just as much as levels of amino acids but am not sure how to work out the proportions or how they work together.
I want to try Fenclonine - para-chlorophenylalanine (pCPA) to inhibit tryptophan hydroxylase, but it also inhibits phenylalanine hydroxylase. Would this significantly increase my dopamine levels / CNS stimulation? I found something that appears to say dopaminergic neurons are increased after pCPA. I also found one that indicates that the depletion of brain 5-HT by PCPA produces a decrease in the activity of midbrain DA cells.
Considering my dopamine is upregulated by my anti-psychotic medicine and I get very stressed when I don't take it, (presumably because of too much dopamine), if my brain grows more dopamine neurons will that increase the stress or be healing? Likewise, if my brain grows new serotonergic neurons, is that considered healing or would that increase my propensity for serotonin toxicity?
I'm also wondering if D-Phenylalanine would be a good idea to increase enkephalin/endorphin, if it would improve the dopamine to serotonin balance?
Any suggestions or insights would be most appreciated
Thanks