heres some good posts from the sci.life-extension forum. The author takes 30 mg melatonin a night. I might be upping my dose soon too.
comments?
http://groups.google...a51f30857ff?tvc1. tcart...@elp.rr.com   Oct 13, 11:59 pm    
Newsgroups: sci.life-extension 
From: tcart...@elp.rr.com - Find messages by this author  
Date: 13 Oct 2005 15:59:09 -0700 
Hi, 
Endocrine. 2005 Jul;27(2):131-6. Related Articles, Links 
Metabolic effects of melatonin on oxidative stress and diabetes 
mellitus. 
Nishida S. 
Department of Biochemistry, Nihon University School of Medicine, Tokyo 
173-8610, Japan. 
               Melatonin, which is synthesized in the pineal gland and 
other tissues, has a variety of physiological, immunological, and 
biochemical functions. It is a direct scavenger of free radicals and 
has indirect antioxidant effects due to its stimulation of the 
expression and activity of antioxidative enzymes such as glutathione 
peroxidase, superoxide dismutase and catalase, and NO synthase, in 
mammalian cells. Melatonin also reduces serum lipid levels in mammalian 
species, and helps to prevent oxidative stress in diabetic subjects. 
Long-term melatonin administration to diabetic rats reduced their 
hyperlipidemia and hyperinsulinemia, and restored their altered ratios 
of polyunsaturated fatty acid in serum and tissues. It was recently 
reported that melatonin enhanced insulin-receptor kinase and IRS-1 
phosphorylation, suggesting the potential existence of signaling 
pathway cross-talk between melatonin and insulin. Because TNF-alpha has 
been shown to impair insulin action by suppressing insulin 
receptor-tyrosine kinase activity and its IRS-1 tyrosine 
phosphorylation in peripheral tissues such as skeletal muscle cells, it 
was speculated that melatonin might counteract TNF-alpha-associated 
insulin resistance in type 2 diabetes. This review will focus on the 
physiological and metabolic effects of melatonin and highlight its 
potential use for the treatment of cholesterol/lipid and carbohydrate 
disorders. 
PMID: 16217126 
 [Highly speculative at this stage, but melatonin should help whether 
or not it's "especially" helpful for diabetics or not. Clinical 
trials are showing that consistent human benefits start at about the 
level of 20 mg/day. I'm now taking 30.] 
6. tcart...@elp.rr.com   Oct 15, 2:47 am     show options 
Newsgroups: sci.life-extension 
From: tcart...@elp.rr.com - Find messages by this author  
Date: 14 Oct 2005 18:47:43 -0700 
Hi George, 
         Twenty mg is a woefully small dose, as seen by the number of 
deaths in cancer trials of people who only took this much. With the 
decrease of fatalities in these trials, and the fact that absorption 
varies by as much as 3500%, we can easily surmise that more lives would 
have been saved if larger doses had been used, or if the doctors had 
titrated to some given plasma level. Note that I stated the benefits 
START at 20 mg. The most successful trial gave 75 mg for six months or 
more. It was a contraceptive study. Moderate Alzheimer's effects have 
been seen at just 9 mg, a level which is of no value whatsoever for 
many.  I have yet to see a null study on cancer at 20 mg, but many show 
less effect than the ones I post below. 
          Your recommendation on dosage was initiated at .3 mg by the 
man that holds the patent on that dose. Those recommendations are now 
badly dated. We live in a medical environment of VERY rapid progress. 
           The cancer work is on a wide variety of very common cancers, 
and makes melatonin the single most effective therapy for cancer 
prevention and treatment. Many large trials are ongoing and they could 
of course negate or attenuate the current status of melatonin as number 
one. Of course it is seldom used at this time, but its use is 
increasing at a rapid pace. 
           A large six year Russian trial gave a 400% reduction in 
mortality for the use of two peptides that increase melatonin levels. 
Recent work is suggesting that another pineal product given with 
melatonin will result in additional benefits. I think a clinical trial 
is planned. 
           In vitro and animal work very strongly supports the clinical 
trials, and suggests other benefits such as life extension. 12 of 20 
rodent studies showed a life extension of about 20%. Many of the null 
studies may have used doses too low or strains of mice that didn't 
absorb well. 
        Anyone who is unconvinced should search this group for 
melatonin with my name as author. I've made many fully referenced 
posts. 
Thomas 
According to "Melatonin" (R.J.Reiter + J.Robinson) 
``In one study five healthy young people took the same 2mg dose of 
  Melatonin.  Among the participants there was a 35-fold difference 
  in the amount of melatonin that enters the bloodstream.'' - p.301. 
 Clin Endocrinol (Oxf). 2001 Mar;54(3):339-46.  (Maybe I should try 
sublingual) 
 J Pineal Res. 2003 Aug;35(1):12-5. 
Support Care Cancer. 2002 Mar;10(2):110-6. Epub 2001 Nov 13. Related 
Articles, Links 
Is there a role for melatonin in supportive care? 
Lissoni P. 
U.O. di Oncologia Medica e Radioterapia, Ospedale S. Gerardo dei 
Tintori, 20052 Monza (MI), Italy. oncolo...@genie.it 
              Melatonin (MLT) is the main hormone released from the 
pineal gland and has proved to have physiological antitumor activity. 
MLT has been shown to exert anticancer activity through several 
biological mechanisms: antiproliferative action, stimulation of 
anticancer immunity, modulation of oncogene expression, and 
anti-inflammatory, anti-oxidant and anti-angiogenic effects. Several 
experimental studies have shown that MLT may inhibit cancer cell 
growth, and preliminary clinical studies seem to confirm its anticancer 
property in humans. In addition, MLT may have other biological effects, 
which could be useful in the palliative therapy of cancer, namely 
anticachectic, anti-asthenic and thrombopoietic activities. On this 
basis, the present clinical investigation was performed in an attempt 
at better definition of the therapeutic properties of MLT in human 
neoplasms. In a first clinical study, we evaluated the effects of MLT 
in a group of 1,440 patients with untreatable advanced solid tumors, 
who received supportive care alone or supportive care plus MLT. In a 
second study, we evaluated the influence of MLT on the efficacy and 
toxicity of chemotherapy in a group of 200 metastatic patients with 
chemotherapy-resistant tumor histotype, who were randomized to receive 
chemotherapy alone or chemotherapy plus MLT. In both studies, MLT was 
given orally at 20 mg/day during the dark period of the day. The 
frequency of cachexia, asthenia, thrombocytopenia and lymphocytopenia 
was significantly lower in patients treated with MLT than in those who 
received supportive care alone. Moreover, the percentage of patients 
with disease stabilization and the percentage 1-year survival were both 
significantly higher in patients concomitantly treated with MLT than in 
those treated with supportive care alone. The objective tumor response 
rate was significantly higher in patients treated with chemotherapy 
plus MLT than in those treated with chemotherapy alone. Moreover, MLT 
induced a significant decline in the frequency of chemotherapy-induced 
asthenia, thrombocytopenia, stomatitis, cardiotoxicity and 
neurotoxicity. These clinical results demonstrate that the pineal 
hormone MLT may be successfully administered in medical oncology in the 
supportive care of untreatable advanced cancer patients and for the 
prevention of chemotherapy-induced toxicity. PMID: 11862501 
-------------------------------------------------------------------------------- 
4: Eur J Cancer. 1999 Nov;35(12):1688-92. Related Articles, Links 
Decreased toxicity and increased efficacy of cancer chemotherapy using 
the pineal hormone melatonin in metastatic solid tumour patients with 
poor clinical status. 
Lissoni P, Barni S, Mandala M, Ardizzoia A, Paolorossi F, Vaghi M, 
Longarini R, Malugani F, Tancini G. 
Division of Radiation Oncology, S. Gerardo Hospital, Monza, Milan, 
Italy. 
             Melatonin (MLT) has been proven to counteract chemotherapy 
toxicity, by acting as an anti-oxidant agent, and to promote apoptosis 
of cancer cells, so enhancing chemotherapy cytotoxicity. The aim of 
this study was to evaluate the effects of concomitant MLT 
administration on toxicity and efficacy of several chemotherapeutic 
combinations in advanced cancer patients with poor clinical status. The 
study included 250 metastatic solid tumour patients (lung cancer, 104; 
breast cancer, 77; gastrointestinal tract neoplasms, 42; head and neck 
cancers, 27), who were randomized to receive MLT (20 mg/day orally 
every day) plus chemotherapy, or chemotherapy alone. Chemotherapy 
consisted of cisplatin (CDDP) plus etoposide or gemcitabine alone for 
lung cancer, doxorubicin alone, mitoxantrone alone or paclitaxel alone 
for breast cancer, 5-FU plus folinic acid for gastro-intestinal tumours 
and 5-FU plus CDDP for head and neck cancers. The 1-year survival rate 
and the objective tumour regression rate were significantly higher in 
patients concomitantly treated with MLT than in those who received 
chemotherapy (CT) alone (tumour response rate: 42/124 CT + MLT versus 
19/126 CT only, P < 0.001; 1-year survival: 63/124 CT + MLT versus 
29/126 CT only, P < 0.001). Moreover, the concomitant administration of 
MLT significantly reduced the frequency of thrombocytopenia, 
neurotoxicity, cardiotoxicity, stomatitis and asthenia. This study 
indicates that the pineal hormone MLT may enhance the efficacy of 
chemotherapy and reduce its toxicity, at least in advanced cancer 
patients of poor clinical status. PMID: 10674014 
Five years survival in metastatic non-small cell lung cancer patients 
treated 
with chemotherapy alone or chemotherapy and melatonin: a randomized 
trial. 
Lissoni P, Chilelli M, Villa S, Cerizza L, Tancini G. 
Divisione di Radioterapia Oncologica, Ospedale San Gerardo, Monza, 
Milan, Italy. 
p.liss...@hsgerardo.org 
               Numerous experimental data have documented the 
oncostatic properties of 
melatonin. In addition to its potential direct antitumor activity, 
melatonin has 
proved to modulate the effects of cancer chemotherapy, by enhancing its 
therapeutic efficacy and reducing its toxicity. The increase in 
chemotherapeutic 
efficacy by melatonin may depend on two main mechanisms, namely 
prevention of 
chemotherapy-induced lymphocyte damage and its antioxidant effect, 
which has 
been proved to amplify cytotoxic actions of the chemotherapeutic agents 
against 
cancer cells. However, the clinical results available at present with 
melatonin 
and chemotherapy in the treatment of human neoplasms are generally 
limited to 
the evaluation of 1-year survival in patients with very advanced 
disease. Thus, 
the present study was performed to assess the 5-year survival results 
in 
metastatic non-small cell lung cancer patients obtained with a 
chemotherapeutic 
regimen consisting of cisplatin and etoposide, with or without the 
concomitant 
administration of melatonin (20 mg/day orally in the evening). The 
study 
included 100 consecutive patients who were randomized to receive 
chemotherapy 
alone or chemotherapy and melatonin. Both the overall tumor regression 
rate and 
the 5-year survival results were significantly higher in patients 
concomitantly 
treated with melatonin. In particular, no patient treated with 
chemotherapy 
alone was alive after 2 years, whereas a 5-year survival was achieved 
in three 
of 49 (6%) patients treated with chemotherapy and melatonin. Moreover, 
chemotherapy was better tolerated in patients treated with melatonin. 
This study 
confirms, in a considerable number of patients and for a long follow-up 
period, 
the possibility to improve the efficacy of chemotherapy in terms of 
both 
survival and quality of life by a concomitant administration of 
melatonin. This 
suggests a new biochemotherapeutic strategy in the treatment of human 
neoplasms. 
PMID: 12823608 
 [This is one of many positive trials. Click  on related articles.] 
And none titrated the dosage. Had blood levels been checked at least it 
would have been known whether or not nonresponders had good adsorption 
or not. And they might well have been able to get much better results 
with titration to a given concentration. Are these people incompetent, 
or am I missing something?]