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CONDITIONS OF USE AND IMPORTANT INFORMATION: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. This information may not fit your specific health circumstances. Never delay or disregard seeking professional medical advice from your doctor or other qualified health care provider because of something you have read on WebMD. You should always speak with your doctor or health care professional before you start, stop, or change any prescribed part of your health care plan or treatment and to determine what course of therapy is right for you.
where to buy sam e supplement
Many studies have examined injectable forms of SAMe, not oral supplements. More research is needed to determine whether SAMe works for depression. Because serious depression is a dangerous illness, you should seek help from your doctor before taking SAMe or any supplement.
A number of well-designed studies show that SAMe may reduce pain and inflammation in the joints, and researchers think it may promote cartilage repair. In several short-term studies (ranging from 4 to 12 weeks), SAMe supplements were as effective as nonsteroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen and naproxen) in adults with knee, hip, or spine osteoarthritis, in lessening morning stiffness, reducing pain and swelling, improving range of motion, and increasing walking pace. Several studies also suggest that SAMe has fewer side effects than NSAIDs. Another study compared SAMe to celecoxib (Celebrex), a type of NSAID called a COX-2 inhibitor, and found that over time SAMe was as effective as celecoxib in relieving pain. Other studies show no differences in pain relief or tolerability between treatment with SAMe or habumetone over 8 weeks in people with knee osteoporosis.
It is important to note that many of the studies of SAMe have tested injectable, not oral, forms. It is not as clear whether taking SAMe orally is as reliable or effective. Small studies suggest that oral supplementation with SAMe is not well absorbed by the body. Clinicians recommend taking oral SAMe with vitamin B12, folic acid, methionine, and trimethylglycine to enhance absorption.
By taking their SAM-e supplement, aSquared Nutrition suggests that you may see benefits ranging from healthy brain function to cellular growth and repair, as well as increases in mood, well-being, and energy.
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Dr. Ben Lynch recommends using certain dietary supplements based on your need for them. Start with a partial serving and increase slowly over time to the full serving, only if needed. When you start feeling good, consider reducing the serving size, skipping days, or pausing supplementation. Then take again when you feel you need it (stressful day, traveling, chemical exposure, etc.), hence "pulsing." Work with your qualified healthcare practitioner to determine what's best for you.
Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to prove the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does not certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products. More detailed information about dietary supplements is available elsewhere on the LactMed Web site.
S-adenosyl-L-methionine (commonly called "SAM-e") is a naturally-occurring chemical component present in all cells of the body where it is essential in more than 200 metabolic pathways. SAM-e has been approved as a prescription drug for depression in Germany, Italy, Spain, and Russia, and has been in use in Europe for over three decades. It is available without a prescription in the United States and some other countries.
When doctors found that conditions like depression and liver disease were associated with abnormal levels of S-adenosylmethionine in the body, researchers began to investigate the efficacy of SAM-e in the treatment of these types of health concerns. Overall, there has been evidence that SAM-e helps improve a host of conditions, including depression, liver disease, osteoarthritis and fibromyalgia. However, researchers agree that more studies are needed to fully understand the mechanisms and medicinal potential of the supplement. (4)
Researchers are still looking into whether or not S-adenosylmethionine is an effective dietary supplement for the treatment of osteoarthritis, or degenerative joint disease. Animal studies show that SAM-e stimulates the production of cartilage, which is critical in reversing the disease process. It may also help reduce pain and stiffness because of its anti-inflammatory properties and its ability to increase glutathione levels. (7)
SAM-e supplements have become known for their pain-relieving effects, which is why people often take them for lower back pain relief, joint pain, PMS symptoms and abdominal pain.
Recommended Dosage: SAMe should be taken on an empty stomach for maximum absorption. SAMe supplementation can be divided over the course of the day, (i.e. before breakfast, before lunch and before supper.) Clinical studies indicate that benefits may be evident in the first week or two of supplementation.Take 1 tablet (400mg) a day for the first week. If the desired benefits are not achieved, you may increase your level of supplementation by taking 2 tablets daily (800mg) in the second week. In some cases it may be necessary to increase your intake of SAMe to as much as 4 tablets a day (for a maximum of 1600mg). A month or two after you have achieved your desired result you can try to decrease your dosage to a maintenance level of 400mg to 800mg daily. For more specific information, you may consult a health care professional.
SAM-e is a compound produced naturally by the human body. It acts on a number of important molecules including hormones, neurotransmitters, fatty acids, DNA, proteins, and cell membranes. In the United States, SAM-e is marketed as a supplement to enhance mood, brain and neural function, joint mobility, and liver detoxification.
SAM-e may interact with medications such as antidepressants, or other natural products that also affect serotonin levels. Therefore, patients should consult with their physician before taking this supplement.
You are taking antidepressants or anxiolytics (including tricyclics, MAOIs, and SSRIs): Because many of these drugs also affect serotonin levels, there is an increased risk for side effects or toxicities if you also take SAM-e. Discuss any use of this supplement with your treating physician.
Preclinical data suggest that SAM-e may have antidepressive (33), neuroprotective (34), anti-inflammatory (35), and chondroprotective (36) effects. Other models suggest liver injury can be exacerbated by depleted SAM-e levels, and that supplementation may have hepatoprotective effects (31).
While generally well-tolerated, the therapeutic value of SAM-e in chronic liver disease is limited (26) or yet to be determined. Because it is poorly absorbed, enteric-coated tablets are preferred. Outside the United States, parenteral formulations are used to treat fibromyalgia (9), osteoarthritis, and tendonitis as well as depression. However, patients with bipolar disorder or taking serotonergic medications including antidepressants should discuss any use of this supplement with their treating physician, as cases of mania and serotonin syndrome have been reported.
Patients on antidepressants or with bipolar disorder should avoid this supplement without the supervision of the treating physician due to case reports of mania, serotonin syndrome, or other side effects (13) (22) (46).
The body uses SAMe to make certain chemicals in the body that play a role in pain, depression, liver disease, and other conditions. People who don't make enough SAMe naturally may be helped by taking SAMe as a supplement.
Hanje, A. J., Fortune, B., Song, M., Hill, D., and McClain, C. The use of selected nutrition supplements and complementary and alternative medicine in liver disease. Nutr.Clin.Pract. 2006;21(3):255-272. View abstract.
She felt encouraged when an online search led to her discovery of SAMe, a natural supplement. And she was even more excited when, after buying a box over the counter at Target, she started feeling better in a couple of weeks.
S-ADENOSYL-L-METHIONINE, SAM-E (S a DEN o sil L meh THIO nine, SAM-e) may support mental health. It may also support bone and liver health. The FDA has not evaluated this supplement for any medical use. It may contain ingredients not listed. Discuss all supplements you are taking with your care team. They can provide you with important safety information.
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine. 041b061a72