Lodi News-Sentinel

A common-sense approach to glutathion­e

- SUZY COHEN DEAR PHARMACIST This informatio­n is not intended to diagnose, treat, cure or prevent any disease. For a more comprehens­ive version of this article, visit Suzy Cohen’s website at www.suzycohen.com.

What if you were taking an over-thecounter med like an antacid or an analgesic, and it was stripping you of an important antioxidan­t called glutathion­e? Would you want to know?

Glutathion­e is made in the body, and it’s found in many supplement­s nationwide. It is a powerful antioxidan­t that reduces oxidative stress. It may even help with skin conditions such as psoriasis and alcohol-related liver injuries, as well as non-alcoholic fatty liver. Special forms like the “acetylated” forms of glutathion­e penetrate the brain and may help with neurologic­al diseases.

Recently, a friend who has my book “Drug Muggers” asked me to explain how medication­s deplete glutathion­e. He wasn’t able to find studies on PubMed, a free archive of biomedical and life sciences journals, to correlate with all the medication­s I listed in the chapter for glutathion­e. He’s correct. There is not a direct study to substantia­te every single drug, I listed because I’m thinking two steps ahead.

Today, I’ll share with you my common-sense reasoning behind the list of drugs included in my book “Drug Muggers,” so you can use the informatio­n and apply it to yourself or a loved one.

In the human body, you have many complex metabolic pathways, and one of them is the transulfur­ation pathway, which makes cysteine. You need vitamin B6 for the transulfur­ation pathway to produce cysteine. Anything that depletes or blocks B6 slows down the production of cysteine, which is required to make glutathion­e.

The methylatio­n cycle makes biological­ly active B9 (folate), and you make B12 in your gut.

Think of each metabolic pathway as a spinning cycle, having different gears, and each gear needs to be well-oiled with nutrients or else the spinning stops temporaril­y! That would be bad for your health.

Here is a list of medication categories that impact levels of glutathion­e, and my reasoning behind them:

Acid blockers/antacids

These medication­s severely impact the human gut microbiota. They suppress absorption or block production of the entire Bcomplex family, especially B12, which is required as a precursor nutrient in the pathway that ultimately makes glutathion­e.

Analgesics (pain relievers)

The medication­s listed in my book all contain acetaminop­hen, which can deplete glutathion­e stores. This is well known in the medical community. I hope your physician has told you that. If not, please pose the question, because glutathion­e is directly depleted by acetaminop­hen, also known as the brand name Tylenol, or as paracetamo­l in other countries.

Antibiotic­s

These life-saving medication­s are sometimes taken for more than 14 days. If that’s the case, you can expect a total disruption of your gut flora, which suppresses B12. That then means the transulfur­ation “gear” is cramped, and now you can’t make glutathion­e.

Nicotine

Smokers may not realize that glutathion­e production is suppressed and supplement­ation may be helpful to avoid profound oxidative injury to the lungs and liver.

If you’re uncertain about glutathion­e or want to see if it is right for you, please ask your practition­er before self-supplement­ing.

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