THE STARTING POINT FOR EVERYTHING – EXCEPT
HYPODOPAMINERGIC CONDITIONS ASSOCIATED WITH PARKINSON’S DISEASE AND RESTLESS LEG SYNDROME1-36
STEP ONE – STARTING THE PATIENT
Start all patients on level-1 of the hyposerotonergicTM (low serotonin) condition protocol, no matter which monoamine (dopamine or serotonin) is the dominant problem. Plus, start vitamin B6 100 mg twice a day. Do not start patients on the serotonin protocol who are experiencing a hypodopaminergic condition associated with Parkinson’s disease or Restless Leg Syndrome.
Seven days after starting, follow up with the patient. If symptoms have completely resolved, continue level-1 dosing. Many patients may need this dosing for life. If symptoms are still present, even mild symptoms, increase to level-2 while continuing vitamin B6 100 mg twice a day.
When starting nutrients or changing the daily dose, it takes five days for equilibration to occur. Therefore, full results do not occur until approximately day six. When seeing the patient on day seven, ask, “How were your symptoms yesterday (day six).”
After seven days on level-2, follow up with the patient. If symptoms have completely resolved, continue level-2 dosing. Many patients may need this dosing for life. However, if symptoms are still present, even mild symptoms, increase to level-3 while continuing vitamin B6 100 mg twice a day.
After seven days on level-3 if symptoms are still present submit a urine specimen to DBS Labs for analysis.
Level-3 of the hyposerotonergic condition protocol is the optimal dosing for determining if the hyposerotonergic condition protocol or the hypodopaminergic condition is required. Contact DBS Labs for specifications regarding lab sample collection guidelines and testing.
Hyposerotonergic / Hypodopaminergic Condition Starting Point ProtocolTM
|Day-0 Level 1||3 R&R||—||3 R&R|
|Day-7 Level 2||3 R&R||3 R&R||2 R&R Sans|
|Day-14 Level 3||3 R&R||3 R&R||4 R&R Sans|
Day-21 – If symptoms are still present after seven days on level 3 submit a specimen for serotonin and dopamine assay to DBS Labs, 1-877-476-7229
Figure 1: If symptoms have resolved completely after seven days on any level, do not increase to the next level, do not order testing. Increase to the next level if symptoms are still present after seven days. Order lab testing after seven days on level 3 if symptoms are stil present. Lab testing determines if the serotonin or dopamine protocol is required. Dosing levels 1-3 do not require lab testing. Do not increase to level 4 through level 9 or switch to the dopamine protocol without first obtaining a serotonin and dopamine assay.
To obtain kits for lab sample transport, call DBS Labs at 877-476-7229
This is not neurotransmitter testing, these are centrally acting monoamines being assayed. Clinical experience reveals that patients may achieve relief of low monoamine (serotonin or dopamine) related symptoms on levels 1 through 3 of the hyposerotonergic condition protocol without testing. If testing is indicated, it is very low impact, one test.