Vitamin C (everyone needs vitamin C supplementation – no exceptions)
Take from 4000 mg per day to bowel tolerance (the level that may cause your stools to become soft or loose in divided doses throughout the day of possible.
Folinic acid (5-formyltetrahydrofolate) or folate (5-methyltetrahydrofolate)
800 mcg (micrograms) to 1000 mcg per day are required for nerve health and function, to protects nerve cells and mop up homocysteine. Taking folinic acid or folate is critical if you are taking levodopa drugs (Madopar, Sinemet, Kinson or Stalevo in Australia). It is synergistic with vitamin C in this task. Folinic acid and folate are active forms of folic acid that do not require methylenetetrahydrofolate reductase (MTHFR) to be utilised by our body. This means we get more bang for our buck, our body uses less energy to absorb and utilize the folate, and those challenged with MTHFR SNPs (genetic mutations) that inhibit this conversion can still gain the benefits of folate. The metabolism of dopamine creates over forty metabolites, one of which is homocysteine. While we are healthy, this homocysteine is mopped up, converted to methionine which is then used in a variety of sulfation and, indirectly, methylation processes – part of our detoxification and immune function. This prevents an excess of homocysteine which may be cardiotoxic and neurotoxic.
When taking a dopamine supplement (i.e. levodopa drug), our body is not nearly as efficient at mopping up homocysteine, thus creating a risk of hyperhomocysteinemia (an excess of homocysteine). Taking additional folinic acid or folate will greatly reduce this risk.
Vitamin B complex or a multi vitamin/mineral complex with high-dose B vitamins
It is best to find a supplement including the active forms of the B vitamins. Most members of this group of nutrients require energy to convert to active, usable forms, unless we take the active form directly. Vitamin B1: thiamin diphosphate Vitamin B2: flavin mononucleotide or flavin adenine mononucleotide Vitamin B3: nicotinmide adenine dinucleotide Vitamin B5: pantothenic acid converted to coenzyme A Vitamin B6: pyridoxal 5’-phosphate Vitamin B9: 5-methyltetrahydrofolate Vitamin B12: methylcobalamin, cyanocobalamin, hydroxocobalamin – may assist in handling stress, maintenance of energy levels and metabolic function.
Magnesium
Take up to 5 grams daily in powder form. Magnesium citrate is the best researched and, as shown in that research, the best utilized of all the forms of magnesium available. However, magnesium citrate supplements can be expensive and are not always readily available; I have found, in clinical practice, that mixed forms of magnesium can be helpful for most patients. Many powdered supplements contain mixtures of several types including citrate, malate, orotate, and glycinate. Magnesium powder supplementation can also help improve bowel function. More recent research (2018–19) is indicating that magnesium threonate may be more efficient at crossing the blood/brain barrier and so be useful in treating neurodegenerative disorders.4 Magnesium in sufficient quantity reduces spasm and cramping, is required for brain health and many other body functions, may assist with rigidity and promotes a better response from bodywork. While it is best to obtain our required magnesium from foods, this is not always possible as our needs increase vastly with inflammation, stress, illness and some medications.
Mag Phos tissue salts (magnesium phosphate prepared as homeopathic dilutions but without potentisation) is also helpful in specific circumstances, especially as a first aid therapy for cramping, stiffness and some pain. While soaking in Epsom salts (magnesium sulphate) or magnesium chloride baths is excellent for detoxification, and rubbing with magnesium oil may help relieve muscle pain, transdermal absorption of magnesium is very poor. An Israeli study comparing no supplementation, oral supplementation and transdermal application by measuring serum magnesium levels showed no increase in serum magnesium when applied transdermally, while a literature and data review found no good evidence for claims made for transdermal magnesium absorption.5
Vitamin D3
Many of us are deficient in vitamin D now that we are so frightened of sunlight. Campaigns such as “Slip, Slop, Slap” in Australia, and the apparent war against sunlight exposure waged by cancer authorities and organizations around the world has reduced sun exposure below healthy levels for many people. It seems ridiculous that, in a sunny country like Australia, we have an epidemic of vitamin D deficiency with its associated health challenges of autoimmune and inflammatory disorders, some cancers, mood changes, neurodegeneration and bone disorders. It is sensible to avoid sunburn or other skin damage from over-exposure to hot sun so, in hot climates, limiting time of skin exposure and covering up at other times is a sensible strategy. However, many sunscreens contain carcinogenic chemicals so are best avoided. It has been shown that we need early morning sun exposure over about 90 per cent of our body for ten to fifteen minutes daily to create sufficient vitamin D for health. This is critical when we are otherwise unwell.6 Sensible sun exposure can have a profound effect on our mood and willingness to participate in healthy life activities.
A disorder called SAD (seasonal affective disorder) occurs most often in the northern hemisphere in countries where sunlight is scarce during winter months. Treatments include light therapy and vitamin D supplementation. I see some patients in Australia with signs of SAD because they avoid sunlight as much as possible. It is often useful to supplement with vitamin D3 (cholecalciferol) and monitor your blood levels annually, aiming for the very high end of the standard/normal range. Take 1000iu (4000mcg/4mg) daily or 5000iu (10,000mcg/10mg) three times per week, or as advised by your healthcare practitioner.
Zinc
This is a mineral often deficient in most Western diets. It is particularly so in Australia where zinc has been leached from our soil over many millions of years. Zinc is required for thousands of enzyme functions, cognitive function, prostate health, skin health and immune integrity. Many people with Parkinson’s display a high concentration of copper, above levels recommended for health. While we need trace amounts of copper, higher levels can be damaging. Healthy levels of zinc in our diet or moderate zinc supplementation can block the absorption of copper in the gastrointestinal tract, thus reducing our copper burden. Where zinc appears low on hair or urine mineral analysis (or copper is high) zinc supplementation is a useful strategy and may obviate the need to remove copper by more assertive means.
Take 30mg of elemental zinc or as advised by your healthcare practitioner. Zinc citrate is an easily utilised form.
Probiotic
There is a great deal of focus these days on the performance of our gut microbiome (the bacteria that live in our gastrointestinal tract). The number of bacteria and other microbes existing in our gastrointestinal tract possibly equals, or even outnumbers, the number of cells that compose our body! Trillions of microbes living together in harmony, all working to create a healthy environment for digesting food, creating neurotransmitters and other micronutrients, and keeping us healthy. Or so we hope. In practice, complete harmony is rare in our modern world. Food production methods, eating habits, stress and pollution all conspire to create imbalance and disharmony in our gut. We often see overgrowth of undesirable microbes, or those that should exist in very small numbers for balance, while more beneficial microbes are destroyed or suppressed. Microbe numbers can be closely defined through stool tests, but symptoms of imbalance are often present yet overlooked. Gut imbalance can produce fatigue, digestive discomfort, constipation, diarrhea, yeast overgrowth (candida is common), increased flatulence, indigestion, reflux, abdominal and back pain, headache, brain fog, reduced production of neurotransmitters (such as dopamine, serotonin, anandamide and others), anxiety, depression, skin disorders, halitosis, body odor and general malaise. Food is, of course, our first choice to balance our gut function and reduce symptoms. Fermented foods like sauerkraut and kimchi, or yogurt/kefir made from coconut or almond milk (unpasteurised and with no added sugar) may be helpful
For mild symptoms and/or suspected imbalance, a general maintenance probiotic from the local health food store may be sufficient. However, where symptoms are significant and are not corrected with dietary adjustments, it is best to consult a healthcare practitioner skilled in the management of gut microbiome. In general, this means a naturopath, holistically trained nutritionist, integrative doctor with training in nutrition and microbiome or a dietitian with post-graduate naturopathic training. Conservative practitioners such as medical doctors, gastroenterologists, conservative dietitians and medically trained nutritionists tend to focus on symptom reduction by using drugs or .....
A recent addition to the available probiotic range of Lactobacillus reuteri DSM 17938 as a single strain in modest numbers is proving to be most helpful in balancing gut and bowel function. L. reuteri DSM17938 has proven helpful for those displaying both constipation and loose stools, plus assisting with general gut dysregulation. There are other L. reuteri supplements marketed, so make sure you get only L. reuteri DSM17938.
Coleman, John C. Rethinking Parkinson's Disease: The definitive guide to the known causes of Parkinson's disease and proven reversal strategies (p. 161). Hybrid Publishers. Kindle Edition.to the known causes of Parkinson's disease and proven reversal strategies (pp. 160-161). Hybrid Publishers. Kindle Edition.
One of the great pioneers of vitamin C supplementation for many disease states was Dr Frederick Klenner (1907–84) from North Carolina in USA. Dr Klenner treated many thousands of seriously ill patients, adults and children, using mega-doses of vitamins, including vitamin C. Dr Klenner used high-dose oral and injectable sodium ascorbate, even though many of his papers speak of ascorbic acid. His wife, Annie (née Hill Sharp) has stated that Klenner did, indeed, use primarily sodium ascorbate, but his papers describe the active therapeutic substance which is ascorbic acid.1,2
I was desperate for information on vitamin C therapy in 1980 when my son was diagnosed with leukemia, and I was lucky enough to speak for over an hour with Dr Klenner via telephone. Dr Klenner was most helpful, gave me a great deal of information about how best to use vitamin C for my son, and rejected any idea of payment.
One rather surprising piece of information was his warning about using high-dose mineral ascorbates and their effect on mineral balance. Klenner’s experiments had showed that, when sodium ascorbate is absorbed by the body, it splits into ascorbic acid (which is what we want) plus an ion of sodium which is unstable, links to another sodium molecule, and is eliminated. He found that, when using very high doses of sodium ascorbate, his patients lost sodium, sometimes to a worrying level, and needed sodium supplementation. He later found similar effects when using calcium ascorbate orally.