5ht1a (autoreceptor) sensitivity and central/peripheral nervous system balance (a dilemma)

feedandseed

Member
Joined
Dec 5, 2022
Messages
49
Location
Texas
Hi all. First post so I suppose introductions are in order. I'm feedandseed, have been browsing this forum for the better part of a year now and only recently was finally able to make an account. I'm male, 22 years old. I've had odd health problems my whole life that roughly align with most on this forum. (Leaky gut, skin/hair issues, allergies, dysbiosis) I was fairly autistic as a child but was very fortunate to be exposed to LSD around 16, as it essentially cured me (could suddenly make eye contact easily, no longer anxious speaking to others, could better empathize) and became relatively normal, but some persistent issues remain. In the course of trying to treat myself, I've come to realize that the serotonin/dopamine balance is probably the single root factor in all of my issues. Exploring this angle of health is what lead me to Peat and this forum.

It seems like my default state is high androgens, high gaba, high serotonin. I've tested >1000 ng/dl for test before but simultaneously prolactin of ~17 and very high TSH. (though "normal" thyroid hormone concentrations) And behaviorally this translates to laziness, procrastination, and avoidance. Physiologically, I look good due to lack of body fat but have trouble gaining weight. I'm also frequently cold and below ideal temps according to peat. Strangely, my SHBG was in the upper range of normal on my most recent blood work, complicating the obvious "hypothyroid" diagnosis. I've begun to suspect some kind of 5HT receptor imbalance causing sympathetic/parasympathetic nervous system imbalance. Possibly due to unfortunate childhood use of SSRI medication.

Of the things I've tried, three stand out as extremely helpful.

1.) Androsterone - even as low as 1mg/day applied to the wrists or navel relieves many of the symptoms I attribute to high prolactin. It works so well that I've accepted I may have to trade my hair for overall wellness. Oh well.

2.) Protein Restriction - avoiding tryptophan makes me feel significantly better. I try once a week to have a day where I consume only fruit juice and gelatin + tyrosine/phenylalanine. On these days and for the day after I feel incredibly dopaminergic.

3.) Lisuride - 25 ug applied to wrists basically feels like the "afterglow" from LSD. I get increased temperatures, reduction in "lazy" tendencies, reduction in dermatitis (anti-fibrotic effect?), social ease, etc. Which brings me to the topic at hand:

Lisuride FEELS like it regulates my nervous system towards a more ideal state, whatever that may be. My concern is that with continued use I'll desensitize the 5ht1a receptor and make the problem worse. Given that it is a dopamine agonist I'd already rather not take it indefinitely, but dopamine resensitization is actually not so bad, (inositol &or 9-me-bc seem to reliably sensitize)
and what I am really concerned about is the 5ht1a agonism , since theoretically upon stopping the medication the autoreceptor will be desensitized and serotonin levels will increase as a result - activating the whole serotonin cascade and dropping dopamine.

Additionally, even absent an agonist like lisuride, sensitizing 5ht1a seems like a good option to mimic lisuride's positive effects on systemic dopamine/serotonin balance over the long term without need for an agonist. Sadly, my search for a solution to reliably sensitize presynaptic 5ht1a, or a lisuride alternative without such agonism, has so far been unfruitful:

-Cyproheptadine is essentially intolerable due to its dopamine antagonism and lazyfying effect, and while I do get a positive rebound effect from it, I run into the same issue that @Lokzo describes where this is temporary. I may be reaching here but I guess this is due to also sensitizing other 5ht receptors such as post-synaptic 1a and leaving the overall balance unchanged. The main issue though is that as a student, I can't afford the 2-3 days of laziness.
-Metergoline seems like the obvious choice since (according to @haidut) it antagonizes 5ht1a while still reducing overall serotonergic signaling, and my anecdotal experience with it supports this. Mentally, I feel way better both on it and after taking it, including an increase in temps. The issue is that it causes my digestion to completely halt. I don't mean sluggish I mean ZERO movement, with all the bloating that entails, and the endotoxin buildup from this makes me very ill for almost 36 hours after administering. Neither Cascara or T3 help. Puzzlingly, this seems to occur even with topical application and at low doses(?!) I assume my 5ht3 is overly sensitive or otherwise imbalanced.
-Mixed reviews about 10-Meo-Harmalan with regards to 5ht1a. Also worried about a potential 5ht3 antagonism situation like with metergoline. Not willing to bite the bullet on that purchase without more info.
-Hypericin (Ze 117) is prohibitively expensive and I'm not certain its benefits would be persistent upon stopping.
-Inositol seems to sensitize everything EXCEPT 5ht1a
-Lecozotan is definitely what I'm looking for but I can't find it anywhere :(


I will probably continue using Lisuride for the time being just because it dramatically improves my QOL. Am I being a hypochondriac about long term negatives of this?

Any other thoughts or suggestions would be appreciated :)
 

mostlylurking

Member
Joined
May 13, 2015
Messages
3,078
Location
Texas
Hi all. First post so I suppose introductions are in order. I'm feedandseed, have been browsing this forum for the better part of a year now and only recently was finally able to make an account. I'm male, 22 years old. I've had odd health problems my whole life that roughly align with most on this forum. (Leaky gut, skin/hair issues, allergies, dysbiosis) I was fairly autistic as a child but was very fortunate to be exposed to LSD around 16, as it essentially cured me (could suddenly make eye contact easily, no longer anxious speaking to others, could better empathize) and became relatively normal, but some persistent issues remain. In the course of trying to treat myself, I've come to realize that the serotonin/dopamine balance is probably the single root factor in all of my issues. Exploring this angle of health is what lead me to Peat and this forum.

It seems like my default state is high androgens, high gaba, high serotonin. I've tested >1000 ng/dl for test before but simultaneously prolactin of ~17 and very high TSH. (though "normal" thyroid hormone concentrations) And behaviorally this translates to laziness, procrastination, and avoidance. Physiologically, I look good due to lack of body fat but have trouble gaining weight. I'm also frequently cold and below ideal temps according to peat. Strangely, my SHBG was in the upper range of normal on my most recent blood work, complicating the obvious "hypothyroid" diagnosis. I've begun to suspect some kind of 5HT receptor imbalance causing sympathetic/parasympathetic nervous system imbalance. Possibly due to unfortunate childhood use of SSRI medication.

Of the things I've tried, three stand out as extremely helpful.

1.) Androsterone - even as low as 1mg/day applied to the wrists or navel relieves many of the symptoms I attribute to high prolactin. It works so well that I've accepted I may have to trade my hair for overall wellness. Oh well.

2.) Protein Restriction - avoiding tryptophan makes me feel significantly better. I try once a week to have a day where I consume only fruit juice and gelatin + tyrosine/phenylalanine. On these days and for the day after I feel incredibly dopaminergic.

3.) Lisuride - 25 ug applied to wrists basically feels like the "afterglow" from LSD. I get increased temperatures, reduction in "lazy" tendencies, reduction in dermatitis (anti-fibrotic effect?), social ease, etc. Which brings me to the topic at hand:

Lisuride FEELS like it regulates my nervous system towards a more ideal state, whatever that may be. My concern is that with continued use I'll desensitize the 5ht1a receptor and make the problem worse. Given that it is a dopamine agonist I'd already rather not take it indefinitely, but dopamine resensitization is actually not so bad, (inositol &or 9-me-bc seem to reliably sensitize)
and what I am really concerned about is the 5ht1a agonism , since theoretically upon stopping the medication the autoreceptor will be desensitized and serotonin levels will increase as a result - activating the whole serotonin cascade and dropping dopamine.

Additionally, even absent an agonist like lisuride, sensitizing 5ht1a seems like a good option to mimic lisuride's positive effects on systemic dopamine/serotonin balance over the long term without need for an agonist. Sadly, my search for a solution to reliably sensitize presynaptic 5ht1a, or a lisuride alternative without such agonism, has so far been unfruitful:

-Cyproheptadine is essentially intolerable due to its dopamine antagonism and lazyfying effect, and while I do get a positive rebound effect from it, I run into the same issue that @Lokzo describes where this is temporary. I may be reaching here but I guess this is due to also sensitizing other 5ht receptors such as post-synaptic 1a and leaving the overall balance unchanged. The main issue though is that as a student, I can't afford the 2-3 days of laziness.
-Metergoline seems like the obvious choice since (according to @haidut) it antagonizes 5ht1a while still reducing overall serotonergic signaling, and my anecdotal experience with it supports this. Mentally, I feel way better both on it and after taking it, including an increase in temps. The issue is that it causes my digestion to completely halt. I don't mean sluggish I mean ZERO movement, with all the bloating that entails, and the endotoxin buildup from this makes me very ill for almost 36 hours after administering. Neither Cascara or T3 help. Puzzlingly, this seems to occur even with topical application and at low doses(?!) I assume my 5ht3 is overly sensitive or otherwise imbalanced.
-Mixed reviews about 10-Meo-Harmalan with regards to 5ht1a. Also worried about a potential 5ht3 antagonism situation like with metergoline. Not willing to bite the bullet on that purchase without more info.
-Hypericin (Ze 117) is prohibitively expensive and I'm not certain its benefits would be persistent upon stopping.
-Inositol seems to sensitize everything EXCEPT 5ht1a
-Lecozotan is definitely what I'm looking for but I can't find it anywhere :(


I will probably continue using Lisuride for the time being just because it dramatically improves my QOL. Am I being a hypochondriac about long term negatives of this?

Any other thoughts or suggestions would be appreciated :)
I gather from your post that you have a problem with serotonin and that you also have gastrointestinal issues and you have a history of taking SSRI's.

I'd like to offer a few links to information that you may not be aware of so that you can consider them.
 
OP
F

feedandseed

Member
Joined
Dec 5, 2022
Messages
49
Location
Texas
I gather from your post that you have a problem with serotonin and that you also have gastrointestinal issues and you have a history of taking SSRI's.

I'd like to offer a few links to information that you may not be aware of so that you can consider them.
I actually just recently began supplementing large spoonfulls of thiamine daily. Seems to dramatically reduce bloating in the lower 3rd of my face which generally indicates lower serotonin, in my experience.
 

redsun

Member
Joined
Dec 17, 2018
Messages
3,013
Hi all. First post so I suppose introductions are in order. I'm feedandseed, have been browsing this forum for the better part of a year now and only recently was finally able to make an account. I'm male, 22 years old. I've had odd health problems my whole life that roughly align with most on this forum. (Leaky gut, skin/hair issues, allergies, dysbiosis) I was fairly autistic as a child but was very fortunate to be exposed to LSD around 16, as it essentially cured me (could suddenly make eye contact easily, no longer anxious speaking to others, could better empathize) and became relatively normal, but some persistent issues remain. In the course of trying to treat myself, I've come to realize that the serotonin/dopamine balance is probably the single root factor in all of my issues. Exploring this angle of health is what lead me to Peat and this forum.

It seems like my default state is high androgens, high gaba, high serotonin. I've tested >1000 ng/dl for test before but simultaneously prolactin of ~17 and very high TSH. (though "normal" thyroid hormone concentrations) And behaviorally this translates to laziness, procrastination, and avoidance. Physiologically, I look good due to lack of body fat but have trouble gaining weight. I'm also frequently cold and below ideal temps according to peat. Strangely, my SHBG was in the upper range of normal on my most recent blood work, complicating the obvious "hypothyroid" diagnosis. I've begun to suspect some kind of 5HT receptor imbalance causing sympathetic/parasympathetic nervous system imbalance. Possibly due to unfortunate childhood use of SSRI medication.

Of the things I've tried, three stand out as extremely helpful.

1.) Androsterone - even as low as 1mg/day applied to the wrists or navel relieves many of the symptoms I attribute to high prolactin. It works so well that I've accepted I may have to trade my hair for overall wellness. Oh well.

2.) Protein Restriction - avoiding tryptophan makes me feel significantly better. I try once a week to have a day where I consume only fruit juice and gelatin + tyrosine/phenylalanine. On these days and for the day after I feel incredibly dopaminergic.

3.) Lisuride - 25 ug applied to wrists basically feels like the "afterglow" from LSD. I get increased temperatures, reduction in "lazy" tendencies, reduction in dermatitis (anti-fibrotic effect?), social ease, etc. Which brings me to the topic at hand:

Lisuride FEELS like it regulates my nervous system towards a more ideal state, whatever that may be. My concern is that with continued use I'll desensitize the 5ht1a receptor and make the problem worse. Given that it is a dopamine agonist I'd already rather not take it indefinitely, but dopamine resensitization is actually not so bad, (inositol &or 9-me-bc seem to reliably sensitize)
and what I am really concerned about is the 5ht1a agonism , since theoretically upon stopping the medication the autoreceptor will be desensitized and serotonin levels will increase as a result - activating the whole serotonin cascade and dropping dopamine.

Additionally, even absent an agonist like lisuride, sensitizing 5ht1a seems like a good option to mimic lisuride's positive effects on systemic dopamine/serotonin balance over the long term without need for an agonist. Sadly, my search for a solution to reliably sensitize presynaptic 5ht1a, or a lisuride alternative without such agonism, has so far been unfruitful:

-Cyproheptadine is essentially intolerable due to its dopamine antagonism and lazyfying effect, and while I do get a positive rebound effect from it, I run into the same issue that @Lokzo describes where this is temporary. I may be reaching here but I guess this is due to also sensitizing other 5ht receptors such as post-synaptic 1a and leaving the overall balance unchanged. The main issue though is that as a student, I can't afford the 2-3 days of laziness.
-Metergoline seems like the obvious choice since (according to @haidut) it antagonizes 5ht1a while still reducing overall serotonergic signaling, and my anecdotal experience with it supports this. Mentally, I feel way better both on it and after taking it, including an increase in temps. The issue is that it causes my digestion to completely halt. I don't mean sluggish I mean ZERO movement, with all the bloating that entails, and the endotoxin buildup from this makes me very ill for almost 36 hours after administering. Neither Cascara or T3 help. Puzzlingly, this seems to occur even with topical application and at low doses(?!) I assume my 5ht3 is overly sensitive or otherwise imbalanced.
-Mixed reviews about 10-Meo-Harmalan with regards to 5ht1a. Also worried about a potential 5ht3 antagonism situation like with metergoline. Not willing to bite the bullet on that purchase without more info.
-Hypericin (Ze 117) is prohibitively expensive and I'm not certain its benefits would be persistent upon stopping.
-Inositol seems to sensitize everything EXCEPT 5ht1a
-Lecozotan is definitely what I'm looking for but I can't find it anywhere :(


I will probably continue using Lisuride for the time being just because it dramatically improves my QOL. Am I being a hypochondriac about long term negatives of this?

Any other thoughts or suggestions would be appreciated :)

One issue of high T is that if its high enough this can also mean high estrogen which can contribute to elevations in prolactin. Did you ever get tests for estrogen levels?

What foods do you typically eat? Are there any foods you avoid or eliminated in your diet (like dairy, eggs, grains, etc)?
 
OP
F

feedandseed

Member
Joined
Dec 5, 2022
Messages
49
Location
Texas
One issue of high T is that if its high enough this can also mean high estrogen which can contribute to elevations in prolactin. Did you ever get tests for estrogen levels?

What foods do you typically eat? Are there any foods you avoid or eliminated in your diet (like dairy, eggs, grains, etc)?
Interestingly, my bloodwork that showed that high test level showed estradiol of only 20. (I don’t remember the unit but it was considered borderlining on below range)

I cannot eat gluten, eggs, nuts, soy, or dairy. I have a positive IgG test for all of these and others. I also avoid high carotene/vit a foods as they seem to cause uncontrollable and painful skin dryness/peeling, even from levels that your average person gets from food.
Apart from no milk, my diet is very peaty (fruit juice, gelatin, etc) and I don’t have any blood sugar issues, thank god.
I avoid deficiency in calcium through hydroxyapatite supplementation. Carbonate seemed to cause me low stomach acid issues. I may reintroduce goat’s milk soon if I’m negative on an IgE test for it. (My IgG for A2 is negative)

I eat so clean that it borders on “””orthorexia””” but I wouldn’t bother if I wasn’t so damn sensitive to everything. I’m very atopic and have skin reactions to allergens. I avoid supplementation as much as possible due to allergenic additives and silica.

I blame childhood vaccination for all of this.
 

redsun

Member
Joined
Dec 17, 2018
Messages
3,013
Interestingly, my bloodwork that showed that high test level showed estradiol of only 20. (I don’t remember the unit but it was considered borderlining on below range)

I cannot eat gluten, eggs, nuts, soy, or dairy. I have a positive IgG test for all of these and others. I also avoid high carotene/vit a foods as they seem to cause uncontrollable and painful skin dryness/peeling, even from levels that your average person gets from food.
Apart from no milk, my diet is very peaty (fruit juice, gelatin, etc) and I don’t have any blood sugar issues, thank god.
I avoid deficiency in calcium through hydroxyapatite supplementation. Carbonate seemed to cause me low stomach acid issues. I may reintroduce goat’s milk soon if I’m negative on an IgE test for it. (My IgG for A2 is negative)

I eat so clean that it borders on “””orthorexia””” but I wouldn’t bother if I wasn’t so damn sensitive to everything. I’m very atopic and have skin reactions to allergens. I avoid supplementation as much as possible due to allergenic additives and silica.

I blame childhood vaccination for all of this.
Thats good that you are avoiding calcium deficiency by supplementing. Do you use iodized salt or supplement iodine? If not, because you also avoid eggs and dairy, you are getting what seems to be almost no iodine in your diet. This would explain high TSH as your body is trying to take up iodine from your blood into your thyroid, and it needs tsh for this so it will increase it to high levels in case of low iodine. This would also cause low motivation due to reduced synthesis of dopamine and overall a disturbed monoamine metabolism caused by lack of thyroid hormone, and explains low body temps, high prolactin (dopamine inhibits prolactin).

This really can cause all of your behavioral/mental symptoms. Also will contribute to slow gut motility but so will lack of choline since you don't eat eggs. Lack of choline will also negatively affect cognitive function and autonomic function. I suggest you try supplements 150-300mcg of iodine a day from a potassium iodide supplement to see if these symptoms start to improve. I would look into a choline supplement as well and try to get at least 700mg of choline a day from food and supplements.
 
OP
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feedandseed

Member
Joined
Dec 5, 2022
Messages
49
Location
Texas
Thats good that you are avoiding calcium deficiency by supplementing. Do you use iodized salt or supplement iodine? If not, because you also avoid eggs and dairy, you are getting what seems to be almost no iodine in your diet. This would explain high TSH as your body is trying to take up iodine from your blood into your thyroid, and it needs tsh for this so it will increase it to high levels in case of low iodine. This would also cause low motivation due to reduced synthesis of dopamine and overall a disturbed monoamine metabolism caused by lack of thyroid hormone, and explains low body temps, high prolactin (dopamine inhibits prolactin).

This really can cause all of your behavioral/mental symptoms. Also will contribute to slow gut motility but so will lack of choline since you don't eat eggs. Lack of choline will also negatively affect cognitive function and autonomic function. I suggest you try supplements 150-300mcg of iodine a day from a potassium iodide supplement to see if these symptoms start to improve. I would look into a choline supplement as well and try to get at least 700mg of choline a day from food and supplements.
Oh wow yeah I use sea salt so I probably don’t get very much iodine outside of what I get from eating chicken on occasion.

Would using iodized salt suffice or do I absolutely need to supplement? I’m not super keen on supplementing if I can avoid it and on top of that I’m in quite broke at the moment.

You seem knowledgeable so do you have any thoughts about continuing lisuride?
 

redsun

Member
Joined
Dec 17, 2018
Messages
3,013
Oh wow yeah I use sea salt so I probably don’t get very much iodine outside of what I get from eating chicken on occasion.

Would using iodized salt suffice or do I absolutely need to supplement? I’m not super keen on supplementing if I can avoid it and on top of that I’m in quite broke at the moment.

You seem knowledgeable so do you have any thoughts about continuing lisuride?
Chicken and meats in general dont have a significant amount of iodine. Yes you can use iodized salt for affordability. But you need to consume at least one half of a teaspoon of salt a day to meet bare minimum iodine needs. So if you easily consume that much, then you are good.

I dont think you need lisuride. Just iodine will likely improve your autonomic function on its own. You may need choline to improve gut motility and other autonomic functions but I would just experiment with iodine first.
 
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feedandseed

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Joined
Dec 5, 2022
Messages
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Location
Texas
Chicken and meats in general dont have a significant amount of iodine. Yes you can use iodized salt for affordability. But you need to consume at least one half of a teaspoon of salt a day to meet bare minimum iodine needs. So if you easily consume that much, then you are good.

I dont think you need lisuride. Just iodine will likely improve your autonomic function on its own. You may need choline to improve gut motility and other autonomic functions but I would just experiment with iodine first.
Alright. Thank you so much man I appreciate it :)
 

mostlylurking

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Joined
May 13, 2015
Messages
3,078
Location
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I actually just recently began supplementing large spoonfulls of thiamine daily. Seems to dramatically reduce bloating in the lower 3rd of my face which generally indicates lower serotonin, in my experience.
It would be a good idea to carefully weigh the amount of thiamine you take and keep a record of your response to it. You are describing a pharmacological dose of thiamine. It's important to learn about it does and what it is capable of doing.
 
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