RelaxMax

Stress, anxiety, sleep problems, ADHD, inability to focus, and countless other neurologic and psychological issues are extremely common today. We find that many of our patients suffer from one or more of these issues. Addressing these issues is of utmost priority!

We strongly recommend a comprehensive, multi-pronged approach to these issues. These issues need to be addressed through calming & coping techniques such as Yoga, meditation, prayer, counseling, rest, etc. We also believe that optimal neurologic function is an important part in addressing these issues.

Inositol Present as the distinct isomer myo-inositol, inositol is a six-carbon cyclic polyalcohol that occurs naturally in all living cells. Fruits, beans, grains, and nuts contain some inositol; however, an 1800-2500–calorie daily diet has been shown to provide only 225-1500 mg of myo-inositol. Of the nearly 100% of ingested myo-inositol that is absorbed in the gastrointestinal tract, more than half becomes lipid bound. In contrast to low plasma concentration, the peripheral nerves have an extraordinarily high concentration of myo-inositol.[1] Inositol is a precursor for the second-messenger phosphatidyl-inositol system, which affects mood status differently than precursors for neurotransmitters.[2] Based upon validated scoring procedures, double-blind, controlled, random-order crossover clinical trials using up to 18 g of myo-inositol per day for a month have demonstrated effectiveness with minimal to no side effects.*[3,4]

GABA (gamma-aminobutyric acid) GABA is an amino acid manufactured in brain cells from glutamate. This primary neurotransmitter, abundant in the cerebral cortex, increases the production of alpha waves (related to a relaxed, yet mentally focused state) while decreasing beta waves (associated with hyperactivity, nervousness, and fleeting thoughts). Sufficient GABA results in the smooth, calming, regular rhythmic flow of electrical impulses in the brain needed for emotional wellbeing. Supplementation in humans has shown support for the maintenance of healthy cortisol and secretory IgA levels while under stress.*[6]

Taurine A 2-aminoethanesulfonic acid originally isolated from ox bile, taurine exists mainly in free form in the intracellular space of tissues. This conditionally essential amino acid maintains cell volume via osmoregulation—the process that corrects excessive or insufficient concentrations of electrolytes – and stabilizes cell membranes in the heart and brain, two electrically active tissues. Considered neuroprotective, taurine modulates the ability of mitochondria to buffer intracellular calcium during glutamate depolarization and excitotoxicity – the means by which neurons are overstimulated and damaged – and thereby may prevent cell death.[7] In addition to its antioxidant and cytokine-balancing functions, taurine is important to neurotransmission, neuroregulation, and cardiac function.[8,9] Taurine supplementation also increases GABA.*[9]

L-Theanine (N-ethyl-L-glutamine) L-Theanine, provided as Suntheanine, is protected by more than 40 US and international patents for its various physiological efficacies and L-isomer-specific production processes. A naturally-occurring, biologically active, free-form amino acid, L-theanine gives green tea its characteristic taste. Although notable for its relaxation support, L-theanine may also support nerve health and cognition. Theanine lowers glutamate levels by preventing transport of glutamate’s precursor, glutamine.[10] It may also inhibit neurotransmission, cause inhibitory neurotransmission via glycine receptors, and thereby reduce neuronal overstimulation.[11] L-theanine’s ability to relax the mind without inducing drowsiness has been documented by an increase in alpha wave activity during EEG recording.*[12]

Magnesium Sometimes referred to as the relaxation mineral and mainly found in the brain, bones, and muscles, magnesium assists in the transmission of nerve impulses and is essential to more than 300 ezymatic reactions in the body. Magnesium supplementation has been shown to support a healthy mood, including during the menstrual cycle when mood changes are common.*[13]

More than one of the ingredients in RelaxMax may support a healthy body weight and healthy hormone, lipid, insulin, and glucose metabolism.*[14-16]

Directions:

We generally recommend that most patients start with 1 scoop (3.7 grams) twice daily. Simply mix 1 scoop in 6 fl ounces of cool, pure water and drink it twice a day. You can adjust your dose to get maximum effects by increasing or decreasing your dose.

References

1. Clements, RS, Darnell B. Myo-inositol content of common foods: development of a high mho-inositol diet. Am J Clin Nut. 1980 Sep;33(9): 1954-67. http://www.ajcn.org/content/33/9/1954. Accessed October 24, 2011.
2. Levine J, Barak Y, Gonzalves M. Double-blind, controlled trial of inositol treatment of depression. Am J Psychiatry. 1995 May;152(5):792-4. [PMID: 7726322]
3. Palatnik A, Frolov K, Fux M, et al. Double-blind, controlled, crossover trial of inositol versus fluvoxamine for the treatment of panic disorder. J Clin Psychopharmacol. 2001 Jun;21(3):335-9. [PMID: 11386498]
4. Fux M, Levine J, Aviv A, et al. Inositol treatment of obsessive-compulsive disorder. Am J Psychiatry. 1996 Sep; 153(9):1219-21. [PMID: 8780431]
5. Abdou AM, Higashiguchi S, Horie K, et al. Relaxation and immunity enhancement effects of gamma-aminobutyric acid (GABA) administration in humans. Biofactors. 2006. 2006;26(3):201-8. [PMID:16971751]
6. Locatelli V, Bresciani E, Tomiazzo L, et al. Central nervous system-activating drugs influencing hypothalamic-pituitary-adrenal axis function. Endocr Dev. 2010;17:108-20. [Epub 2009 Nov 24] [PMID: 19955761]
7. El Idrissi A. Taurine increases mitochondrial buffering of calcium: role in neuroprotection. Amino Acids. 2008 Feb;34(2):321-8. [Epub 2006 Sep 8] [PMID: 16955229]
8. Fujita T, Ando K, Noda H, et al. Efects of increased adrenomedullary activity and taurine in young patient with borderline hypertension. Circulation. 1987 Mar;75(3):525-32. [PMID: 3815764]
9. L’Amoreaux WJ, Marsillo A, El Idrissi A, et al. Pharmacological characterization of GABA receptors in tuarine-fed mice. J Biomed Sci. 2010 Aug 24;17 Suppl 1:S14. [PMID: 20804588]
10. Kakuda T, Hinoi E, Abe A, et al. Theanine, an ingredient of green tea, inhibits [3H]glutamine transport in neurons and astroglia in rat brain. J Neurosci Res. 2008 Jun;86(8):1846-56. [PMID: 18293419]
11. Yamada T, Tershima T, Okubo T, et al. Effects of theanine, r-glutamylethylamide, on neurotransmitter release and its relationship with glutamic acid neurotransmission. Nutr Neurosci. 2005 Aug;(8)4:219-26. [PMID: 16493792]
12. Nobre AC, Rao A, Owen GN. L-theanine, a natural constituent in tea, and its effect on mental state. Asia Pac J Clin Nutr. 2008;17 Suppl 1:167-8. [PMID: 18296329]
13. Facchinetti F, Borella P, Sances G, et al. Oral magnesium successfully relieves premenstrual mood changes. Obstet Gynecol. 1991 Aug; 78(2):177-81. [PMID: 2067759]
14. D’Anna R, Di Benedetto V, Rizzo P, et al. Myo-inositol may prevent gestational diabetes in PCOS women. Gynecol Endocrinol. 2012 Jun, 28(6):440-2. [PMID: 22122627]
15. Unfer V, Carlomagno G, Dante G, et al. Effects of my-inositol in women with PCOS: a systematic review of randomized controlled trials. Gynecol Endocrinol. 2012 Feb 1. [Epub ahead of print] [PMID: 22296306]
16. Hedstrom H. GABA-Steroid Effects in Healthy Subjects and Women with Polycystic Ovary Syndrome [dissertation]. Umea, Sweden: Obstetrics and Gynecology Department of Clinical Sciences, Umea University; 2011.