~For some people, supplementing with low-dose lithium orotate helps with anxiety, depression, and anger issues.
~For others, lithium orotate supplements seem to have little or no noticeable effect on mood.
~Research shows that small amounts of lithium (natural mineral) influence mood, aggression, neuroinflammation, and more.
~Vitamin B12 comes into play here as well, and lithium orotate along with B12 may help with mood and cognition.
In this article, we will explore the potential lithium orotate benefits, backed by research studies, and discuss its impact on mood, anxiety, and cognition. Members will see their genotype report below, plus additional solutions in the Lifehacks section. Join today.
What is low-dose lithium orotate?
Lithium is a naturally occurring mineral found in foods at concentrations dependent upon the mineral content of the soil. It is also an essential element that people need – in small amounts. High amounts of lithium are toxic.[ref]
We get roughly 3 -4 mg of lithium per day naturally in our food and water, although this varies depending on where you live and where your food was grown.
Lithium orotate is a type of natural mineral supplement, and it comes in doses ranging from 5 to 10 mg of elemental lithium. (Just to be clear — I’m not talking about the high dose prescription lithium carbonate that is used for bipolar disorder. Lithium orotate is a different formulation and a whole lot lower dose.)
The science behind lithium orotate’s positive effects:
Studies show that low amounts of lithium, such as what is found in lithium orotate supplements, can help with mood, neuroinflammation, circadian rhythm, ADHD, and more.
Let’s dive into the research on lithium for mood, explore the cellular changes, and understand the mechanisms of action in the brain.
Naturally occurring levels of lithium impact depression and aggression:
Lithium is found in drinking water in varying amounts, depending on the naturally occurring lithium levels in the soil.
Researchers have looked at areas that have higher levels of lithium in the water and compared them to areas with low lithium levels.
Several studies show that areas with higher lithium levels in their drinking water have lower levels of depression and decreased aggression.
- A meta-analysis of studies on lithium in water showed that suicide rates were >50% lower in areas with higher lithium in the drinking water.[ref]
- Another study found that homicide rates were lower in areas with higher levels of lithium in the water supply.[ref]
In addition to epidemiological studies showing that lithium in drinking water reduces suicide rates, research on prescription lithium chloride also indicates that it reduces suicide attempts, independent of its effect on mood in bipolar disorder.[ref][ref]
Lithium orotate benefits: Impact on circadian rhythm and sleep
One way that lithium interacts with mood is by inhibiting GSK3B (glycogen synthase kinase 3beta). GSK3B acts on many different pathways in the body, including circadian rhythm and neuronal plasticity.[ref]
Dysregulation of GSK3B is linked to bipolar disorder, depression, and Alzheimer’s disease.[ref]
Lithium competes with magnesium in binding with GSK3B and inhibiting GSK3B. Through its impact on GSK3B, researchers think lithium can modulate the activity of many different pathways including circadian rhythm. Additionally, lithium may take the place of magnesium in other proteins that need magnesium.[ref]
GSK3B interacts with circadian rhythm and sleep issues, which can be at the heart of depression and mood disorders. Thus, lithium may impact mood and sleep through modifying GSK3B.
What is the connection between lithium orotate, mood, and B vitamins?
Clinicians for more than a decade have recognized that lithium orotate and vitamin B12 act synergistically.
For example, Amy Yasko, PhD, states that “Lithium not only plays a role in mood, glutamate control and limiting aggression but also has been shown to be involved in B12 transport.”[ref] In addition to Dr. Yasko’s clinical work associating B12 and lithium, several studies are showing this as well.[ref]
Research studies on lithium and B vitamins:
- People who take prescription levels of lithium long-term for bipolar disorder tend to have lower serum levels of B12 (thus possibly more B12 in cells) than people using other medications.[ref]
- A study that analyzed lithium in hair samples in various locations and populations “suggests a role of lithium in the transport and distribution of vitamin B12.”[ref]
- A recent study (Feb. 2020) finds that for animal models of bipolar disorder, lithium works better in conjunction with folate (vitamin B9).[ref]
Why is vitamin B12 important to your mood?
Vitamin B12 and folate (B9) are required to produce tetrahydrobiopterin (BH4), which is involved in the production of the neurotransmitters serotonin, melatonin, dopamine, norepinephrine, and epinephrine.[ref]
A deficiency of vitamin B12 has been shown to cause symptoms that “may include agitation, irritability, negativism, confusion, disorientation, amnesia, impaired concentration and attention, and insomnia..” Additionally vitamin B12 deficiency increases the relative risk of depression, bipolar disorder, panic disorder, psychosis, phobias, and dementia.[ref]
Lithium reduces neuroinflammation:
Several studies have found that lithium reduces arachidonic acid production in the brain. Arachidonic acid is an inflammatory lipid. Some researchers theorize that this reduction in neuroinflammation is one of the ways prescription-strength lithium chloride works for people with bipolar disorder.[ref][ref]
The reduction in arachidonic acid isn’t an immediate change, though. Animal studies using higher lithium levels, similar to levels found in prescription lithium, show that lipid levels in the brain change within a month. Specifically, choline and phosphatidylcholine levels increased while sphingomyelin levels decreased.[ref]
Phosphatidylcholine and choline are well-studied for brain benefits and are frequently used as supplements to improve cognitive performance.
Related article: Types of Supplemental Choline
Some clinicians recommend low-dose lithium orotate for ADHD.[ref] In adults with ADHD, a study using high-dose lithium found that it was as effective as methylphenidate in reducing irritability, aggressive outbursts, and more.[ref] In animals, lithium increases working memory.[ref]
Related article: ADHD Genes
Lithium orotate supplements and doses:
Low-dose lithium orotate supplements are available in many health and supplement stores. They are also readily available online. Supplemental doses of lithium range from 5 mg to 20mg of elemental lithium.
Safety studies specific to lithium orotate:
While lithium has been used for more than a century for bipolar disorder, there are possible side effects with the high dose prescription levels of lithium.
But what about low-dose lithium orotate?
A 2021 animal study investigated the safety of using lithium orotate. The results showed no genotoxic effects, meaning that it wouldn’t damage DNA. There were no adverse side effects or organ damage in the animal trial. The highest dose tested in animals was 400 mg/kg/day with no observable adverse effects.[ref]
How long does lithium orotate take to work?
Anecdotally, a 5 or 10mg lithium orotate supplement helps some people feel less irritable, angry, or anxious. It may take a week to notice the effect on mood. However, not everyone notices a difference in mood.
It is likely that genetics, diet, stress level, and daily exposure to lithium through drinking water/foods all come together to determine whether supplemental lithium affects an individual’s mood. The genetics part is explained in more detail below.
In addition to improving anxiety and irritability symptoms, there may be other benefits to low-dose lithium, such as Alzheimer’s prevention.
What is ‘microdosing’ lithium?
Several recent peer-reviewed studies reference microdosing of lithium for Alzheimer’s disease prevention or treatment. Essentially, the term microdosing just means a low dose compared to prescription lithium.
I am bringing up microdosing because the right dose of lithium for Alzheimer’s prevention may be different than for someone who is using lithium orotate for mood regulation..
Lithium Orotate Genotype Report:
The rest of this article explains the research on using lithium orotate as a supplement. It is for Genetic Lifehacks members only. Consider joining today to see the rest of this article.
Related Articles and Topics:
Is inflammation causing your depression and anxiety?
Research over the past two decades clearly shows a causal link between increased inflammatory markers and depression. Genetic variants in the inflammatory-related genes can increase the risk of depression and anxiety.
Lithium Orotate: Mood, Alzheimer’s Prevention, and Telomeres
Lithium is a naturally occurring mineral that we consume in small amounts each day. Research now shows that low doses of lithium may impact mood, Alzheimer’s disease, and telomere length.
Depression, Genetics, and Circadian Rhythm
For some people, circadian disruption can be chronic – and at the heart of depression or mood disorders. Genetic variants play a role in this susceptibility. Fortunately, some solutions may help.
Anxiety and Genetics
This article covers genetic variants related to anxiety disorders. Genetic variants combine with environmental factors (nutrition, sleep, relationships, etc), when it comes to anxiety. There is not a single “anxiety gene”. Instead, many genes can be involved – and many genetic pathways to target for solutions.
Cortisol and HPA Axis Dysfunction
Cortisol is a hormone produced by the adrenal glands in times of stress, and it also plays many roles in your normal bodily functions. It is a multi-purpose hormone that needs to be in the right amount (not too high, not too low) and at the right time. Your genes play a big role in how likely you are to have problems with cortisol.
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