Ray Peat on sugar

Aerobic glycolysis and lactic acid in cancer metabolism

“Aerobic glycolysis – the metabolism typical of cancer, in which lactic acid is formed from glucose despite the presence of oxygen – is promoted by serotonin.”

September 2019 - Ray Peat's Newsletter

Substances that promote brain growth and efficient energy use

"Progesterone, glucose, or glycine converted to glucose (Zamenhof and Ahmad, 1979) increased brain growth by either increasing energy supply or improving the ability to use energy effectively."

September 2017 - Ray Peat's Newsletter

Components of milk support efficient energy use.

"Milk provides lactose, which is quickly metabolized into glucose, as well as small amounts of other substances, including progesterone and thyroid hormone, which promote their efficient use."

September 2017 - Ray Peat's Newsletter

The role of the liver in the conversion of thyroid hormone into active thyroid hormone

"The liver provides about 70% of our active thyroid hormone by converting thyroxine into T3, but it can only provide this active hormone if it has sufficient glucose. Frequent snacking—for example, drinking a few ounces of orange juice about every hour—keeps T3 levels up by supplying the liver with glucose."

Nutrition For Women

Environmental influences on evolution and heredity

"The accumulation of environmental aspects in our tissues—which alters the functioning of our tissues and their affinity for different substances—is a short-term counterpart to the general upward drift of evolution and has clearly known links to heredity: Hormonal influences travel in both directions via the placenta, and the mother's efficiency determines the supply of nutrients—e.g., sugars—to the fetus. Persistent changes, i.e., intergenerational environmental influences, are visible in a wide variety of organisms and organs, but in the brain—the environmental organ—these Lamarckian effects are particularly visible and particularly crucial."

Nutrition For Women

Metabolic inefficiency in the estrogen-dominated state versus the oxidative state

"Energetically, the estrogen-dominated metabolic state is less efficient than the oxidative state, which is dominated by the thyroid gland and progesterone (or testosterone). The estrogen state—like the state of learned helplessness in rats—is parasympathetic, insofar as many chemical equilibria have shifted away from the mobilized sympathetic or adrenergic state. For example, the estrogen state lowers blood sugar, while the mobilized state conserves glucose by oxidizing fat."

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Estrogen-related blood clotting and metabolic problems

"It is well known that taking estrogen can cause the blood to clot too easily. Other effects include anemia, low blood sugar, and a slow-working liver."

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Different effects of progesterone and cortisone on blood sugar, brain stability and brain aging

"Although progesterone and cortisone both increase blood sugar and stabilize lysosomes, their effects on the brain are very different: at high doses, progesterone has a sedative and numbing effect, while cortisone has a stimulating effect, and cortisone causes changes in the brain that resemble aging."

Nutrition For Women

Glucose and hormones to relieve schizophrenia symptoms

"Pfeiffer investigated the connection between porphyria and certain forms of schizophrenia, but I don't think he mentioned that a good dose of glucose or an anti-estrogenic hormone like testosterone or progesterone can make the symptoms disappear."

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The superior efficiency of oxidative metabolism compared to fermentative metabolism

"Sugar can be used for energy production with or without oxygen, but oxidative metabolism is about 15 times more efficient than non-oxidative, glycolytic, or fermentative metabolism. Higher organisms depend on this highly efficient oxidation to maintain integration and normal function."

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Tissue response to stimulation and oxygen utilization

"One response to stimulation is the production of more energy, with a proportional increase in oxygen and glucose consumption in the stimulated tissue. This results in more carbon dioxide, which dilates the blood vessels in that area, thus providing more glucose and oxygen. If the stimulation becomes destructive, efficiency is lost: oxygen is either wasted, leading to a bluish discoloration of the tissue (assuming blood flow is maintained; bluish discoloration can also indicate poor circulation), or it is not consumed, causing reddening of the tissue. If more glucose is consumed to compensate, lactic acid also dilates the blood vessels."

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Systemic effects of inflammation and fatigue on blood sugar and energy efficiency

"However, severe inflammation or profound exhaustion lowers blood sugar levels throughout the body and delivers large amounts of lactic acid to the liver. The liver synthesizes glucose from the lactic acid, but at the cost of approximately six times more energy than is obtained from this inefficient metabolism – making the organism as a whole 90 times less efficient than in its original state. Additionally, the unproductive breakdown of energy molecules (ATP or creatine phosphate) further increases this waste."

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Adrenal gland response to inflammation and stress hormones

"When the body registers inflammation or other stress (possibly by detecting changes in blood sugar, lactic acid, or carbon dioxide – or all of them together), the adrenal glands release anti-stress hormones, including adrenaline and cortisol (provided these glands are not exhausted or 'starved'). Both adrenaline and cortisol can raise blood sugar to meet the increased demand."

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Effects of cortisone on protein conversion and immunity

“Cortisone stimulates the conversion of protein to sugar, and since there are no stored proteins (apart from small amounts circulating in the blood), this means that cortisone begins converting the organism into fuel for the affected area. In acute emergencies, the lymphatic tissues are the first to shrink; this is fine because they can be restored once the animal recovers, and their function—immunity—is partly a matter of a longer time horizon, from days to weeks. However, if these tissues are chronically depleted by stress or malnutrition, an infection is more likely to be fatal—as is the case in the elderly or in impoverished populations.”

Nutrition For Women

Nutritional and hormonal influences on cellular respiration

"Various nutritional, hormonal, or toxic conditions disrupt respiration in different ways: For example, vitamin E deficiency, estrogen excess, a toxic thyroid, and DNP (the formerly popular, carcinogenic uncoupling agent) cause oxygen to be consumed without producing the normal amount of useful energy. A deficiency in vitamin B2 or copper can prevent oxygen consumption. Cancer (contrary to a persistent established doctrine) involves a respiratory defect and leads to a tendency toward hypoglycemia, which is often compensated for by the conversion of protein to sugar—leading to the final wasting state (cachexia)."

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Vitamin B2 deficiency and its effects on lactic acid

"Sugar waste, which leads to the formation of lactic acid, can result from a vitamin B2 deficiency, and lactic acid appears to stimulate the formation of new blood vessels."

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Stress management through dietary and environmental adjustments

"Generally, stress should first be addressed by correcting the underlying defect – which may be environmental or nutritional. Increased nutritional needs usually include protein and fat; acute hypoglycemia may require a large amount of sugar, and this suggests that the adrenal glands may be exhausted. In this case, pantothenic acid, vitamin C, vitamin A, magnesium, and potassium should be supplemented in addition to other nutrients."

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Similarities between injury and exertion in energy requirements

"Injury and exertion have in common that more 'fuel' is needed. I think blood sugar levels are therefore at least helpful in understanding stress – even if other substances are involved in the signaling or coordination processes."

Nutrition For Women

Blood sugar as an integrating factor in stress

"From my own experience, I tend to believe that blood sugar is an important integrating factor and that the body can probably perceive small or rapid fluctuations that would be very difficult to detect using standard laboratory methods. For example, it is known that men in particular release adrenaline under the stress of having blood drawn, which tends to increase blood sugar concentration."

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Differences in fructose metabolism in people with high blood lipids

"Fructose does not stimulate the pancreas in the same way as glucose. It is gradually converted into glucose. However, in people with high blood lipids, it is used by liver and fatty tissue many times faster than in people with normal levels: It is as if the 'cell doors' are already open in these people – perhaps as a result of high insulin levels – and the cells absorb fructose faster than usual."

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The importance of potassium for sugar metabolism in diabetes

"Potassium is necessary for the utilization of sugar and should probably always be tried as a supplement in the diet of diabetics."

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The role of B vitamins in sugar metabolism and diabetes

"Some B vitamins (B1 and B2 and probably niacin) are said to have similar effects on the utilization of sugar. In some forms of diabetes, insulin levels are normal or high, while in others there is an insulin deficiency; both forms demonstrably respond to diet, but especially the form with high insulin levels."

Nutrition For Women

Sugar excretion in urine during stress without correlation to insulin requirements

“Stress can cause sugar to appear in the urine – as can many other conditions – and this does not require insulin treatment.”

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Effects of progesterone treatment on veins and suicidal depression

"Just as the veins on the forehead immediately shrink when a large amount of sugar is consumed during a migraine, I have seen veins (on the back of the hand) disappear under progesterone treatment – ​​precisely at the moment when a suicidal depression resolves. This suggests that there might be a kind of migraine state in the vascular system of the brain's limbic system; at the same time, however, there are also very rapid shifts in brain chemistry."

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Effects of cancer on stress hormones and nutritional needs

"Cancer overstimulates the anti-stress hormones of the adrenal cortex and usually causes extreme wasting through the mobilization of fat and protein; blood sugar and glycogen storage are disrupted. During or after cancer treatment, a diet to prevent hypoglycemia seems advisable: frequent small meals, liver (or comparable nutrients), magnesium, and potassium. Vitamins A, E, C, and pantothenic acid are particularly important during stress, but all nutrients are necessary."

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Menopausal symptoms and progesterone deficiency

"Strickler found that only 10% of his patients with menopausal symptoms such as hot flashes actually felt and benefited from estrogen when it was given alternately with a placebo. These studies, and several dozen others, have convinced me that menopausal symptoms primarily result from a progesterone deficiency relative to estrogen. The 10% who do feel better with estrogen may have an estrogen deficiency, but this hasn't been established, and several other factors could explain the euphoria: For example, a healthy thyroid may respond to increased estrogen with increased thyroxine production—which at least makes the person feel different and may also raise blood sugar, increase alertness, and so on."

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Estrogen causes adrenal cortex hypertrophy to compensate for blood sugar levels.

"It is known that an excess of estrogen causes hypertrophy of the adrenal cortex. Since estrogen stimulates insulin secretion and lowers blood sugar, the hypertrophy could serve to compensate for this by increasing blood sugar."

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Chronic stress and low blood sugar as factors in diabetes

"Animal studies have shown that cortisone can trigger diabetes, apparently by damaging the pancreas. Furthermore, it is suspected that chronic stress (which can be triggered by low blood sugar) may be a factor in the development of diabetes."

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Influence of vitamin C on cholesterol and related nutrients

"Vitamin C has been proven to lower blood cholesterol levels. Eggs are rich in cholesterol, but also contain lecithin, which apparently makes cholesterol beneficial or at least less harmful. Niacin and vitamin E also help regulate cholesterol. High insulin levels, which result from sugar consumption, appear to play a significant role in cholesterol's ability to damage blood vessels."

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Zinc, vitamin A and the influence of blood sugar on herpes

"Zinc and vitamin A could also have an effect via blood sugar. It is well known that emotional excitement, too much time in the sun, working too long without eating, etc., can trigger a herpes outbreak (for example, cold sores); low blood sugar probably triggers the outbreak."

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Benefits of honey and milk for liver glycogen

"Two or three tablespoons of honey in a glass of milk provide some magnesium as well as sugar to increase the liver's stored glycogen."

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Daylight and blood sugar as influencing factors on sleep

"Since blood sugar levels are normally higher during the day – due to the effect of light on various glands – some people with impaired liver function find it easier to sleep during the day."

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Warburg's findings on cancer and glucose consumption

"Warburg1 showed that all cancers have defective respiration – by which he meant that glucose is consumed too quickly. The excessive consumption of glucose despite the presence of oxygen is called aerobic glycolysis and is typical of cancer."

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Diabetes, pregnancy and fetal brain nutrition

"It's known that diabetic women typically have large babies with big heads who learn quickly. With each pregnancy, a woman tends to have a lower glucose tolerance or to appear more 'diabetic.' HCG, the hormone that helps maintain the pregnancy, raises blood sugar to meet the fetus's need for plenty of sugar. In that sense, diabetes and pregnancy have a lot in common. And as a woman ages, she is more prone to diabetes and therefore more likely to provide the fetus—especially its brain—with better nutrition. In addition to this natural tendency, a more mature woman is less likely to live on snack foods."

Nutrition For Women

Nutritional needs during pregnancy and their effects on development

"Better nutrition before and during pregnancy and breastfeeding makes a big difference for the mental and physical development of the baby. Young pregnant women should take special care to avoid low blood sugar. Older women probably need a little more vitamin E and should take extra care to ensure they do not ingest a toxic amount of copper through their water supply or cooking utensils."

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Insulin, carbohydrate cravings, and the role of pantothenic acid

"Since insulin remains elevated after excess sugar is broken down, it tends to keep blood sugar low and increase cravings for carbohydrates. Pantothenic acid helps break down insulin; this is one way it helps maintain adequate blood sugar levels."

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Maternal adaptation to the fetus's fat and glucose dependence

"During pregnancy, the mother's body adapts to increasingly rely on fat for energy so that the baby can use most of the available sugar. The brain consumes the majority of the body's glucose, so mental fatigue can easily affect blood sugar levels. The developing baby is extremely dependent on glucose for energy, and its brain can be damaged by a lack of sugar."

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Similarities between pregnancy and diabetes, and blood sugar trends

"Pregnancy itself is similar to diabetes in that it involves an adaptation to the oxidation of fat rather than sugar, so a slight tendency towards diabetes can be understood as supporting the pregnancy. Older women are more likely to have some degree of diabetes or elevated blood sugar levels. With each pregnancy, there is a tendency for blood sugar to be higher and for the baby to be larger and more developed."

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Estrogen-induced changes in nutrient requirements for stabilizing blood sugar and for a healthy pregnancy

"Vitamin E, vitamin A, and magnesium are other nutrients that help maintain blood sugar levels. Vitamin B12 is needed to utilize vitamin A. Folic acid, vitamin B6, and zinc are depleted by increased estrogen and are particularly important for a healthy pregnancy. Too much copper can lower blood sugar; too much iron can destroy vitamin E, and a vitamin E deficiency can lead to jaundice, which can affect the baby's brain."

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Central regulation of estrogen and its link to important bodily factors

"Estrogen is centrally – or rather decisively – regulated by the liver. Estrogen, progesterone, iodine, sugar and stress are closely linked."

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Changing perceptions of the benefits of breast milk in the US

"Around 1973, some Americans began to discover that human milk is good for human babies and helps prevent disease. It will no longer be so easy to convince American women that the best nutrition for their babies consists of formula made from cow's milk, sugar, and vegetable oil."

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Low blood sugar, sugar cravings and vitamin A

"Low blood sugar usually causes a strong craving for something sweet. It is known that a vitamin A deficiency leads to increased hunger – I suspect this works via the blood sugar mechanism."

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Metabolic effects of caffeine and adrenaline on the utilization of sugar and fat

"Since both caffeine and adrenaline increase the metabolic rate, fat is likely burned more quickly. Adrenaline is known to raise blood sugar – apparently by inhibiting glucose utilization and increasing fat use. Coffee normally raises blood sugar due to its adrenaline-like effect."

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Human chorionic gonadotropin in weight loss clinics: Effects on appetite and metabolism

"Many weight loss clinics use injections of the pregnancy hormone human chorionic gonadotropin (hCG) to make weight loss diets easier and potentially improve fat distribution. This hormone shifts the body's energy metabolism towards using fat instead of sugar, thus causing blood sugar levels to rise. This suppresses appetite. The hormone is produced by the placenta to make sugar available to the growing fetus."

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Amphetamines and their effects on appetite and hyperactivity

"Amphetamines mimic the action of the alarm part of the nervous system (sympathetic nervous system) and thereby increase blood sugar levels; this is presumably the mechanism (or part of it) that suppresses appetite. Low blood sugar is associated with hyperactivity, and this is probably why the same drug works for hundreds of thousands of hyperactive children who are given it to help them sit still in school; coffee also works for hyperactivity – and may also help with weight loss."

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Muscle atrophy due to stress and cortisone during training

"If a workout generates too much stress and too little actual muscle work, the muscles will atrophy because cortisone shifts the amino acid metabolism towards glucose production."

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Lactic acid as a signal for glucose production during training

"The formation of lactic acid (becoming out of breath) is the most important signal that new glucose needs to be produced. That's why aerobic exercise is the most stressful."

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Biophysical approach and individual nutritional needs

“Emphasizing the uniqueness of individual needs should be seen in the context of searching for the most general principles: This can help us recognize meaningful patterns and make things that would otherwise be banal significant. I think a biophysical approach to cytoplasm is one of the principles that helps in perceiving such patterns. Other, more specific and immediately useful ideas concern stress, the efficient or wasteful use of sugar, and the energetic ‘charge’ of cells.”

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Nutrition-induced thermogenesis and endogenous energy regulation

"Nutritional thermogenic factors include sodium, calcium, vitamin D, carbohydrates – especially sugars – and protein, which interact with our endogenous energy-regulating factors, especially thyroid hormones and progesterone."

November 2020 - Ray Peat's Newsletter

Prenatal influences on brain development and adaptability

“Experiments over the last 60 years have shown that more or less glucose, carbon dioxide, heat and progesterone during embryonic and fetal development can influence brain growth – as well as the way the brain controls later development and adaptability.”

November 2017 - Ray Peat's Newsletter

The role of the cholinergic system in glucose oxidation

"The cholinergic parasympathetic system tends to decrease the oxidation of glucose. Excessive activation of this system leads to shock, with extreme inhibition of respiratory metabolism; however, under normal circumstances, the activity of this system increases at night and decreases during the day."

November 2017 - Ray Peat's Newsletter

The respiratory tract: The central “main pathway” of metabolism to balance

"The field, the integrity of the organism, is maintained by an orderly respiratory metabolism and can be disrupted by mechanical trauma, excessive stimulation, toxins, etc. – or by the lack of oxygen, glucose, or substances that specifically neutralize inflammatory signals."

November 2016 - Ray Peat's Newsletter

Beyond TSH: Hypothyroidism and systemic metabolic disorders

"Due to the inefficient use of glucose in hypothyroidism, fatty acids are mobilized from the tissue, and these contribute to stress and inflammation. In autoimmune diseases, free fatty acids are consistently elevated."

November 2016 - Ray Peat's Newsletter

Thymus atrophy: Causes and supporting factors for recovery

“Factors that cause thymus atrophy include cortisol and other glucocorticoid hormones, estrogen, prostaglandins, polyunsaturated fatty acids, lipid peroxidation, nitric oxide, endotoxin, hypoglycemia, and ionizing radiation. Progesterone and thyroid hormones support thymus restoration and offer protection by counteracting all of these atrophic factors. Increasing dietary sugar may correct some of the metabolic changes of aging.”

November 2016 - Ray Peat's Newsletter

Oxygen supply and activation of glycolysis in working muscles

"At low altitudes, tissue activates the glycolytic process when its oxygen consumption exceeds the blood's ability to deliver oxygen – as in a heavily working muscle. In this process, glucose is converted into lactic acid to provide additional energy."

May 2020 - Ray Peat's Newsletter

The role of maternal physiology in the regulation of the fetal environment

"The physiology of a healthy mother constantly adapts – in interaction with her environment – ​​the intrauterine conditions: It regulates the temperature, provides oxygen and sugar, regulates the carbon dioxide level and essential nutrients, and at the same time keeps out larger toxins."

March 2021 - Ray Peat's Newsletter

Adjustment problems of premature infants in new environments

"The premature infant suddenly leaving its oxygen-depleted, CO2-rich and sugar-rich environment and experiencing the extreme new environment of a hospital incubator is an extreme example of how our normal adaptive responses can become destructive when steered in the wrong direction by an unfavorable environment."

March 2021 - Ray Peat's Newsletter

Oxidative metabolism to maintain protective factors after pregnancy

"In childhood and adulthood, a robust oxidative metabolism can maintain some of the essential protective factors of pregnancy, including adequate levels of glucose and carbon dioxide, good temperature regulation, and the avoidance of overproduction of superoxide and lactate. Under these conditions, cytokines can contribute to adaptation and ongoing development."

March 2021 - Ray Peat's Newsletter

Heat and insulin in the prevention of inflammation

"It is the oxidation of glucose (which produces carbon dioxide) – facilitated by heat and the right amount of insulin – that can prevent inflammation."

March 2021 - Ray Peat's Newsletter

Maintaining body temperature as a substitute for exercise

"Simply maintaining a high body temperature can provide these benefits of exercise (Hoekstra, et al., 2020), as long as glucose levels are maintained."

March 2021 - Ray Peat's Newsletter

Cellular energy production and inflammation

"Disruption of energy production is fundamental to inflammation. When cellular stimulation increases faster than oxygen can be supplied, there is a shift towards glycolytic energy production, whereby glucose and amino acids are converted into lactic acid."

March 2019 - Ray Peat's Newsletter

Sleep-impairing effect on stress-induced catabolism

"The stress of darkness creates an inefficient catabolic state in which cortisol breaks down tissue to provide glucose, and sleep reduces this stress to some extent."

March 2018 - Ray Peat's Newsletter

Lipolysis intensity and disruption of restful sleep

"The intensity of lipolysis decreases during the most restorative deep sleep, but the free fatty acids themselves tend to increase lactate and dampen glucose metabolism by blocking the oxidation of glucose to carbon dioxide. This creates an inflammatory and excitatory state that disrupts deep sleep."

March 2018 - Ray Peat's Newsletter

Salty snacks and better sleep quality

"Salty snacks are particularly helpful in promoting sleep – presumably because they stabilize blood sugar and lower adrenaline. Ice cream, which combines sugar, calcium and some fat that prolongs sugar absorption, is often effective in improving sleep quality."

March 2018 - Ray Peat's Newsletter

The crucial role of thyroid hormone in maintaining deep sleep

"Thyroid hormone is extremely important for the ability to achieve and maintain the necessary deep sleep by promoting the oxidation of glucose and increasing ATP."

March 2018 - Ray Peat's Newsletter

The protective role of glucose for gut health during stress

"Intense or prolonged stress damages the gut, impairs its barrier function, and allows bacterial toxins – especially endotoxins – to be absorbed into the bloodstream. Glucose is the crucial factor that protects the intestinal epithelium during stress."

March 2017 - Ray Peat's Newsletter

Nitric oxide triggers a metabolic shift towards glycolysis.

"Even in the presence of oxygen, nitric oxide causes a metabolic shift towards glycolysis, wastefully producing lactate from glucose."

March 2017 - Ray Peat's Newsletter

List of various medications and dietary supplements

"Acetazolamide, agmatine, amantadine, aminoguanidine, antibiotics (minocycline, tetracycline, etc.), antihistamines, aspirin, bromocriptine, DCA, emodin, glucagon, glucose, memantine, methylene blue, niacinamide, T3 (triiodothyronine), vitamin D, vitamin E."

March 2016 - Ray Peat's Newsletter

How ideology distorts the understanding of stress physiology

"The ideology surrounding stress physiology, which distorts the importance of serotonin, estrogen, unsaturated fats, sugar, lactate, carbon dioxide and various other biological molecules, has hidden the simple remedies against most inflammatory and degenerative diseases."

July 2019 - Ray Peat's Newsletter

Mitigating the harmful effects of too much serotonin

"By avoiding prolonged fasting and strenuous training that increase free fatty acids, combining sugars with proteins to keep free fatty acids low, and using aspirin, niacinamide, or cyproheptadine to reduce free fatty acid production during unavoidable stress; also avoiding an excess of phosphate compared to calcium in the diet, consuming milk and other anti-stress foods before bed or at night, and being in a brightly lit environment with regular sunlight exposure during the day, one can minimize the harmful effects of too much serotonin and reduce the associated inflammation, fibrosis, and atrophy."

July 2019 - Ray Peat's Newsletter

The role of CO2 in the relaxation of smooth muscles and oxygen supply

"Since CO2 relaxes smooth muscle, cells that are working and consuming oxygen and glucose (and thereby producing CO2 in proportion to their activity) cause nearby blood vessels to relax and dilate. This delivers more oxygen and glucose – according to the increased demand."

July 2017 - Ray Peat's Newsletter

The link between diabetes and hypothyroidism

"Diabetes and hypothyroidism are very closely linked because the use of glucose is necessary for the activation of thyroid hormone – and this thyroid hormone in turn is necessary for the efficient use of glucose."

July 2017 - Ray Peat's Newsletter

The brain-stabilizing effect of carbon dioxide

"Since carbon dioxide has a stabilizing effect in the brain, among other things by relaxing blood vessels, a loss of carbon dioxide leads to vasoconstriction, an insufficient supply of oxygen and glucose to the brain, and consequently to a decreasing metabolic rate."

July 2017 - Ray Peat's Newsletter

The immediate effects of energy deficiency on cell health

"Energy deficiency, caused by too little glucose or oxygen, immediately leads to swelling of the cells and is accompanied by excitation; the ammonia associated with energy deficiency and excessive excitation also contributes to swelling."

July 2017 - Ray Peat's Newsletter

How glucose deficiency affects cell metabolism

"Glucose deficiency leads to glutamine being used as fuel, which produces more ammonia. Ammonia then promotes (through an excitatory effect on the cells and through direct activation of enzymes) the glycolytic utilization of glucose. Thus, even in the presence of oxygen, lactic acid is produced, and the glucose deficiency is further maintained."

July 2017 - Ray Peat's Newsletter

The role of glucose in reducing cellular excitation through oxidation

"The fact that glucose can reduce excitation in other situations is probably related to an increased oxidative state."

July 2016 - Ray Peat's Newsletter

The metabolic response to a cellular crisis: a question of survival

"When cells are dangerously overstimulated, oxygen and glucose are depleted. In the absence of oxygen – or when the ability to use oxygen is blocked – glucose is converted to lactate, and when the glucose is exhausted, glutamine is converted to lactate."

July 2016 - Ray Peat's Newsletter

The influence of lactate in a reduced cell state and the inhibition of glucose oxidation

"With a limited supply of oxygen but an unlimited supply of lactate, the cell's metabolic reactions shift towards a reduced, electron-rich state. This state inhibits glucose oxidation by blocking the enzyme pyruvate dehydrogenase, thus promoting lactate production. These are internal processes of stressed cells that can be interrupted if the organism provides corrective factors to restore oxidation."

July 2016 - Ray Peat's Newsletter

How sugar oxidation soothes cells – through the formation of carbon dioxide

"The cell-calming effect of sugar oxidation is probably related to a greater formation of carbon dioxide, which shifts the electronic equilibrium towards a more oxidized and coherent state."

July 2016 - Ray Peat's Newsletter

Aging, metabolic shifts and the tendency towards cancer-like metabolism

"Aging itself involves a metabolic shift towards a cancer-like metabolism, with a relative inability to reduce energy expenditure in the basal fasting state, as well as increased fat oxidation and decreased glucose oxidation."

July 2016 - Ray Peat's Newsletter

The influence of increased CO2 on the redox balance and metabolism of the cell

"When CO2 is increased, the redox balance of the cell shifts towards oxidation (Melnychuk, et al., 1977), the use of glucose for growth and fat synthesis is inhibited, and the Krebs cycle is activated (Melnychuk, et al., 1978)."

July 2016 - Ray Peat's Newsletter

Replacement of the sperm cell with simple substances

"Loeb showed that the specific biological stimulus of a sperm cell interacting with a receptor in the egg cell was not necessary to fertilize an egg cell; seawater, with added salt or sugar or urea or acid or base, was sufficient."

January 2019 - Ray Peat's Newsletter

Glucose metabolism: a direct pathway

“One of my professors, Sidney Bernhard, simply counted the molecules carefully and found that the metabolism of glucose involved a direct transfer of substrate molecules from one enzyme to the next—th”

January 2019 - Ray Peat's Newsletter

Rapid cellular effects of thyroid hormone and estrogen

"It has been observed that the active thyroid hormone increases the oxygen consumption of the cells almost immediately, and estrogen increases the uptake of sugar and water into the cells just as quickly. These changes are far too rapid to be the result of communication with the cell nucleus leading to the synthesis of new proteins."

January 2019 - Ray Peat's Newsletter

The role of reductive equilibrium in cell-organizing factors

"The reductive equilibrium is an important cell-organizing factor that, for example, controls the conversion of the relatively inactive estrone into the potent estradiol. (This often begins a vicious cycle of excitation, exhaustion, and degeneration, requiring the intervention of stabilizing substances such as carbon dioxide, thyroid hormone, sugar, and progesterone.)"

January 2019 - Ray Peat's Newsletter

The role of progesterone in energy processes in the brain

"A fundamental part of progesterone's ability to protect the brain from stress is probably that it supports the energy-intensive mitochondrial oxidation of glucose to carbon dioxide."

January 2018 - Ray Peat's Newsletter

Progesterone stabilizes cells and improves metabolic functions

"Besides directly stabilizing the cell's internal structures, progesterone increases ATP concentration and oxygen consumption, reduces excitatory systems and numerous inflammatory processes, lowers intracellular calcium concentration, and increases glucose utilization. This leads to increased carbon dioxide production and also adjusts respiration and pH."

January 2018 - Ray Peat's Newsletter

The brain's high glucose consumption

"When a person is physically inactive, the brain consumes about 60% of the body's glucose. And because it is dependent on glucose, it is easily damaged even by short periods of low blood sugar."

January 2017 - Ray Peat's Newsletter

Extreme stress and biological adaptation: a balancing act for survival

“During adaptation, the functional load shifts to the system that can meet the new challenge. Various stimuli—from nerves and hormones—activate the cells of this responsive system, and resources such as amino acids can be drawn from less active systems to support the new level of function. The organism must precisely target its stimulating factors, and resources—including glucose stored as glycogen in the tissues—must be sufficient. If the stimulation is too strong or too widespread, and too much fat is mobilized relative to glucose, self-damaging processes can occur.”

January 2017 - Ray Peat's Newsletter

Rethinking nutrition and blood sugar control: the balance between macro- and micronutrients

"A two-day fast worsens glucose tolerance in both diabetics and healthy individuals. And when diabetic men were placed on a 75% carbohydrate diet, their glucose tolerance was better than on a 44% carbohydrate diet (Anderson, 1977). The high-carbohydrate diet improved the men's insulin sensitivity, and fasting—similar to a high-fat diet—worsens insulin sensitivity."

January 2017 - Ray Peat's Newsletter

Interrelationships in fat and carbohydrate metabolism

"When fats are oxidized instead of glucose, more oxygen is needed to produce the same amount of energy, and less carbon dioxide is produced."

January 2017 - Ray Peat's Newsletter

The biological shift towards fat: adaptation mechanisms of energy use

"The biological changes associated with the shift in energy sources from glucose to fatty acids and amino acids during stress, aging, and dementia have been termed 'deprivation syndrome'."

January 2017 - Ray Peat's Newsletter

Cortisol responds to low glycogen stores

"If there is not enough glycogen stored in the liver, muscles and other tissues to meet the brain's nighttime glucose demand, cortisol levels rise. This leads to the breakdown of tissue proteins to provide amino acids and glucose, and this nighttime stress also increases free fatty acids."

January 2017 - Ray Peat's Newsletter

Protective substances against the effects of hypoglycemia or impaired glucose oxidation

“Other substances that protect against the consequences of hypoglycemia or impaired glucose oxidation include progesterone, caffeine, certain anesthetics including xenon, niacinamide, agmatine and carbon dioxide.”

January 2017 - Ray Peat's Newsletter

Nitric oxide: The double-edged sword of metabolic regulation

"Nitric oxide blocks the ability to utilize sugar, but it slows down metabolism. Therefore, it could serve to adapt the size of developing organs and enable survival when less fuel is available."

January 2016 – Ray Peat's Newsletter

The metabolic consequences of nitric oxide exposure

"Nitric oxide damage creates a diabetes-like condition that forces the use of fatty acids instead of glucose as an energy source."

January 2016 – Ray Peat's Newsletter

The metabolic consequences of nitric oxide exposure

"Nitric oxide damage creates a diabetes-like condition that forces the use of fatty acids instead of glucose as an energy source."

January 2016 – Ray Peat's Newsletter

Metabolic shifts from glucose to fat and their consequences

"The shift in metabolic fuel from glucose to fat leads to a shift in the redox state of the organism towards the reduced side – away from the oxidized state, which favors a stable, differentiated function."

January 2016 – Ray Peat's Newsletter

The role of nitric oxide in reductive stress and impaired glucose oxidation

"When a particular cell or tissue is severely reduced, nitrate and nitrite can be converted to nitric oxide. This leads to a vicious cycle of blocked glucose oxidation and an even more reductive state."

January 2016 – Ray Peat's Newsletter

The consequences of impaired glucose oxidation and the switch to fatty acids

"When glucose oxidation is impaired and fatty acids are oxidized for energy production, there is usually a decrease in the overall metabolic rate as well as a shift towards a more reductive biochemistry. A"

January 2016 – Ray Peat's Newsletter

Re-examining the Warburg effect: glycolysis and cancer metabolism

"In extreme cases, the reductive energy obtained from aerobic glycolysis can be consumed by fat synthesis, allowing glycolysis to continue. This can lead to cancer cells that oxidize fatty acids for energy while converting glucose into fats and lactic acid."

January 2016 – Ray Peat's Newsletter

The effects of hypothyroidism on the skin and adrenaline production

“Many people with hypothyroidism compensate for this with high adrenaline production (sometimes 40 times higher than normal), and this tends to keep the skin cool, especially on the hands, feet, and nose. The high adrenaline is a consequence of low blood sugar, so consuming carbohydrates, such as a glass of orange juice, can sometimes temporarily lower the heart rate.”

– Generative Energy Restoring The Wholeness Of Life

The secretory ratio of the thyroid gland and the role of the liver in its conversion

"The thyroid gland releases approximately three parts thyroxine to one part triiodothyronine, and this enables the liver to regulate thyroid function by converting more T4 into the active T3 when energy is plentiful. Glucose is essential for this conversion."

– Generative Energy Restoring The Wholeness Of Life

The role of blood sugar in cortisone production

"The basic signal that triggers the production of cortisone is a drop in blood sugar levels. The increased energy demand during any kind of stress tends to cause blood sugar to drop slightly, but hypothyroidism itself tends to lower blood sugar."

– Generative Energy Restoring The Wholeness Of Life

The effects of hypothyroidism on cortisone and inflammation

"While hypothyroidism causes the body to need more cortisone to maintain blood sugar and energy production, it also limits the ability to produce cortisone. In some cases, stress therefore causes symptoms resulting from a cortisone deficiency, including various forms of arthritis and more general types of chronic inflammation."

– Generative Energy Restoring The Wholeness Of Life

The role of nutrition in preventing pregnancy complications

"Sufficient protein, glucose and sodium to maintain blood volume will prevent most of these problems in later pregnancy – provided the hormonal imbalance is not very severe."

– Generative Energy Restoring The Wholeness Of Life

Analyzing the paradoxical characteristics of older blood

“Two distinct differences have been found between old blood and young blood. The albumin in old blood is in a more oxidized state. (I believe it was the famous gerontologist Verzar who first reported this.) Although there is much less oxygen in the blood—at least in aging people—something causes the albumin in older blood to be in a more oxidized state. The other characteristic feature of older blood also seems paradoxical at first: the red blood cells are younger. That is to say, in an older person, the red blood cells are more fragile—possibly because they are damaged more quickly by oxidation—and are replaced sooner; on average, they are therefore many weeks younger than the cells of a healthy young person. None of these features is paradoxical. Poor oxygenation is stressful and leads to the waste of glucose as well as the compensatory mobilization of fat from stores, and the relatively reducing environment in the cytoplasm causes the mobilization of iron from stores in the toxic reduced (divalent) form. Products of the peroxidative The interaction of iron with unsaturated fats is detectable in the blood (and in other tissues) during stress – and is particularly strong in older animals.”

– Generative Energy Restoring The Wholeness Of Life

Positive dietary changes normalize fluctuations in energy levels.

"If the rest of your diet is good, the energy boosts from sugar should balance out and result in a steady, elevated metabolic rate."

– Email reply from Ray Peat

The nutritional impact of starch compared to sugar

"If starch is cooked well and eaten with some fat and essential nutrients, it is safe – except that it contributes more to fat formation than sugar and is not as effective for mineral balance."

– Email reply from Ray Peat

The brain's high energy demands and its nutritional requirements

"The brain is a very 'expensive' organ in terms of its energy requirements, and the liver must be very efficient to meet its needs. So, if there is a nutritional or hormonal problem, the problems can be particularly severe. The need for sugar, protein, vitamins, and minerals can be very high."

– Email reply from Ray Peat

The influence of the thyroid gland on calorie requirements and glucose regulation

"During my teens and twenties, when I was physically active, I needed about 8,000 calories a day, and when I was sedentary, about 4,000 to 5,000. But after I started taking thyroid hormone, I only needed about half as many calories. The thyroid gland is the fundamental regulator of blood sugar, and it ensures that it is fully oxidized for energy, so that ATP is produced efficiently – with relatively few calories."

– Email reply from Ray Peat

Metabolic degeneration and neurological impairment in diabetes

"Diabetes – or the inability to vigorously oxidize glucose – is simply a description of the metabolic aspect of cellular degeneration. The neurological impairment so frequently associated with officially diagnosed diabetes is merely one aspect of a general cellular dysfunction resulting from chronic energy deficiency."

February 2001

The role of estrogen in cortisol production and cell damage

"Elevated cortisol is a normal response to the cell-damaging effects of stress or inflammation, but cortisol itself causes the death of nerve and immune cells through excitotoxicity by blocking glucose metabolism. Estrogen increases cortisol production in several ways, acting both via the pituitary gland and directly on the adrenal glands."

February 2001

Intense training impairs metabolism through the effects of lactic acid.

"Intense training damages cells in a way that has a cumulatively negative impact on metabolism. There is clear evidence that glycolysis, the process by which glucose is converted into lactic acid, has toxic effects that suppress respiration and kill cells. Within five minutes of exercise, the activity of enzymes that oxidize glucose decreases. Diabetes, Alzheimer's disease, and general aging are associated with increased lactic acid production and accumulated metabolic (mitochondrial) damage."

July 2000

Adaptation effects on lactic acid production and muscle efficiency

"Adaptation to hypoxia or increased carbon dioxide limits the formation of lactic acid. Muscles are 50% more efficient in this adapted state; glucose, which produces more carbon dioxide than fat during oxidation, is metabolized more efficiently than fats and requires less oxygen."

July 2000

Treatment of lactic acid excess by inhibiting glycolysis

"Heart failure, shock, and other problems associated with excess lactic acid can be successfully treated by inhibiting glycolysis with dichloroacetic acid. This reduces lactic acid production, increases glucose oxidation, and boosts cellular ATP concentration: thyroid hormone, vitamin B1, biotin, etc., have the same effect."

July 2000

The effect of free fatty acids on glucose oxidation and diabetes

"An increase in free fatty acids suppresses the oxidation of glucose. (This is known as the Randle effect, glucose-fatty acid cycle, substrate-competition cycle, etc.) Women typically have more free fatty acids than men due to higher levels of estrogen and growth hormone, and they oxidize a greater proportion of fatty acids during physical activity. This fatty acid exposure reduces glucose tolerance and undoubtedly explains the higher prevalence of diabetes in women."

July 2000

The special role of palmitic acid in glycolysis and lactate formation

"While most fatty acids inhibit the oxidation of glucose without immediately inhibiting glycolysis, palmitic acid is unusual: it inhibits glycolysis and lactate formation without inhibiting oxidation. I assume that this is largely related to its important function in cardiolipin and cytochrome oxidase."

July 2000

The independence of glycolysis in cancer and embryonic tissue

"When the Pasteur effect fails, as in cancer, glycolysis occurs that is relatively independent of respiration, resulting in inefficient sugar consumption. Embryonic tissues sometimes behave in this way, leading to the suggestion that glycolysis is closely linked to growth."

July 2000 (1)

The Crabtree effect and the reduction of cellular energy

“In contrast to the logical Pasteur effect, the Crabtree effect tends to lower cellular energy and adaptability. When considering many situations where increased glucose intake boosts lactic acid production and suppresses respiration, leading to a maladaptive decrease in cellular energy, I began to view lactic acid as a toxin.”

July 2000 (1)

The influence of light on glucose oxidation and respiratory efficiency

"Light promotes the oxidation of glucose and is known to activate the central enzyme of the respiratory chain. Winter illnesses (including lethargy and weight gain) as well as nighttime stress must be included in the consideration of a respiratory defect: there is a shift towards the anti-respiratory production of lactic acid, which damages the mitochondria."

July 2000 (1)

Non-toxic therapies for the treatment of lactic acidosis

"Therapeutically, even potent toxins that block glycolytic enzymes can improve function in a variety of organic disorders associated with (or caused by) excessive lactic acid production. Unfortunately, the toxin that has become the standard treatment for lactic acidosis—dichloroacetic acid—is a carcinogen and ultimately causes liver damage and acidosis. But several non-toxic therapies can achieve the same effect: palmitate (formed from sugar under the influence of thyroid hormone and found in coconut oil), vitamin B1, biotin, lipoic acid, carbon dioxide, thyroid hormone, naloxone, and acetazolamide, for example."

July 2000 (1)

Hypothyroidism and excessive activity of the adrenergic nervous system

"In hypothyroidism, the adrenergic nervous system tends to be overactive, and adrenaline production remains at a high level even when there is no external reason for it, because it is needed to maintain sufficient blood sugar and energy in the inefficient metabolic state of hypothyroidism."

January 2000 - Ray Peat's Newsletter

The role of the thyroid gland in sleep and energy production

"Since I had become a good sleeper immediately after I started taking thyroid hormone, and had seen that thyroid alone would cure insomnia in most people (sometimes, as one doctor described his experience, better than morphine), I began to understand that the adrenaline that was disrupting sleep was an indication of disrupted energy production – and that the things that restored sleep – thyroid, salt, sugar, protein and progesterone, for example – acted directly on the energy production of the cells."

January 2000 - Ray Peat's Newsletter

Excitatory receptors, calcium release and the energy requirements of cells

"These excitatory receptors release calcium into the cytoplasm and activate many cellular processes, including the release of fatty acids and the breakdown of proteins. When these receptors are activated, the cells' energy demands increase, and glucose is consumed more rapidly. Whenever these receptors are activated, magnesium protects the cell from toxic excitation. Effective antidotes to excitotoxins are based on blocking these receptors."

December 1999 – Ray Peat's Newsletter

Effective treatments for shock were developed earlier.

“I have previously written about several dramatically effective treatments for shock that have been developed in the last fifty years – for example, intravenous ATP, concentrated solutions of sodium chloride or glucose, and the morphine/endorphin blocker naloxone.”

1998 – Ray Peat's Newsletter - 4

Eating salty foods before bed can improve sleep.

"I have recommended salty foods before bed to promote sleep because of sodium's well-known anti-adrenaline effect. There are some complicated ways to think about its effect on adrenaline—as well as explaining its thermogenic effect—but the simple fact that it is required for glucose uptake may explain its ability to lower adrenaline (since adrenaline rises when glucose is needed) and increase heat production."

1998 – Ray Peat's Newsletter - 4

Sodium, progesterone and glucose in brain development

"In the fetus and newborn baby, sodium promotes growth. Progesterone, sodium, and glucose are often limiting factors for the growth of the baby's brain; if they are lacking, cells die instead of growing."

1998 – Ray Peat's Newsletter - 4

The energizing role of sodium in cell functions

"Sodium actually has an energizing effect. It helps to remove calcium from the cell, produce ATP, and promote the uptake of glucose and amino acids."

1998 – Ray Peat's Newsletter - 4

Cellular excitation and injury: Effects on electric fields

“Cellular excitation, exhaustion, and injury affect the electrical fields of cells in different ways – depending on the availability of oxygen, glucose, salts, etc. – but in each of these conditions, there is an increased influx of calcium into the cytoplasm.”

1998 – Ray Peat's Newsletter - 2

Low blood sugar and respiratory quotient in hypothyroidism

“Low blood sugar, usually caused by hypothyroidism, and diabetes – which involves poor uptake of sugar by the cells – both tend to lower the respiratory quotient, that is, the amount of carbon dioxide produced relative to the amount of oxygen used.”

1997 - Ray Peat's Newsletter

Carbon dioxide inhalation in psychiatry and metabolism

"The use of carbon dioxide inhalation in psychiatry has many metabolic-related justifications; one of them could be the importance of carbon dioxide for the regeneration of glucose. It is also essential for the detoxification of ammonia."

1997 - Ray Peat's Newsletter

Lactic acid as an indicator of respiratory insufficiency

"In general, lactic acid in the blood can be considered a sign of impaired respiration, as the breakdown of glucose to lactic acid increases to compensate for insufficient oxidative energy production. Normal aging appears to involve a tendency towards excessive lactic acid production, and age pigment is known to activate the process."

1997 - Ray Peat's Newsletter

The influence of altitude on lactate accumulation during intense exercise

"It has been found that during intense physical exertion (which always produces a lactic acid build-up in the blood) at high altitude, a lower maximum lactate build-up occurs, and this appears to be caused by a reduction in the rate of glycolysis or glucose consumption."

1997 - Ray Peat's Newsletter

The energy requirement for the cell's resting state

"When cells don't have enough energy—whether due to insufficient fuel, overexertion, lack of oxygen, or poisoning—they absorb water. Too much water tends to excite cells and can even stimulate cell division. The hyperactive state of a muscle cell, cramping, consumes energy. What is all too often overlooked is that the cell needs more energy to return to its resting state—and that this requires an abundance of glucose or other fuel, oxygen, and thyroid hormone so that the cell can quickly produce enough energy to become calmly relaxed."

April 1994 - Ray Peat's Newsletter

Effects of stress on glucose and fat utilization

"When tissue oxygenation is insufficient, glucose is rapidly depleted. Under prolonged stress, the liver's gluconeogenic response to glucocorticoids is suppressed, as is its ability to produce and store glycogen. With less glucose available, blood adrenaline levels rise, and fat is mobilized from stores as an alternative energy source. Free fatty acids, especially unsaturated fats, are toxic to the mitochondrial respiratory system, blocking both oxygen utilization and energy production. The increased use of fats instead of glucose leads to increased lipid peroxidation."

June 1992 - Ray Peat's Newsletter

Adrenaline, energy production and impaired recovery

"Glucose deficiency leads to the release of adrenaline, which causes the mobilization of fat as well as calcium-activated overstimulation of cells – with impairment of the energy production necessary for recovery (via muscle relaxation and the excretion of calcium, etc.)."

June 1992 - Ray Peat's Newsletter

Adrenaline release as a compensatory reaction in hypothyroidism

“People with low thyroid function compensate for the lack of energy and glucose (and oxygen, for reasons similar to those mentioned above) by releasing an excess of adrenaline. Their 24-hour urinary metabolites of adrenaline are sometimes 30 or 40 times higher than normal.”

June 1992 - Ray Peat's Newsletter

The importance of glucose and oxygen for stress resistance

"Sufficient glucose and oxygen are the most important anti-stress substances."

June 1992 - Ray Peat's Newsletter

Energy deficiency, histamine production and the effects of unsaturated fats

"When energy is withdrawn from different types of cells (mast cells are frequently studied), they tend to produce (and release) histamine (among other substances). Unsaturated fats promote the release of histamine, while short-chain saturated fats and glucose inhibit it."

January 1991 - Ray Peat's Newsletter

Cortisol levels in darkness and stress response

"People who are awake in the dark have higher cortisol levels than when they sleep in the dark; that is, sleep is a partial defense against the stress of darkness. The cortisol (an adrenaline hormone) released in the dark or during other stress has the important function of maintaining blood sugar levels."

January 1991 - Ray Peat's Newsletter

The anti-stress effects of GABA and the promotion of progesterone

"The most important inhibitory neurotransmitter in the brain is GABA (gamma-aminobutyric acid), which is closely related to aspartic and succinic acid. GABA has many anti-stress effects, in addition to its direct calming effect in the brain. For example, it inhibits insulin production, preventing some sugar from being converted into fat, and it promotes the production of progesterone, which protects many systems from harmful overactivity."

January 1991 - Ray Peat's Newsletter

Herbs with antihistamine and anticholinergic effects to stabilize blood sugar

“I experimented with various herbs known to have antihistamine and anticholinergic effects, assuming they would help maintain stable blood sugar levels overnight. (For example, insulin release is stimulated by acetylcholine from cholinergic nerves, and reducing its effect during the night would lower the need for adrenaline and cortisol.) My best results so far have been with a combination of the mildly sedating jimson weed and the stimulating ephedra; in combination, their antihistamine and blood sugar-stabilizing effects seem to outweigh the stimulating effects, allowing for a comfortable night's sleep without the dry mouth associated with their anticholinergic properties.”

January 1991 - Ray Peat's Newsletter

Dietary practices to minimize cortisol production

“Other dietary practices can minimize our cortisol production (e.g., combining fruit and protein, as protein-rich foods lower blood sugar and stimulate the release of cortisol).”

October 1990 - Ray Peat's Newsletter

The potential of thyroid supplementation to restore normal thyroid function

"In a small percentage of people with hypothyroidism, short-term treatment with thyroid supplementation can trigger the recovery of normal thyroid function by activating the brain-pituitary system, increasing blood sugar (which activates the liver enzyme system that produces T3), and lowering thyroid-suppressing stress hormones."

August-September 1990 - Ray Peat's Newsletter

The essential role of the thyroid gland in protein synthesis and energy production

"Thyroid function is essential for all cellular processes, including protein uptake and synthesis, growth hormone production, etc. Without thyroid hormone to maintain respiration, inefficient glycolysis wastes energy; unoxidized lactate provokes liver protein catabolism. Hypoglycemia stimulates the release of glucocorticoids, which maintain blood sugar at the expense of rapid protein breakdown."

November 1989 - Ray Peat's Newsletter

The role of glucose in protection against cortisol-induced catabolism

"Sufficient energy, for example in the form of available glucose, protects against cortisol-induced catabolism. White blood cells can protect themselves by metabolizing cortisol in the presence of sufficient glucose."

August-September 1988 - Ray Peat's Newsletter

Epilepsy and insomnia as low-energy states in brain cells

"Epilepsy is an example of a very low-energy state of brain cells. Insomnia is a low-energy state and is usually cured by the correct dose of thyroid hormone – along with sufficient glucose and other nutrients."

February 1986

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