Nutrition Corner with Dr D 

Melatonin’s less known health benefits

Melatonin, a hormone produced naturally by the pineal gland in the brain, has been gaining popularity as a supplement for sleep and jet lag. But did you know that melatonin is not just a hormone that regulates our sleep-wake cycle? Melatonin has been found to have many other health benefits, such as boosting the immune system, improving mood, and protecting against neurodegenerative diseases. In this article we will explore melatonin’s less known health benefits.

II. Health Benefits of Melatonin Anxiety and Depression Melatonin influences mood through its interaction with serotonin, a neurotransmitter that plays a crucial role in regulating emotions. Serotonin is often referred to as the "feel-good" neurotransmitter because it contributes to feelings of happiness and well-being. Imbalances in serotonin levels are associated with mood disorders such as anxiety and depression. Melatonin can indirectly affect serotonin by influencing its synthesis and release in the brain, thus potentially improving mood. Additionally, melatonin possesses antioxidant properties, meaning it can help neutralize harmful free radicals and reduce oxidative stress. Oxidative stress occurs when there is an imbalance between the production of free radicals and the body's ability to counteract their harmful effects. Chronic stress and depression can contribute to oxidative stress in the brain, leading to damage to brain cells and worsening symptoms of anxiety and depression. Melatonin's antioxidant activity helps protect against this damage, potentially mitigating the negative effects of stress and depression on mental health. Furthermore, melatonin's role in regulating sleep can indirectly impact anxiety and depression. Sleep disturbances, such as insomnia or disrupted sleep patterns, are common symptoms of both anxiety and depression. By improving sleep quality and quantity, melatonin can help alleviate some of the symptoms associated with these mental health conditions. Restorative sleep promotes emotional well-being and can enhance overall mood stability.

Migraines Migraine headaches are often triggered by changes in sleep patterns. Melatonin has been found to reduce the frequency and intensity of migraines by regulating sleep patterns. Melatonin plays a vital role in the circadian rhythm, the internal biological clock that helps regulate the sleep-wake cycle. Disruptions in this cycle, such as irregular sleep patterns or insufficient sleep, can trigger migraines in susceptible individuals. By helping to regulate sleep patterns, melatonin can provide a potential avenue for managing migraines. Studies have shown that melatonin supplementation can be effective in reducing the frequency and intensity of migraines. By taking melatonin at a consistent time each night, individuals may experience improvements in their sleep quality and duration, leading to a reduction in migraine occurrences. Furthermore, melatonin's influence on other biological processes may also contribute to its efficacy in migraine management. It has been suggested that melatonin's antioxidant and anti-inflammatory properties could play a role in mitigating migraine symptoms. Migraines are often associated with inflammation and oxidative stress in the brain, which can worsen headache severity. Melatonin's ability to reduce oxidative stress and combat inflammation may help alleviate migraine symptoms and prevent their onset. Cancer Studies have shown that melatonin can inhibit the growth of cancer cells and reduce the risk of developing certain types of cancer, including breast, prostate, and colorectal cancer. Cancer is characterized by uncontrolled cell growth and the ability of cancer cells to invade surrounding tissues. Melatonin has been shown to exert anti-cancer effects through various mechanisms. One of the key ways melatonin acts is by regulating the activity of estrogen, a hormone that plays a significant role in the development of hormone-related cancers like breast and prostate cancer. Melatonin can suppress estrogen production and signaling, thereby inhibiting the growth of hormone-sensitive cancer cells. Additionally, melatonin demonstrates antioxidant properties, which can help protect cells from DNA damage caused by harmful free radicals. By neutralizing free radicals and reducing oxidative stress, melatonin can help prevent mutations and abnormalities in DNA that can contribute to cancer development. Moreover, melatonin influences various cellular processes involved in cancer progression, including cell proliferation, apoptosis (programmed cell death), and angiogenesis (the formation of new blood vessels to support tumor growth). It has been observed that melatonin can inhibit the proliferation of cancer cells, induce apoptosis in cancer cells, and inhibit the formation of new blood vessels, ultimately impeding tumor growth and metastasis. Several clinical studies have provided evidence supporting the potential cancer-fighting properties of melatonin. Research on breast cancer, in particular, has shown that melatonin can inhibit the growth of breast cancer cells, reduce the invasiveness of tumors, and enhance the effectiveness of certain anti-cancer treatments.

Cardiovascular Diseases Melatonin has been found to have protective effects on the cardiovascular system. It can reduce blood pressure, lower cholesterol levels, and prevent the formation of blood clots. Melatonin has been shown to possess antihypertensive properties, meaning it can help lower blood pressure levels. It achieves this by dilating blood vessels and promoting vasodilation, which allows for improved blood flow and reduces the strain on the heart. Furthermore, melatonin has demonstrated the ability to influence lipid metabolism, specifically in relation to cholesterol. High levels of cholesterol, particularly LDL (low-density lipoprotein) cholesterol, can contribute to the formation of atherosclerosis, a condition characterized by the build-up of plaque in the arteries. This plaque can lead to blockages and increase the risk of heart attacks and strokes. Melatonin has been found to reduce LDL cholesterol levels while promoting the production of HDL (high-density lipoprotein) cholesterol, which is considered "good" cholesterol due to its protective effects on the cardiovascular system. In addition to its impact on blood pressure and cholesterol, melatonin can help prevent the formation of blood clots, medically known as thrombosis. Blood clots can block blood vessels and impede blood flow, potentially causing serious cardiovascular complications. Melatonin exerts an anticoagulant effect by inhibiting platelet aggregation and reducing the activity of clotting factors, thereby reducing the risk of abnormal clot formation.

Neurodegenerative Disorders Melatonin has been found to have neuroprotective properties that can help slow down the progression of neurodegenerative disorders such as Alzheimer's and Parkinson's disease. Overall, melatonin has numerous health benefits beyond its role in regulating sleep patterns. As with any supplement, it's important to talk to your healthcare provider before taking melatonin to ensure that it's safe for you and won't interact with any medications you're taking. One of the key factors contributing to neurodegenerative disorders is oxidative stress and the accumulation of harmful molecules called free radicals in the brain. Melatonin, with its potent antioxidant properties, can help neutralize free radicals and reduce oxidative stress. By doing so, it helps protect neurons from damage and degeneration, thereby slowing down the progression of neurodegenerative diseases. Moreover, melatonin has been found to exhibit anti-inflammatory effects in the brain. Chronic inflammation is closely associated with the development and progression of neurodegenerative disorders. By reducing inflammation, melatonin can mitigate the detrimental effects of inflammatory processes in the brain and provide a protective environment for neurons. In addition to its antioxidant and anti-inflammatory properties, melatonin influences other essential mechanisms involved in neurodegenerative disorders. It regulates the production and clearance of beta-amyloid, a protein implicated in the formation of plaques in Alzheimer's disease. By modulating beta-amyloid metabolism, melatonin can help reduce the accumulation of these plaques, which are known to contribute to cognitive decline in Alzheimer's patients. Furthermore, melatonin has been shown to enhance the activity of antioxidant enzymes and promote mitochondrial function. Mitochondria are responsible for producing energy within cells and play a crucial role in neuronal health. Dysfunction of mitochondria is observed in neurodegenerative disorders, and melatonin's ability to support mitochondrial function can help preserve neuronal integrity and function.  III. Dosage of Melatonin Recommended Dosage For insomnia, which refers to difficulty falling asleep or staying asleep, the recommended dosage of melatonin typically ranges from 1 to 5 milligrams. It is generally recommended to take melatonin about 30 minutes to an hour before bedtime to help initiate sleep. Starting with a lower dose and gradually increasing if necessary is often recommended to find the optimal dosage for an individual's specific needs. In the case of jet lag, a temporary sleep disorder caused by crossing multiple time zones, melatonin can be used to help reset the sleep-wake cycle. The recommended dosage for jet lag can range from 1 to 8 milligrams, depending on the severity of symptoms and the individual's response. Melatonin is usually taken before bedtime in the new time zone, typically starting a few days before travel and continuing for a few days after arrival. For other sleep-related disorders or disturbances, such as shift work sleep disorder or delayed sleep phase syndrome, the recommended dosage of melatonin can vary. It is essential to consult with a healthcare professional to determine the appropriate dosage and timing based on the specific condition and individual circumstances. It is worth noting that melatonin is generally considered safe for short-term use, but long-term safety and optimal dosing for various conditions are still areas of ongoing research. Additionally, it is important to follow the recommended dosage and not exceed the suggested limits, as higher doses of melatonin may not necessarily provide better results and could potentially cause adverse effects.

Factors Affecting Dosage Several factors affect the appropriate dosage of melatonin for an individual. These include age, weight, gender, and the specific condition it is being used to treat. Older individuals may require lower dosages of melatonin, while younger individuals may require higher doses. Similarly, individuals with a higher body weight may need higher dosages, while those with a lower body weight may require lower doses. Furthermore, women may require lower doses of melatonin than men due to differences in metabolism. IV. Safety of MelatoninMelatonin is generally considered safe, but as with any supplement, it is important to understand its potential risks and side effects. Short-term Safety: Short-term use of melatonin, usually defined as several weeks to several months, has been shown to be safe in most people. Side effects are generally mild and may include dizziness, headache, nausea, and drowsiness. Melatonin may also cause vivid dreams or nightmares in some people, but this effect is usually temporary.

Long-term Safety: Long-term safety data on melatonin supplements is limited, as most studies have focused on short-term use. However, some studies suggest that long-term use of melatonin supplements may be safe for most people when taken at appropriate doses. However, as with any supplement, it is important to talk to your doctor before taking melatonin regularly. Side Effects: Melatonin supplements may cause several side effects, including daytime sleepiness, dizziness, headaches, and nausea. Additionally, some people may experience changes in blood pressure, body temperature, or mood when taking melatonin. It may also cause a rapid heart rate or trigger asthma symptoms in some people. It is important to discontinue use and seek medical attention if any concerning side effects occur. Melatonin and effect on blood glucose: There is some evidence to suggest that melatonin may have an effect on blood glucose levels. Some studies have shown that taking melatonin supplements may lower blood glucose levels in people with type 2 diabetes. Several studies have indicated that melatonin supplementation could potentially lower blood glucose levels in individuals with type 2 diabetes. Melatonin's mechanism of action in relation to blood glucose control is not fully understood, but it is believed to involve various pathways. One possible mechanism is through the activation of melatonin receptors in the pancreas, which may influence insulin secretion and enhance insulin sensitivity. Insulin is the hormone responsible for regulating blood glucose levels, and improved insulin action can lead to better glucose control. Moreover, melatonin has been shown to exhibit antioxidant and anti-inflammatory properties, which may contribute to its potential benefits on blood glucose regulation. Chronic inflammation and oxidative stress play a role in the development and progression of insulin resistance and type 2 diabetes. By reducing inflammation and oxidative stress, melatonin could potentially improve overall glucose metabolism and insulin sensitivity. It is important to note that while some studies have shown promising results, the evidence regarding melatonin's impact on blood glucose levels is still limited and not fully conclusive. The existing research varies in terms of study design, dosages used, and participant characteristics, making it challenging to draw definitive conclusions. V. ConclusionIn conclusion, melatonin is a hormone produced naturally by the body that plays a crucial role in regulating sleep-wake cycles. Melatonin supplements have gained popularity due to their potential health benefits in treating various sleep disorders, anxiety, depression, migraines, cancer, and cardiovascular and neurodegenerative diseases. Recent studies have also shown that melatonin may have positive effects on blood glucose regulation. The recommended dosage of melatonin varies depending on the individual's age, health status, and sleep condition. It is generally safe for short-term use, but long-term safety data is limited. Side effects of melatonin are usually mild and include dizziness, headaches, and daytime drowsiness. It is important to consult with a healthcare provider before taking melatonin supplements, especially if you have a pre-existing medical condition or are taking other medications. In summary, melatonin has potential health benefits and may be a useful supplement for those experiencing sleep issues or other health conditions. However, further research is needed to fully understand its long-term effects and to develop standardized dosing guidelines. As with any supplement, it is important to approach melatonin use with caution and always consult with a healthcare professional.