Anxiety and depression are forms of stress that may necessitate increases in certain nutrient requirements. It has been shown that the presence of anxiety symptoms in an individual may accelerate the utilisation of vitamin C. One mechanism this may occur through is an increase in the production of noradrenaline, because noradrenaline synthesis increases with anxiety. The production of noradrenaline is dependent on a monooxygenase enzyme, and this enzyme requires vitamin C to interact with metal ions to allow its activity to proceed. In this process vitamin C turnover can increase considerably, and therefore under conditions where vitamin C is only available in low amounts, impairment to the synthesis of noradrenaline may occur. In addition, vitamin C may protect noradrenaline and other neurotransmitters from breakdown by oxygen (in monoamin oxidase enzyme systems), and therefore low levels of vitamin C may accelerate the breakdown of neurotransmitters in the brain, altering brain chemistry.
Such a state of chronic low levels of vitamin C have been described as a form of sub-scurvy. Under these conditions, a state of general irritability, tiredness, depression and idiopathic ill health may ensue. Evidence suggests that with sub-scurvy, certain individuals may be susceptible to changes in mental health. This could result in the development of mental disorders such as depression and generalised anxiety disorder. The beneficial effects of vitamin C of mental health has been known for some time. In one study conducted in the early 1960’s, subjects on a psychiatric ward were administered 1 gram of vitamin C in solution per day. Assessment of the patients showed they had sub-survey and were depleted in vitamin C. Following consumption of the vitamin C, there were significant improvements in the depressive, manic, and paranoid symptoms of the patients. There was also an overall improvement in personality functioning with saturation of their blood with vitamin C.
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