More than Just a Sleep Aid
9 October 2024

Melatonin – More than Just a Sleep Aid

For a multitude of individuals, myself included, Melatonin is primarily recognised as the hormone that orchestrates our sleep cycles. A significant portion of scientific studies has delved into its role in regulating our slumber. However, Melatonin's influence extends far beyond the realm of restful nights. This remarkable substance also serves a vital function as a powerful antioxidant, safeguarding our cells from the detrimental effects of “free radicals.” These erratic molecules can wreak havoc on our DNA and contribute to various health issues.

One of the most critical areas where Melatonin exerts its protective prowess is in the heart and blood vessels. By neutralising these harmful free radicals, Melatonin helps maintain cellular integrity, promoting cardiovascular health and reducing the risk of damage that could lead to serious conditions. In essence, while we may often associate this hormone with the tranquillity of sleep, it is equally deserving of recognition for its role as a guardian of cellular health, fortifying our bodies against the invisible threats that can compromise our well-being.

Heart Health

Let me share with you what I learned about studying Melatonin and cardiovascular health. Melatonin is one of the most important antioxidant molecules and certainly the most ancient, as it has been part of biological life for over 3 billion years. It's present in prokaryotes, which are bacteria, and even in plants. In the human body, aside from having direct antioxidant effects, it also stimulates the synthesis of glutathione and other important antioxidants like superoxide dismutase and catalase. Melatonin has been here forever ... and its functions have evolved. It has learned to work successfully with other molecules during this three-billion-year evolution. One of the molecules with which it collaborates is glutathione ... But the antioxidant activity of melatonin is extremely diverse.

Effects of Melatonin on Mitochondria

Melatonin is exceptionally effective as a radical scavenger, surpassing other well-known antioxidants such as vitamin C and vitamin E. This remarkable compound not only neutralises harmful free radicals but also actively stimulates the production of antioxidant enzymes, particularly within the mitochondria which often is regarded as the powerhouses of the cell. Mitochondria play a crucial role in energy production, but in the process, they also generate a significant amount of free radicals. This makes it vital to have a robust antioxidant presence at the mitochondrial level, and Melatonin is uniquely positioned for this task, as it is both synthesised and concentrated in these organelles. By scavenging the free radicals produced, Melatonin not only counters oxidative stress directly but also enhances the function of sirtuin-3, a crucial protein that de-acetylates superoxide dismutase (SOD). SOD is one of the body's most important antioxidant enzymes, responsible for breaking down superoxide radicals into less harmful substances.

The protective effects of Melatonin on mitochondria are particularly significant because these organelles are central to cellular health and vitality. Research indicates that cellular ageing, frailty, and the onset of senescence, conditions often associated with ageing, are closely linked to molecular damage within the mitochondria. Melatonin's ability to shield these vital organelles from oxidative damage marks it as a powerful ally in the fight against the effects of ageing. Moreover, Melatonin enhances the synthesis of glutathione, one of the most important intracellular antioxidants. It does this by influencing the activity of gamma-glutamylcysteine synthase, the rate-limiting enzyme in glutathione production. As a result, Melatonin boosts glutathione levels, contributing to cellular defence mechanisms. While glutathione is primarily found in high concentrations within cells, smaller amounts also exist in the extracellular space and within mitochondria.

What is remarkable is that approximately 95% of the Melatonin in your body resides within mitochondria, underscoring its pivotal role in cellular protection. The antioxidant effects of Melatonin are multifaceted; for instance, it helps prevent free radical formation by enhancing the efficiency of the electron transport chain. This improvement reduces the likelihood that electrons will prematurely interact with oxygen, which can lead to the production of superoxide radicals. In summary, the multifarious benefits of Melatonin extend far beyond its role as a radical scavenger. Its ability to stimulate antioxidant enzymes, increase glutathione levels, and enhance mitochondrial function positions it as a crucial player in promoting cellular health and counteracting the effects of ageing. As we continue to explore the intricacies of cellular biology, Melatonin stands out as a remarkable compound with the potential to fundamentally improve our well-being at the cellular level.

Mitochondrial Melatonin

Understanding the Production of Mitochondrial Melatonin

The production of Melatonin in your mitochondria is a compelling reason to prioritise regular sun exposure. While many are aware that sunlight on bare skin stimulates the synthesis of vitamin D through UVB (ultraviolet B radiation), fewer recognise the profound impact of near-infrared radiation. This invisible spectrum penetrates your skin and subcutaneous tissues, igniting Melatonin production within the mitochondria of your cells. Why is this significant? Recent insights suggest that mitochondrial Melatonin is particularly crucial during stressful conditions, although more research is needed to confirm this hypothesis. When faced with stress, whether from environmental factors or metabolic challenges, our cells might boost their production of Melatonin, a powerful antioxidant that helps combat the free radicals generated in such scenarios. This phenomenon is observable in plants, where exposure to drought, heat, or toxic metals triggers an upregulation of Melatonin in response to oxidative stress. We suspect a similar mechanism may be at work in animal cells, including those in humans.

Determining the precise wavelengths of near-infrared that stimulate Melatonin production can be complex, but research suggests that it's likely within the range of 800 to 1,000 nanometres (nm). This crucial spectrum is not visible to the naked eye but possesses the ability to reach deep into your tissues. In contrast, visible light doesn’t penetrate the skin effectively, leaving your mitochondria untapped under artificial lighting. As a result, when you’re indoors, especially near low-e glass windows that filter out much of the near-infrared, you're missing out on this vital Melatonin-enhancing benefit. Considering that many people spend the majority of their time indoors, it's likely that mitochondrial melatonin deficiency is widespread. Coupled with insufficient sleep and the resulting decline in the Melatonin produced by the pineal gland in response to darkness, the deficiencies could have significant health implications. Make sure to embrace the sun's rays!

The Two Types of Melatonin in Your Body

As previously mentioned, your body contains two distinct forms of Melatonin: the Melatonin produced by your pineal gland, which enters your bloodstream, and the Melatonin generated within your mitochondria. The key difference is that the latter remains confined within the mitochondria and does not circulate in your blood. Consequently, while sun exposure doesn’t directly boost your blood Melatonin levels, bright sunlight around solar noon plays a crucial role in stimulating your pineal gland to secrete Melatonin at night. Understanding the relationship between these two types of Melatonin is essential. The Melatonin found in your bloodstream primarily reflects that produced by the pineal gland or obtained through supplements. In contrast, the Melatonin created by mitochondria cannot enter the bloodstream, underscoring the importance of regular sunlight exposure for optimal melatonin production.

Consider this: if one were to surgically remove the pineal gland from a living organism, blood levels of Melatonin would plummet to nearly zero, barring a small amount that escapes from mitochondria in other cells. Without the pineal gland’s rhythmic production of Melatonin, which is intricately tied to the light-dark cycle, the body loses its natural circadian rhythm. On the other hand, mitochondrial Melatonin is not produced in a cyclic manner and is largely unaffected by day-night cycles, although it can be influenced by specific wavelengths of energy. In essence, the Melatonin synthesised by the pineal gland serves a fundamental role in regulating your circadian rhythms, creating a predictable cycle of sleep and wakefulness. In contrast, the Melatonin made within mitochondria functions differently as it is involved in cellular health and energy production, with some scavenging properties, but lacks the rhythmic quality that defines the Melatonin produced by the pineal gland. Thus, ensuring adequate sun exposure is vital for maintaining not only your Melatonin levels but also your overall circadian health.

Neutralises Free Radicals

Taking a Melatonin Supplement Neutralises Free Radicals

Oral supplementation, however, enter your cells and mitochondria. If you supplement with Melatonin, it can also enter cells and get into the mitochondria as well. And that is also very important. As you age, mitochondrial Melatonin diminishes. If you supplement with Melatonin, it will get into your mitochondria and, in fact, do what Melatonin does — neutralise free radicals and protect the mitochondria's function. For the best results, I highly recommend Liposomal Melatonin Spray.

Melatonin Is Vital to Stroke & Heart Attack Recovery

Given Melatonin's vital role within our mitochondria, and the link between mitochondrial dysfunction and numerous chronic diseases, it stands to reason that melatonin may play a significant role in combatting a variety of ailments including the leading culprits, heart disease and cancer. One of the most critical situations for the heart and brain is when blood supply is temporarily compromised during a cardiac arrest or stroke. This lack of oxygen leads to rapid tissue deterioration. Even when blood flow resumes, an event known as reperfusion, the damage often peaks at this moment, as an influx of oxygen sparks the release of harmful free radicals. However, a substantial body of research, including studies involving humans, shows that administering Melatonin during or after a heart attack can significantly mitigate cardiac damage. For example, renowned cardiologist Professor Rodriguez from the Canary Islands demonstrated that directly infusing Melatonin into the heart post-reperfusion resulted in a remarkable 40% reduction in cardiac injury. Moreover, heart attacks pose a lasting challenge because the heart fails to regenerate its cardiac cells; damaged cells are replaced with non-contractile fibrous tissue, leading to heart failure. Interestingly, a small yet promising study indicates that patients experiencing heart failure due to heart damage may enjoy improved survival rates when Melatonin is administered routinely. While this is an early-stage finding, it points to a potentially valuable avenue for exploration in the fight against heart disease.

Dosage Recommendations for Acute Heart Attack - A Critical Perspective on Melatonin Use

When it comes to administering dosages for Melatonin in the context of an acute heart attack, translating research findings from animal studies to humans can be quite complicated. Animal studies typically utilise doses ranging from 5 to 10 milligrams per kilogram of body weight. However, human dosing calculations rely on the surface area, which substantially alters the precise amount administered. This critical difference means that while we can draw guidance from animal research, the effective human dosage of Melatonin, particularly in emergency scenarios like a heart attack, tends to be lower than one might expect. One of the most reassuring aspects of Melatonin is its impressive safety profile. Current research indicates that there is no established toxic threshold for Melatonin, meaning it remains safe even in higher doses. This lack of a known upper limit allows for more flexibility in emergency situations; while the ideal dosage remains somewhat elusive, we can confidently state that melatonin is safe to administer. Timing is another vital component when considering Melatonin dosage. For optimal effects, the first dose should be administered immediately at the onset of a heart attack. Following that, it’s recommended to align further dosing with the body’s natural circadian rhythms, suggesting additional doses around 10 a.m., 4 p.m., and right before bedtime.

If I were faced with the harrowing reality of a heart attack and had Melatonin in my possession, I would not hesitate to take it. The lingering question would be: how much should I take? While I must emphasise that this is not a medical recommendation, I personally would feel comfortable taking an initial dose of 50 milligrams during such a critical moment and continuing to take additional doses over the 24-hour period, including during the daytime. After all, preserving heart cells and preventing further damage is of utmost importance in the wake of a heart attack. In practical terms, when emergency medical technicians arrive on the scene of an apparent heart attack, I believe that administering Melatonin should not only be considered but also done intravenously rather than orally. Given the urgent nature of the situation, an intravenous approach could enhance bioavailability and enable a more immediate response, rather than relying on the slower process of oral ingestion. This method could potentially offer greater benefits in stabilising a patient’s condition in those crucial early moments. In summary, while the dosage for Melatonin in human subjects, particularly during an acute heart attack, requires careful consideration, its safety, even at higher doses, and the importance of timely administration cannot be overstated.

Melatonin & Methylene Blue

Melatonin & Methylene Blue

In the critical moments of an acute heart attack or stroke, conditions that fundamentally share similar mechanisms of tissue damage, albeit affecting the heart and brain respectively, consider the powerful addition of Methylene Blue. This remarkable substance boasts a robust track record in countering reperfusion injuries, particularly when administered promptly at the onset of the event. Methylene Blue enhances the function of cytochromes, which are vital components in cellular respiration, enabling the generation of adenosine triphosphate (ATP) even in the absence of oxygen. This characteristic is crucial during such emergencies, as it not only supports cellular energy production but also helps mitigate the cascade of cell death and subsequent tissue damage. Equally important is Melatonin, the substance that has shown promise in reducing the extent of damage during a heart attack or stroke. This dual approach, utilising both Methylene Blue and Melatonin could be likened to a dynamic one-two punch against these life-threatening conditions. Each compound plays a unique role: Melatonin works to limit the severity of injury, while Methylene Blue fortifies the cellular machinery required to sustain survival during episodes of oxygen deprivation. Given their synergistic effects, it is imperative that both Methylene Blue and Melatonin be staples in every emergency medical kit. Their inclusion could very well mean the difference between life and death in critical situations. Additionally, it’s noteworthy that Melatonin has applications beyond acute emergencies; it is also beneficial for individuals with Type 2 diabetes. By combatting the oxidative stress and free radical damage associated with hyperglycemia, Melatonin provides a significant protective effect. However, it is vital to understand that while Melatonin alleviates the damage caused by diabetes, it does not address the underlying causes of the disease itself.

In summary, equipping emergency kits with Methylene Blue and Melatonin could transform our response to acute cardiovascular and neurological events, enhancing the chances of survival and reducing long-term damage.

Melatonin for Prevention & Treatment of Cancer

Melatonin holds significant promise not just as a sleep aid but as a potential ally in the fight against cancer. Cancer cells are remarkably adaptive, employing sophisticated survival strategies that allow them to thrive even in the harshest conditions. One of their key tactics involves thwarting the entry of pyruvate into the mitochondria, a crucial process that disrupts the production of adenosine triphosphate (ATP), the energy currency of the cell. At first glance, this may seem paradoxical, as one would expect cancer cells to seek maximum energy production. However, by blocking pyruvate, these cells shift their metabolism towards a process known as glycolysis, which, while less efficient in producing ATP, can occur at a much faster rate, ultimately providing the energy these cells urgently need. The role of pyruvate becomes even more critical upon closer examination; it is a precursor to acetyl coenzyme A, an essential cofactor for the enzyme responsible for Melatonin synthesis in the mitochondria. Thus, when cancer cells restrict pyruvate from entering their mitochondria, they simultaneously inhibit the production of Melatonin by reducing the availability of this vital cofactor. This led us to hypothesise four years ago that cancer cells would exhibit lower levels of Melatonin in their mitochondria. There is subsequent research, conducted on uterine cancer tissues, that corroborated this theory, revealing that Melatonin levels and the functional capacity of mitochondrial enzymes in these cancer cells were approximately half of what is seen in normal cells.

This blockage of pyruvate not only signifies a shift to Warburg metabolism, a hallmark of cancer cell metabolism but also leads to the conversion of pyruvate into lactic acid. This metabolic byproduct, upon exiting the cell, contributes to creating an acidic microenvironment, which cancer cells thrive in. By targeting and mitigating this Warburg effect, we may find a pathway to restrain cancer cell proliferation and potentially hinder metastasis. Interestingly, this phenomenon of altered metabolism is not exclusive to cancer. Many other pathological states, such as inflammatory diseases and neurodegeneration, showcase a similar reliance on Warburg metabolism. For instance, inflammatory cells, which can toggle between M1 and M2 phenotypes, also exhibit this metabolic shift. Remarkably, Melatonin may serve as a regulator for these cells, offering the potential to redirect their metabolism back towards more normal, healthy functions. The notion that Melatonin can modulate metabolic pathways in cells, whether cancerous or inflammatory, underscores its broader therapeutic potential. As research continues, Melatonin might emerge not only as a simple hormone that signals sleep but as a complex agent that can alter the very survival strategies of cancer cells and other pathological entities. Embracing the multifaceted role of Melatonin could mark a transformative step forward in our approach to cancer treatment and beyond.

Metabolic Flexibility

Understanding the Crucial Connection Between Metabolic Flexibility, Melatonin, & Cancer

The alarming prevalence of cancer in our society may be closely linked to a staggering fact: 93% of Americans struggle with metabolic inflexibility, hindering their ability to switch between burning carbohydrates and fats for energy. For many, glucose serves as the primary fuel source, but this reliance on sugar has its consequences. Metabolising glucose breaks it down into pyruvate, a three-carbon molecule that is further processed in the mitochondria into acetyl-CoA. Here's where the troubling Warburg Effect comes into play. In cancer cells, pyruvate dehydrogenase kinase (PDK) obstructs the movement of pyruvate into the mitochondria, leading to impaired production of acetyl-CoA. This is problematic not only because acetyl-CoA plays a pivotal role in generating ATP (the energy currency of our cells) but also because it is essential for the synthesis of Melatonin. The significance of Melatonin cannot be overstated; it helps combat the oxidative stress that often accompanies cancer. Additionally, acetyl-CoA can be sourced from the beta-oxidation of fats. This process breaks down fatty acids into two-carbon acetyl-CoA units, which enter the mitochondria via a specialised transporter known as MCT (monocarboxylate transporter). Thus, metabolic inflexibility exacerbates the Warburg Effect, creating a vicious cycle where cancer thrives.

The revelation that acetyl-CoA not only fuels energy production but is also crucial for Melatonin synthesis underscores the importance of metabolic flexibility in cancer prevention and management. By optimising your body’s ability to burn fat, you effectively weaken the Warburg Effect and provide the necessary support for Melatonin production, aiding in the fight against oxidative stress. To enhance your metabolic health, I strongly advocate for two key lifestyle changes. First, make it a point to expose your skin to an hour of sunlight each day around solar noon. Sunlight is vital for Melatonin production and overall well-being. Second, prioritise the elimination of seed oils from your diet. These oils, rich in harmful linoleic acid (LA), are a significant contributor to metabolic inflexibility. Strive to reduce your LA intake to less than 5 grams, and ideally below 2 grams. If your current diet is high in linoleic acid, it's prudent to avoid sun exposure during peak hours, as excess seed oils can accumulate in your skin, leading to inflammation and damage when exposed to sunlight. By removing seed oils and processed foods from your diet, you'll begin a detoxification process that may take four to six months. Following this period, you can safely return to enjoying sun exposure during those vital hours. In summary, taking control of your metabolic flexibility may not only reduce the risk of cancer but also enhance your overall health by supporting Melatonin production and mitigating oxidative stress.

NOTE: The insights presented in this article draw predominantly from the groundbreaking research of Dr. Russel Reiter, a leading authority on Melatonin. With an impressive portfolio of approximately 1,600 publications and three honorary doctorates in medicine, Dr. Reiter has authored more studies on Melatonin than any other living scholar. His unparalleled expertise makes him a pivotal figure in this field of science. I also drew insights from the enlightening book by Reiter and Jo Robinson, titled Melatonin: Breakthrough Discoveries That Can Help You Combat Aging, Boost Your Immune System, Reduce Your Risk of Cancer and Heart Disease, and Achieve Restful Sleep. This work unveils promising findings that showcase the remarkable benefits of Melatonin for enhancing overall health and well-being.