The FDA Ban of L-Tryptophan:
Politics, Profits and Prozac
© All Rights Reserved
Posted on LEF April 6 1998
By: Dean Wolfe Manders, Ph.D.
This article first appeared in "Social Policy", Vol. 26, No.
2 Winter 1995. Dr. Manders has lectured and done extensive
research on the medical politics of L-Tryptophan. The
article also appeared in "Blazing Tattles" June 1996.
In the fall of 1989, the FDA recalled
L-Tryptophan, an amino acid nutritional supplement, stating
that it caused a rare and deadly flu-like condition (Eosinophilia-Myalgia
Syndrome / EMS). On March 22, 1990, the FDA banned the
public sale dietary of L-Tryptophan completely. This ban
continues today. On March 26, 1990, "Newsweek" featured a
lead article praising the virtues of the anti-depressant
drug Prozac. Its multi-color cover displayed a floating,
gigantic green and white capsule of Prozac with the caption:
"Prozac: A Breakthrough drug for Depression."
The fact that the FDA ban of L-Tryptophan
and the Newsweek Prozac cover story occurred within four
days of each other went unnoticed by both the media and the
public. Yet, to those who understand the effective
properties of L- Tryptophan and Prozac, the concurrence
seems "unbelievably coincidental." The link here is the
brain neurotransmitter serotonin---a biochemical nerve
signal conductor. The action of Prozac and L-Tryptophan are
both involved with serotonin, but in totally different ways.
Elevated levels of serotonin in the
body often result in the relief of depression, as well as
substantial reduction in pain sensitivity, anxiety and
stress. Prozac, as well as other new anti-depressant drugs
such as Paxil and Zoloft, attempt to enhance levels of
serotonin by working on whatever amounts of it already
exists in the body (these drugs are known as selective
serotonin reuptake inhibitors). None of these drugs, however
produce serotonin. In contrast, ingested L-Tryptophan acts
to produce serotonin, even in individuals who generate
little serotonin of their own. The most effective way to
elevate serotonin would be to use a serotonin producer
rather than a serotonin enhancer.
The continuing FDA public ban of L-Tryptophan
prevents popular access to this most effective serotonin
producer. The millions of Americans who for decades safely
have relied upon L-Tryptophan to relieve depression, anxiety
and PMS, as well as to control pain and induce natural
sleep, have been forced elsewhere for solutions.
Routinely, such solutions are
pharmaceutical in nature: people are forced to use either
often highly addictive, expensive, and sometimes dangerous
drugs like Xanax, Valium, Halcion, Dalmane, Codeine,
Anafranil, Prozac, and others, or simply suffer. Present FDA
public policy maintains that L-Tryptophan is an untested,
unapproved and hazardous drug. The analytical work done a
few years ago by the Centers for Disease Control and the
Mayo Clinic, research which traced the fall of the serious
flu-like condition to contaminants found in batches of L-Tryptophan
made by the Japanese company Showa Denko, has not convinced
the FDA to allow L-Tryptophan back on the market. This
decision is based primarily on the research of FDA and NIMH
scientists who state that L- Tryptophan itself, irrespective
of contaminants, is a dangerous substance. Other
university-based research scientists disagree with these
findings.
The public availability of L-Tryptophan
is too important an issue only to be argued and shrouded
within scientific debate that remains, ultimately,
mystifying to the vast majority of Americans. There are many
obvious facts worthy of public attention, and concern.
For example, consider the following: On
February 9, 1993, a United States government patent
(#5185157) was issued to use L-Tryptophan to treat, and cure
EMS, the very same deadly flu-like condition which prompted
the FDA to take L-Tryptophan off the market in 1989.
Notwithstanding its public ban and
import alert on L-Tryptophan, the FDA today allows Ajinomoto
U.S.A. the right to import from Japan human-use L-
Tryptophan. Distributed from the Ajinomoto in Raleigh, North
Carolina, the L- Tryptophan is then sold to, and through, a
network of compounding pharmacies across the United States.
Purchased by individuals only under a physician's order, L-Tryptophan
emerges here as a new prescription drug in the serotonin
marketplace; one hundred 500 mg. capsules cost about $75.00,
approximately five times more than if they were sold as a
dietary supplement.
Since the FDA holds the political
mandate and power of a public regulatory agency established
ostensibly, to protect people from raw corporate interests
in drug production and distribution, the actions of the FDA
in concert with Ajinomoto U.S.A. are illuminating. By
publicly banning L-Tryptophan from its dietary supplement
status and price, while allowing L-Tryptophan to be sold as
a high-priced prescription drug, the naked duplicity of the
FDA L-Tryptophan policy is revealed.
During and after the 1989 EMS outbreak,
the FDA did not totally ban the use of L- Tryptophan in
humans---then, as today, the FDA has granted the
pharmaceutical industry the protected right to use L-Tryptophan
in hospital settings. Manufactured by Abbott Laboratories,
the amino acid injectable solutions Aminosyn and Aminosyn II
contain as much as 200 mg. of L-Tryptophan. (Moreover, L-Tryptophan
has never been removed from baby food produced and sold
within the United States.) While the FDA has banned the
public sale and use of safe, non-contaminated, dietary
supplements L-Tryptophan for people, the United States
Department of Agriculture still sanctions the legal sale and
use of non-contaminated L-Tryptophan for animals. Today, as
in the past, feed grade L-Tryptophan continues to be used as
a nutritional and bulk feed additive by the commercial hog
and chicken farming industry. Additionally, L- Tryptophan is
now available for use by veterinarians in caring for horses
and pets.
Outside of the United States, in
countries such as Canada, the Netherlands, Germany, England,
and others, L-Tryptophan is widely used. Nowhere, have any
serious or widespread health problems have occurred.
At bottom, the FDA public ban of safe,
non-contaminated L-Tryptophan is uneven, expensive, and
biased in favor of the pharmaceutical industry. The FDA
proscription effectively awards billions of dollars in
profits to pharmaceutical companies and their suppliers in
the same proportion as it adds billions of unnecessary
dollars to the nation's already bloated health care
expenditures.
On June 15, 1993, the FDA Dietary
Supplement Task Force published a report on the work it had
been doing in the area of developing FDA policy around
nutritional supplements. On page two, the report admits,
"The Task Force considered various issues in its
deliberations, including ... what steps are necessary to
ensure that the existence of dietary supplements on the
market does not act as a disincentive for drug development."
In this case, the FDA has succeeded in
carrying out its stated policy goal. With competition from
publicly available L-Tryptophan removed, the rapidly
expanding market in prescription serotonin drugs---now among
them L-Tryptophan itself---contains no major "disincentives"
for the massive accumulation of pharmaceutical industry
profits.
It is now time for appropriate
congressional committees to review openly and aggressively
the entire matter of L-Tryptophan. This will provide a
needed forum where political, corporate, and scientific
issues of the FDA L- Tryptophan regulatory policy may be
addressed. There exists ample precedent for such hearings:
in the 1980's and early 1990's, for example, such
investigations uncovered favoritism in the approval of
generic drugs and the bribery of FDA officials.
The story of L-Tryptophan illustrates a
sad perverse picture of the politics and priorities of
public health in America: A safe, dietary-supplement
serotonin producer is publicly unavailable to people, while
daily fed to animals by corporate agribusiness. A patent is
approved to use L-Tryptophan to cure the very condition the
FDA claims it caused. And, while publicly exclaiming that L-Tryptophan
is a dangerous and untested drug, the FDA more quietly,
allows human-use L-Tryptophan to be imported, and then
marketed and sold by the pharmaceutical industry.
To allow the FDA ban of L-Tryptophan to
continue unreviewed and univestigated condemns millions of
Americans to unnecessary financial expenditures and needless
suffering.
Are you Dean Manders,or do you have his
email address or know anyone who does? I have a ton of info
on this subject. The patent he is discussing on L-tryptophan
for the cure of eosinophilia myalgia syndrome is held by
Dr.Christopher Caston of Spartenburg S.C. and info about his
patent was published in two peer reviewed medical journals
at the exact same time the FDA banned l-tryptophan. I have a
transcript of the entire FDA run hearing on Dietary
Supplements which took place in the Masur Auditorium of NIH
on August 29th 1990 in which the FDA was shamelessly
parading eosinophilia myalgia victims up to the microphone
for propaganda purposes, in order to have them denounce the
dietary supplement industry over the Showa Denko
contaminated tryptophan.
(Showa Denko is a PHARMACEUTICAL
company, and a really bad actor at that- they once BLEW UP
part of their plant to thwart a Japanese government
inspection which would have proved that they were
responsible for contaminating a river in Japan with mercury,
causing untold misery and suffering- kids born with birth
defects, etc, ad nauseum. The contaminated l-tryptophan was
caused by using genetic engineering to crank up a strain of
bacteria used in the fermentation process that the amino
acid is generated through. They wanted to make the stuff
FASTER than their competitors, and tossed GMPs out the
window.
At NIH these poor people were being
plugged full of prednisone, and other highly dangerous
drugs, which did NOTHING to alleviate their condition, while
a patented, peer reviewed nutritional protocol including l-tryptophan
existed, to the FDA's knowledge, but the FDA and NIH did not
let these patients at NIH hospital have it, because they
wanted to use them as political pawns. I can document
everything I'm saying here because I testified at that
hearing and exposed the whole charade, and I have the
official government transcript of my testimony, along with
the proof of everything I said, stored in multiple locations
in case they ever burn my house down. You are right, there
should be a congressional investigation- but there never
will be unless we CRUSH congress with faxes about this.
Anyone want to?
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