Tag Archives: Nervous system

Striatum Methamphetamine Toxicity

Methamphetamine Toxicity in the Striatum

The striatum is a crucial part of the brain. This part of the brain plays very important roles but it can be adversely affected by the use of stimulants and other drugs of leisure. Substances such as cocaine and methamphetamine produce their primary effects inside the brain by boosting the presence of dopamine which is a neurotransmitting chemical that activates the pleasure-producing neurons contained within the limbic system. As stated above the limbic system includes the hippocampus, along with several other brain structures. According to the results of two separate studies published in 2008 in the Journal of Neuroscience and Biological Psychiatry, the presence of either cocaine or methamphetamine alters normal adult neurogenesis inside the hippocampus and damages this region’s ability replenish its neuron supply.  It is no longer news that methamphetamine intoxication causes long-lasting damage to dopamine nerve endings in the striatum. However the mechanisms underlying this neurotoxicity are not yet known but oxidative stress has been linked to it.

methamphetamine

 

Microglia are the major antigen-presenting cells in brain and when activated, they secrete an array of factors that cause neuronal damage. Astoundingly, very little work has been directed at the study of microglial activation as part of the methamphetamine neurotoxic cascade. It has been report that methamphetamine activates microglia in a dose-related manner and along a time course that is coincident with dopamine nerve ending damage. Through tests done on mice scientists have discovered that prevention of methamphetamine toxicity by maintaining treated mice at low ambient temperature prevents drug-induced microglial activation. MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine) not only damages dopamine nerve endings and cell bodies but also  causes extensive microglial activation in striatum as well as in the substantia nigra. Contrastingly, methamphetamine causes neither microglial activation in the substantia nigra nor dopamine cell body damage.

Dopamine transporter antagonists do not mimic the effect of methamphetamine on microglia. Hyperthermia, a prominent and dangerous clinical response to methamphetamine intoxication, has been also ruled out as the cause of microglial activation. Together, these data suggest that microglial activation represents an early step in methamphetamine-induced neurotoxicity. Other neurochemical effects resulting from methamphetamine-induced overflow of dopamine into the synapse, but which are not neurotoxic, do not play a role in this response.

Methamphetamine use on the rise despite effects

The use of methamphetamine has been on the rise despite the fact that it is a powerful stimulant drug that has adverse effects when abused as most people do. According to the UN Office on Drugs and Crime reported recently that abuse of amphetamines, including designer drugs such as methamphetamine and 3, 4-methylenedioxymethamphetamine, now exceeds that of cocaine and heroin on a global scale. This presents no sign that its use will decline any soon. Past researchers were able to establish a fact that methamphetamine causes persistent reductions of function in dopamine nerve endings of animals and humans. Methamphetamine neurotoxicity has been under intense study for over 20 years, but still there is much that still remains to be learned about how this dangerous drug causes damage to dopamine nerve endings. The theory that revolves around oxidative stress has been at the top of the speculations. Drug-induced oxidative stress is an attractive construct that can account for many of the effects of methamphetamine on the dopamine nerve ending such as inhibition of tyrosine hydroxylase activity as well as reductions in the dopamine transporter and the vesicle monoamine transporter. This may even be an early event that leads eventually to methamphetamine-induced apoptosis. However, the source of the reactant species that mediate methamphetamine-induced damage is not known.

methamphetamine

Due to their crucial roles they play in mediating the mediating damage to the nervous system, Microglia has attracted considerable attention. Immune like in many ways  these interesting cells become activated by damage and then transmigrate to sites of injury where they can secrete an array of factors  like cytokines, prostaglandins, nitric oxide, and superoxide that are known to have detrimental effects on neurons. However, the role of microglia in methamphetamine-induced damage to the dopamine system has received little attention. In 1994 a researcher, Bowyer and his colleagues noted for the first time that methamphetamine resulted in activation of microglia in striatum of treated rats. These investigators concluded that microglia were increased in response to nerve ending damage and were not apparently a cause of it.  Recently, another research was conducted to give an in-depth analysis of the effect of methamphetamine on striatal gene expression. Numerous genes linked to microglia were activated significantly within hours of methamphetamine intoxication, suggesting the possibility that microglial activation occurs earlier in the methamphetamine toxic cascade than previously thought.

Today there are researchers who are building on the initial analysis of methamphetamine and report the pharmacological characterization of microglial activation by methamphetamine in striatum. As mentioned before, striatum is an area dense in dopamine nerve endings and is known to be targeted for damage by methamphetamine. Microglial activation coincides with the onset of methamphetamine-induced damage in striatum and the extent of this effect is related to the degree of damage to dopamine nerve endings. Numerous nontoxic effects exerted by methamphetamine, such as inhibition of the DAT, increases in synaptic levels of dopamine, activation of D1 and/or D2 DA receptors, and hyperthermia, cannot explain methamphetamine-induced microglial activation.

Finally, this is still a dark area and there is need for more literature so as to establish the mechanism of methamphetamine toxicity on the striatum. Needless to say, Drug abuse, addiction and independence are problems that people grapple with every day. These problems need to be treated effectively through integrative medicine. Dr. Dalal Akoury (MD) is an expert at this.  Call her on (843) 213-1480 for help.

Methamphetamine Toxicity in the Striatum

 

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Correcting Neurotransmitter Imbalances with IV Amino Acids

Correcting Neurotransmitter Imbalances with IV Amino Acids

When taken, drugs will alter the normal the bodily functions. That is no news to even those who use drugs of abuse, in fact the basic definition of a drug is; any substance that when taken will interfere with the normal functions of the body. However some drugs do not only alter minor body functions but go a step further in inhibiting the functions of neurotransmitters to a greater extent.  Most of the drugs that can mimic or interfere with the functions of the neurotransmitters in any way are mostly drugs of pleasure that are prone to abuse and are hence illegal in many parts of the world. The brain and the entire nervous system functions in a way that the entire body needs them to work properly, you can’t imagine how fast the coordination between the central nervous system and the peripheral nervous system is but most important fact to note is that any interference within the nervous system even only to a neurotransmitter goes a long way in affecting the entire body. The brain has various mechanisms through which it accomplishes all the functions of the body. The effect of drugs on the neurotransmitters can be underestimated by those who haven’t known how the neurotransmitters work, here is how the neurotransmitters work.

Neurotransmitters

How Neurotransmitters Work

Neurotransmitters are very crucial in the nervous system. They are the chemicals that transmit messages from one nerve cell to another. Nerve cells are known as neurons. The nerve impulse travels from the first nerve cell through the axon, a single smooth body arising from the nerve cell to the axon terminal and the synaptic knobs. Each synaptic knob communicates with a dendrite or cell body of another neuron, and the synaptic knobs contain neurovesicles that store and release neurotransmitters. The synapse lies between the synaptic knob and the next cell. For the impulse to continue traveling across the synapse to reach the next cell, the synaptic knobs release the neurotransmitter into that space, and the next nerve cell is stimulated to pick up the impulse and continue it. An interference with the neurotransmitters can adversely affect the flow of message within the nervous system. This is what most drugs of abuse do. They affect the harmonious flow of information from the brain to the rest of the body maiming its normal functions. Let’s look at how drugs affect specific neurotransmitters in the nervous system.

How Drugs affect Dopamine and GABA

One of the neurotransmitters that are highly targeted by drugs of pleasure is Dopamine. To some people it is known as the ‘bliss neurotransmitter’. It is responsible for good feeling, the euphoric feelings that drug addicts seek from various drugs of abuse. Dopamine has great influence on well-being, alertness, learning, creativity, attention and concentration. Levels of dopamine should be optimal in the brain since when the level of dopamine is low it can leave us craving food, sex or stimulation. When the dopamine level is too high it can cause addictive behaviors. It has been observed that patients who are put on medications to boost dopamine level especially the Parkinson’s patient, they will form an addictive behavior like gambling when the levels of dopamine shoots beyond the optimal level. Dopamine boosts the feelings of pleasure but when the levels are too high it may result in Paranoia or a suspicious personality. Dopamine is also released when there is high stress. Therefore the level of dopamine should be regulated to ensure sound health. This is where the functions of inhibitory neurotransmitters set in, however with influence of drugs this coordination between excitatory neurotransmitters and inhibitory neurotransmitters is maimed.

Nicotine influences mood, cognition, and body function by binding to and activating nicotinic acetylcholine receptors (nAChRs) located on neurons in the brain. When activated by either nicotine or the endogenous neurotransmitter acetylcholine, the nAChR opens a channel that allows ions to pass through the neuron’s membrane from the exterior to the interior of the cell and trigger changes that activate the cell. When you take tobacco or other drug with nicotine the nicotine will have interactions with nAChRs and therefore any nicotine dependence treatment should focus on altering these interactions.

Nicotine produces rewarding effects by interacting with nAChRs on neurons in the brain’s mesolimbic reward system. This system comprises dopaminergic neurons that originate in the ventral tegmental area often shortened as VTA and release the neurotransmitter dopamine in regions involved in information processing, memory, and emotions, such as the nucleus accumbens (NAc), hippocampus, amygdala, and prefrontal cortex (PFC). Increases in dopamine levels within the mesolimbic system give rise to rewarding effects. Nicotine directly enhances dopamine levels in the mesolimbic system by interacting with nAChRs on the dopaminergic neurons and causing them to release more of the neurotransmitter. Nicotine also modulates dopamine release indirectly by binding to nAChRs located on excitatory glutamatergic and inhibitory gamma aminobutyric acid (GABAergic) neurons in the ventral tegmental area. These glutamatergic and GABAergic neurons originate from a number of brain areas, such as the NAc, hippocampus, PFC, amygdala, ventral pallidum, and pedunculopontine tegmental nucleus, and regulate the activity of dopaminergic neurons.

Neurotransmitters

Restoring nicotine addiction can’t be done with IV amino acid to restore NER balance

Nicotine is one of the most available addictive substances. You can find it in tea but it can be found in greater proportions. Unfortunately, Nicotine addiction is never easy to fight. And the bitter truth is that nicotine addiction can’t be fought successfully without IV amino acid to restore NER balance. IV amino acids are the best in restoring the balances in the neuroendocrine system. The IV amino acids are the best in detoxification and getting rid of the effects of nicotine and curbing nicotine addiction by ensuring the balance of neuroendocrine chemicals.  With IV amino acid, dopamine has been noted to be the major cause of addiction can be regulated. IV amino acids is used as an  outpatient program which focuses on biochemical detoxification of the body and brain hence perfect treatment for nicotine addiction.

Any addiction treatment must focus on restoring the general well-being of the patient that can only be achieved by restoring the neurotransmitters affected. This is why we at AWAREmed are dedicated to ensuring that we offer the best neuroendocrine restoration. Dr. Dalal Akoury (MD) is one of the few doctors that have embraced the benefits of NER in fighting addiction. Call on her and be helped in finding the best solution for nicotine and other substances addiction.

Neurochemical and Imbalances Involved In With Nicotine & Smoking

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Histamine, Metabolism, Neuro-excitatory and Neurotransmitters

Role of Histamine, Metabolism, Neuro-excitatory and Neurotransmitters for Addiction

Histamine refers to transmitter that is endogenous in nature and one that is involved in gastric secretions, allergic manifestations and vigilance regulation. It is found in tissues of all animals especially mamma also with high concentrations in the skin, liver and lungs. In the tissues, the transmitter histamine occurs in mast cells which are simply a group of cells whose cytoplasm has high concentrations of basophilic granulations.

In the mast cells histamine exists bonded to acidic compounds like heparin. In most cells with histamine, its production is slow and when it sis depleted t may take several weeks to go back to normal levels. The brain also contains histamine in certain level. Histamine occurs in the brain region in the hypothalamus based o circadian rhythm which occurs in the brain. Its concentration in the plasma does not exceed 1 microgram per liter but this concentration is high in patients suffering from asthma.

neurotransmitters

In the blood the level of histamine ranges from 10 to 100 micrograms in a liter and is primarily concentrated in the basophils. This concentration as studies show rises especially in patients suffering from medical conditions like gastrodudenal ulcers and chronic myelogenous leukemia. Histamine depreciates some times in the body. This means that more has to be produced to replace the one that is lost. This replacement is often slow and can take several weeks. However, histamine renewal in the nervous system and the gastric cells is at faster rate because it is released continuously.

Histamine and Metabolism

Naturally the distribution of histamine in the body is not usually uniform. It however, occurs in in higher concentrations in the mucosa of the gastric system. Its metabolism is dependent on enzymes such as diamine oxidase, histamine N-methyltransferase and histidine decarboxylase. These enzymes seem to be dominant in the stomach region. Studies have been carried out to determine exactly the concentration of histamine in the gastric system. For years this has been a subject of controversial debate and it was only recently that a solution was found. Studies show that the inactivation process of histamine by histamine methyltrasferase takes place in the gastric mucosa that has a significant activity of enzymes.

However it is worthwhile to note that the intestines, liver and spleen have much higher activities which points towards little specification of catabolism of histamine in the gastric mucosa. There have also been debates concerning the activity of diamine oxidase which for years was thought not to exist in the corpus mucosa. Recent studies however, show that moderate enzyme activities of this enzyme is present in some species among them man. In this case then, the metabolism of histamine n the gastric mucosa does not mean its existence in mammalian tissues. Activities of these enzymes could also act as an indication that it has significant physiological functions in the body.

The formation and inactivation of histamine has been shown to be regulated through enzyme activities by during the process of secreting acid. Histamine N-methyltrasferase and histidine decarboxylase are enhanced by gastrin activities and not necessarily influenced by vagal stimulation.

Neuro excitatory and Neurotransmitters for Addiction

Studies show that rugs especially alcohol affect to a great extent the brain as well as some physical processes of the body. There are several reasons that make a person an alcohol addict. These reasons may range from depression, stress, impulse of just mere pleasure. Once a person becomes alcohol dependent, a pattern has already been established and this affects the neural system of the person.

Histamine

The Neurotransmitter Process

In order to fully understand the neurological effects of alcohol addiction in the brain, there is need to understand how the brain transmitters work. The brain communicates through neurons that send messages form ne cells of the brain to an0ther. Transmission of nerve signals takes place from one brain region to another. Once a neuron has been activated, an electrical signal is produced which travels all through the membrane that surrounds the body and axon of the neuron. The signal reaches the end of the neuron and this triggers neurotransmitters to be released from the brain cells. The neurotransmitters then travel from one neuron to another. On reaching the other neuron, the molecules in the transmitter bind with receptors in the neuron and this triggers new electric signal to be produced. Production of new signals depends on the type of neurotransmitter that is involved in the process.

Most neurotransmitters exhibit inhibitory and excitatory effects. This is dependent on the region of the brain and the receptors present in that region. Neurotransmitters with excitatory effects include among others glutamate, dopamine and serotonin while those with inhibitory effects include gamma-aminobutyric acid most commonly referred to as GABA. When one takes alcohol it tends to reinforce the transmitter system. This affects many neural transmitter processes which trigger some long term effects like withdrawal, tolerance, dependence, sensitization and finally addiction.

This information can be found for free at www.awaremednetwork.com. Here you will also find other health and awareness tips.

Role of Histamine, Metabolism, Neuro-excitatory and Neurotransmitters for Addiction

 

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Hippocampus and addiction

The Hippocampus Is Central To Many Aspects of Addictive Process

HippocampusDuring childhood the brain will naturally produce the adequate amounts of nerve cells known as neurons which work to power the main coordination and control functions of the central nervous system. In medical terms, the process of neuron production is known as neurogenesis. During adulthood, neurogenesis essentially comes to a halt in almost all areas of the brain except for a region called the hippocampus, which plays a primary role in certain functions related to memory and learning. According to findings reported in 2011 by the National Institute on Drug Abuse, use or abuse of the illegal stimulants cocaine and methamphetamine can interfere with adult neuron growth inside the hippocampus. In turn, disruption of neuron production in this brain region can increase overall risks for the onset of a stimulant addiction.

Neurogenesis is a crucial process in the brain as it helps to populate or re-populate the brain with neurons. These neurons form the core of the communications network that makes the brain the center of all nervous system activity within the rest of the body. The primary period of neuron production occurs before birth during the process of fetal growth and development. The process of neurogenesis also continues during childhood and adolescence in a less extensive form. However, by the time an individual reaches adulthood, the production of new neurons comes to a halt except inside the hippocampus and in a region called the subventricular zone, which is located near fluid-filled chambers in the brain known as the lateral ventricles.

Getting to know hippocampus

Hippocampus belongs to a pathway called the limbic system together with other crucial structures in the brain. The hippocampus is a paired structure that assumes a resemblance of bananas. The whole of the limbic system plays a prime role in the human ability to experience rewarding or pleasurable sensations. However, as a distinct structure, the hippocampus functions largely as the brain’s center for taking in new memories, arranging those memories and creating an index that makes the newly arranged memories easy to find in the future. Other vital tasks carried out by this brain region include coordinating emotion-based responses to internal or external situations, helping the body orient itself spatially to its surroundings and providing the ability to remember and navigate the details of previously encountered physical environments.

This part of the brain plays very important roles but it can be adversely affected by the use of stimulants and other drugs of leisure. Substances such as cocaine and methamphetamine produce their primary effects inside the brain by boosting the presence of dopamine which is a neurotransmitting chemical that activates the pleasure-producing neurons contained within the limbic system. As stated above the limbic system includes the hippocampus, along with several other brain structures. According to the results of two separate studies published in 2008 in the Journal of Neuroscience and Biological Psychiatry, the presence of either cocaine or methamphetamine alters normal adult neurogenesis inside the hippocampus and damages this region’s ability replenish its neuron supply. It has been found that stimulants as well as other drugs of pleasure interfere with the basic processes of neurogenesis at an early, critical stage known as proliferation. In particular cocaine also interferes with the ability of existing immature neurons to grow into their normal mature forms.

Owing to its vital roles, the hippocampus has since become an area of particular interest, as it is central to many aspects of the addictive process, including relapse to drug taking. A recently appreciated hippocampal neuro-adaptation produced by drugs as diverse as opiates and psycho-stimulants is decreased neurogenesis in the sub-granular zone (SGZ). Stem cell Adult-generated neurons and drug-induced alterations of adult neurogenesis advance our understanding of the complex mechanisms by which opiates and psycho-stimulants affect brain function.

How drugs addiction affects Hippocampus

In a research that was done by researchers from the University of Texas Southwestern Medical Center in 2011, the results of this study that examined the addiction risks related to the disruption of normal neurogenesis inside the hippocampus indicated that cocaine abuse led to decreased production of neurons in the hippocampus. During this study, adult rat were deprived of their normal ability to produce new hippocampal neurons. These rats were then given free access to cocaine for four hours a day. When compared to adults rats not robbed of their ability to produce new neurons in the hippocampus, these neurogenesis-impaired rats consistently increased their cocaine intake by 60 percent. The neurogenesis-impaired rats also had a much greater tendency to seek out cocaine between the sanctioned periods of drug access; substance abuse specialists typically view this type of drug-seeking behavior as a critical indicator of a developing drug addiction.

HippocampusThese researchers also measured neurogenesis-impaired rats’ susceptibility to a drug relapse. During the first phase of this stage of testing, the rats were removed from the cages where drug use had taken place, blocked all drug access for a month, and let the rats go through withdrawal. At the end of the month, the rats were returned to their old cages but still received no access to cocaine. Compared to rats with normal rates of neurogenesis which also went through the same process, the neurogenesis-impaired rats showed more prominent signs of drug craving and a desire to continue drug use as often the case in relapse.

Finally, Drug abuse, addiction and independence are problems that people grapple with every day. These problems need to be treated effectively through integrative medicine. Dr. Dalal Akoury (MD) is an expert at this. Call her on (843) 213-1480 for help.

The Hippocampus Is Central To Many Aspects of Addictive Process

 

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Nutrients Associated With Relaxing And Strengthening The Nervous System

Nutrients Associated With Relaxing And Strengthening The Nervous System

Nervous System NutrientsThe nervous system is made up of the brain, spinal cord and all the nerve endings throughout your body. This system is very fundamental as most activities are channeled through this system.  All the essential functions of life such as breathing, heartbeat, locomotion and cognitive functions are dependent on this system. This system however needs to be nourished and replenished by nutrients from our daily meals. Proper functioning of your nervous system relies on a number of factors, including nutrients obtained from your diet. Consuming essential minerals and vitamins can help ensure the continued health of your nervous system which will result in your overall good health.

Calcium– Calcium is a mineral that is present in the foods we eat. It is responsible for maintain bone density and strength. It is one of the most important nutrients for strengthening the nervous system as well. However use of some substances like caffeine, sugar, alcohol, and other drugs often cause the body to deplete calcium. Particularly caffeine has been shown to double the urinary excretion of calcium. Several studies have demonstrated low serum calcium levels in alcoholics. Depressed calcium and magnesium levels are often the root of irritability, muscular spasm, and pain experienced by alcoholics and drug addicts. For this reason it is advisable that a recovering addict should take 1000 mg of elemental calcium per day in divided doses, preferably at the beginning of meals.

Magnesium-Magnesium is a crucial mineral in the nervous system.it works together with calcium in keeping the nervous system strong and healthy. Most abused substances contribute to diminished magnesium levels in the blood. This is unhealthy since it is magnesium that also regulates the amounts of mineral calcium in the whole system. This is how magnesium regulates the amounts of mineral calcium in the system. It is good to note that in the body these two minerals are positively charged. When they come into contact with negatively charged particles, an electrical current is formed. It is believed that fatty acids comprising the major portion of nerve tissue are negatively charged. Therefore to maintain a good electrical status the minerals calcium and magnesium supplies must be constantly renewed without this the flow of current by the nerves cannot be maintained.

Just like a battery works only when there is a positive and a negative electrode that maintains an electrical current. In case the positive plates become exhausted, will no longer function well. By this same mechanism, small amounts of electrical currents flow from the calcium ion to the negatively charged nerve lipids. When magnesium levels are low, the calcium supply becomes exhausted, and in the absence of adequate calcium, the nerve cells cease to function. It is advisable that a recovering addict should consider taking 500-1000 mg of elemental magnesium daily in divided doses, preferably at the beginning of meals.

DL-Phenylalanine (DLPA) – DLPA is composed of two amino acids, D-Phenylalanine and L-Phenylalanine. It is the raw material that the nervous system uses to make PEA (Phenyl ethylamine) which increases the body’s ability to utilize endorphins. DL- Phenylalanine is most useful for cocaine addicts because it helps to restore norepinephrine levels, a neurotransmitter that is depleted by cocaine use. DLPA is also effective in lessening cravings and reducing depression, pain, and irritability. One double-blind study by Dr. Abram Hoffer compared the effect of D-Phenylalanine with imipramine which is a commonly prescribed anti-depressant, in 60 patients. Those given D-Phenylalanine had a higher rate of improvement, without the side effects of the anti-depressant. For good health and strong nervous system 500-750 mg dose, two times daily is recommended.

Nutrients  for The Nervous System

Potassium

The mineral potassium helps in proper nervous system function by regulating nerve impulses. This mineral plays a role in action potentials, the electrochemical impulses your nerve cells use to transmit a signal throughout the cell. Over the course of an action potential, sodium and potassium flood into and out of the cells, providing a temporary electrical signal that elicits a response within a nerve cell. The University Of Pennsylvania School Of Medicine explains that potassium signaling is important in turning off these nerve impulses when appropriate, preventing uncontrolled nerve signaling that can lead to diseases like epilepsy. Eating foods rich in potassium, like bananas, prune juice and oranges can help you consume an adequate level of potassium each day, supporting proper nervous system functioning.

Vitamin B-12

Vitamin B-12 is an essential vitamin that helps the functioning of the nervous system. This vitamin is part of the B-class vitamins and its main function is to help in the body’s metabolism. It helps in the metabolism of carbohydrates to produce glucose which fuels all the brain functions. This vitamin also supports nervous system functioning by helping to maintain healthy myelin, a nerve insulator that allows nerve transmission. A study by The Linus Pauling Institute at Oregon State University reveals that vitamin B-12 deficiency can cause a breakdown of myelin within the brain, which can in turn lead to diseases like Alzheimer’s. Consume foods like shellfish, poultry, beef and eggs to ensure proper vitamin B-12 consumption and support nervous system functioning

Thiamine-Thiamine or Thiamin also known as Vitamin B1 is a water-soluble vitamin of the B complex. This vitamin is needed so that our bodies can use carbohydrates as energy. It is a necessity for glucose metabolism. Thiamine also plays an important role in nerve, muscle and heart function. B1 (thiamine) optimizes cognitive activity and brain function. It also enhances the utilization of the glucose supplemented to form ATP and prevent the generation lactic acid that may accelerate cell damage in the brain

Finally, Here at AWAREmed Health and Wellness Resource Center we are committed to availing help to addicts by availing some of the most integrative approaches to healing an addict. We advocate for natural healing to all kinds of addiction. Call on Dr. Dalal Akoury (MD) at Myrtle Beach, South Carolina for help.

Nutrients Associated With Relaxing And Strengthening The Nervous System

 

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