Lithium Is Making a Comeback


Of the primary three parts to look after the Huge Bang, just one is that can be purchased as a tub soak. The Sads Smashing Anti-Stress Tub Therapy, which is available in shiny silver packaging, lists lithium as an ingredient and guarantees to take customers “from weighed all the way down to mellowed out.” It’s one among dozens of over-the-counter lithium dietary supplements that declare to assist a wholesome temper. The metallic can be an ingredient in Novos Core, a complement marketed to “goal the 12 root causes of growing older,” plus in Life Extension, XtendLife, LifeLink, Youngevity, and AgeImmune. The anti-aging entrepreneur Bryan Johnson’s “Important” multivitamin consists of lithium too. “I’m on a 1mg each day dose,” Johnson instructed me in an electronic mail.

Lithium, in different phrases, has grow to be firmly entrenched within the wellness business’s in depth library of dietary supplements. However in essential methods, it’s not like the opposite stylish merchandise that dance throughout your Instagram tales. At larger doses, lithium is a strong remedy for extreme temper problems—and preliminary proof means that decrease doses may enhance well-being for individuals with out temper problems too. The issue is, American firms have little enterprise curiosity find out how efficient it truly is.

For those who put pure lithium into water, it should explode into crimson flames, however combined with acids, lithium varieties steady salts. Lithium compounds additionally dissolve uric acid, which docs within the mid-1800s believed to be the reason for many sicknesses. Physicians started utilizing lithium to deal with “a variety of illnesses, together with complications, diabetes, bronchial asthma, indigestion, weight problems, pores and skin problems, rheumatism,” Walter Brown wrote in his ebook Lithium: A Physician, a Drug, and a Breakthrough. By the top of the century, lithia water (water with a hint quantity of lithium) was marketed as a patent medication. (In that period, patent medicines—trademarked, proprietary cure-alls, lots of which contained alcohol or opium—had been a common different to going to the physician.) 7 Up was initially named Bib-Label Lithiated Lemon-Lime Soda, contained lithium citrate, and was marketed as a well being tonic and hangover treatment. Sears bought Schieffelin’s Effervescent Lithia Tablets, which had been marketed for a wide range of well being issues, together with gout.

Photograph of lithia water tablets
Smithsonian Nationwide Museum of American Historical past

In 1949, lithium chloride, a table-salt different marketed to individuals with coronary heart situations, triggered an outbreak of lithium poisoning through which no less than two individuals died. The FDA, which had already began cracking down on patent medicines, shortly banned lithium in meals merchandise; later, researchers discovered that top doses of lithium could cause kidney failure, thyroid harm, tremors, and nausea. In 1970, the company accepted lithium carbonate for bipolar dysfunction; at the moment, it’s additionally used off-label largely for main depressive dysfunction. Then, in 1994, the FDA created the class of “dietary dietary supplements,” which it doesn’t consider, ushering lithium—largely within the type of lithium orotate—again right into a patent-medicine-like grey zone.

For many years, scientists have debated whether or not the lithia-water craze had any reality to it—if low doses of lithium may profit a bigger inhabitants than individuals with mental-health situations, perhaps even everybody. Some researchers assume it is value investigating whether or not lithium is a necessary micronutrient, like calcium or magnesium, with a beneficial each day minimal of some yet-to-be-determined quantity. Lithium carbonate is usually given at 600 to 900 milligrams a day for temper problems. We get minuscule quantities of lithium from meals resembling grains, potatoes, tomatoes, and cabbage. Relying on the place you reside and what mineral deposits are close by, your faucet water can also comprise lithium. A 2024 evaluation paper led by Allan Younger, a psychiatrist at King’s Faculty London, decided that the majority lithium orotate dietary supplements available on the market at the moment comprise a “micro” dose of 5 to twenty milligrams, and plenty of have a “hint” dose of simply 1 milligram. (The Sads Smashing Anti-Stress Tub Therapy incorporates 127 milligrams of lithium orotate, but it surely’s meant to be absorbed by means of the pores and skin, not ingested.)

The consequences of such low doses stay a thriller. Though a 2020 meta-analysis of research from 9 international locations (together with the US) discovered that larger quantities of naturally occurring lithium in faucet water are certainly related to decrease suicide charges, research from locations resembling Switzerland and the East of England have discovered no affiliation. In a 2021 research of rural Argentina, locations with extra lithium of their faucet water had extra suicides. Martin Plöderl, a co-author of the current Switzerland research, instructed me that his crew has discovered a publication bias in research of lithium in faucet water: These with constructive findings usually tend to find yourself in journals. Analysis into lithium’s results on dementia, Alzheimer’s, and longevity has additionally been promising however inconclusive. A 2011 research of tap-water knowledge from Japan discovered that the extra lithium within the water, the longer individuals lived. Lithium consumption has been linked to longer life spans in flies, roundworms, and yeast, maybe as a result of it regulates molecules concerned in metabolism and resistance to emphasize, Michael Ristow, a medical researcher at Charité College Drugs Berlin and co-author of the Japan research, stated. A 2019 research discovered that bipolar-disorder sufferers who take lithium have longer telomeres—a proxy for decrease organic age—than sufferers with different psychiatric problems. And a newer research from Japan discovered that individuals who took lithium for temper problems had decrease charges of dementia than comparable sufferers who didn’t take lithium.

These knowledge are compelling sufficient for Ristow, who instructed me he takes a low dose of lithium day-after-day. Nassir Ghaemi, a psychiatrist at Tufts College Faculty of Drugs, didn’t touch upon his private use, however instructed me, “I feel it’s helpful in people who find themselves middle-aged and older, who’ve any threat elements for dementia.” To essentially make certain, randomized trials in people are wanted. As a result of lithium is an historical aspect, nonetheless, it could’t be patented—solely novel innovations can be found for intellectual-property safety. With a purpose to acquire a patent, an organization must provide you with some completely different supply methodology or different enchancment. Pharmaceutical firms, that are regulated by the FDA, subsequently have little purpose to fund an costly scientific trial, particularly when low cost variations are already bought over-the-counter. However complement firms have incentive to promote lithium OTC with out conducting rigorous analysis on its results. Zero scientific trials for lithium orotate are at the moment registered within the U.S., regardless of its widening market availability.

Scientists don’t but know whether or not lithium-orotate supplementation would yield completely different outcomes than lithium in faucet water. Solely two research on such supplementation have ever been carried out in people—one from 1973 and one from 1986—and so they have small pattern sizes and no placebo teams. “Given lithium does work no less than for stopping bipolar dysfunction, it’s a scandal that we don’t know the way it works,” Younger instructed me. If low-dose lithium stays akin to a patent medication, Individuals may miss out on understanding how and the way nicely it really works, and if taking it comes with any dangers. In no less than one case report from 2007, a lady took 18 tablets of a lithium complement known as Discover Serenity Now directly and went to the hospital after vomiting. She was discharged with no different critical points, however the dangers of long-term use merely haven’t been assessed.

Within the late nineteenth century, individuals resembling Mark Twain and President Theodore Roosevelt traveled to Lithia Springs, Georgia, to drink lithium-rich water. The springs’ attraction endures: You may order water from its web site, which states, “Locals have at all times believed Lithia Spring Water flows from the fountain of youth.” Lithium predates human life, is extracted from stone, and may have a profound impression on an individual’s emotional life. No surprise it tempts our endless want for some primordial cure-all, whether or not it’s present in a groundwater spring or in our very personal bathtubs.


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