The Controversial History of L-Tryptophan
In the late 1980s, L-tryptophan was a popular dietary supplement used for sleep support and mood enhancement. However, its over-the-counter sale came to an abrupt halt in 1989 following a severe public health crisis. An epidemic of a rare and dangerous condition called eosinophilia-myalgia syndrome (EMS) was linked to contaminated L-tryptophan supplements manufactured by a single Japanese company, Showa Denko.
EMS caused severe muscle pain, fatigue, and other debilitating symptoms in thousands of people and was responsible for dozens of deaths. The contaminant was traced back to a specific batch and a change in the manufacturing process involving genetically engineered bacteria. As a result, the U.S. Food and Drug Administration (FDA) issued a ban on tryptophan supplements, removing them from the market entirely.
The Return of Tryptophan to the Market
In 2005, the FDA lifted the ban on L-tryptophan supplements, acknowledging that the EMS outbreak was caused by a specific contaminant and not the amino acid itself. Since its reintroduction, there have been no documented EMS outbreaks linked to tryptophan supplements, but potential users are still advised to proceed with caution.
Today, is tryptophan still on the market? Yes, it is widely available as a dietary supplement from numerous manufacturers. The global market for tryptophan, both food and feed grade, is substantial and projected to grow significantly in the coming years. Its uses have expanded from sleep aids to other applications in functional foods, beverages, and animal nutrition.
Navigating Current Tryptophan Supplements
When considering a tryptophan supplement, it's essential to understand the current landscape. Since the supplement industry lacks stringent FDA regulation, product purity and safety can vary between brands. This makes it critical for consumers to choose reputable manufacturers who follow strict quality control measures to prevent contamination.
What to Consider When Buying Tryptophan
- Manufacturer Reputation: Look for well-known and reputable brands that have been on the market for a long time and have a transparent manufacturing process. Some brands like NOW Foods, Life Extension, and other major players are active in the market.
- Third-Party Testing: Seek products that have been tested and certified by independent third-party organizations. This extra layer of scrutiny can offer greater assurance of product purity and potency.
- Formulation: Tryptophan is available in various forms, including capsules, powders, and tablets. Always consult with a healthcare provider for advice on the use of tryptophan and to avoid potential interactions.
Tryptophan vs. 5-HTP: What's the Difference?
Many people confuse L-tryptophan with 5-hydroxytryptophan (5-HTP). Both are involved in the serotonin production pathway, but they are not interchangeable. L-tryptophan is an essential amino acid that is the precursor to 5-HTP. 5-HTP is then converted into serotonin.
Comparison Table: Tryptophan vs. 5-HTP
| Feature | L-Tryptophan | 5-HTP | 
|---|---|---|
| Metabolic Step | First precursor to 5-HTP, requires an enzyme to convert. | Bypasses the first metabolic step, directly converting to serotonin. | 
| Absorption | Competes with other amino acids for transport across the blood-brain barrier. | More straightforward absorption and transport, potentially offering more direct serotonin effects. | 
| Speed of Action | More gradual onset, which can provide more sustained effects. | Faster onset but shorter duration of effects. | 
| Long-Term Use | Considered by some to have favorable tolerability with long-term use, provided quality control is maintained. | Requires careful consideration due to faster, more direct effects on serotonin. | 
| Historical Concerns | Associated with the 1989 EMS outbreak caused by contaminated batches from a single manufacturer. | Historically considered a safer alternative, though some concerns about impurities have been noted. | 
Important Safety Considerations
While the FDA ban on tryptophan is a thing of the past, supplements are still not without risk. Users should be aware of potential side effects and drug interactions. Common side effects can include drowsiness, nausea, and stomach discomfort. More serious risks can arise from combining tryptophan with certain medications.
Contraindications and Drug Interactions
- Antidepressants: Taking tryptophan with antidepressants, such as SSRIs (e.g., Prozac, Zoloft) and MAOIs, can lead to a serious and potentially life-threatening condition called serotonin syndrome.
- Migraine Medications: Triptan medications used for migraines can also interact negatively with tryptophan.
- Other Serotonergic Drugs: Tryptophan should not be combined with other medications or supplements that increase serotonin levels.
It is crucial to consult a healthcare provider before starting any new dietary supplement, especially for individuals with underlying health conditions, taking other medications, or who are pregnant or breastfeeding.
Conclusion: Tryptophan is Available, But Buyer Beware
To answer the question, "is tryptophan still on the market?"—the answer is yes. It has been available for retail sale since the FDA lifted its ban in 2005. The ban was a direct result of a contaminated batch linked to a specific manufacturer and not the inherent properties of the amino acid itself. The reintroduction of tryptophan has been widely supported by the nutraceutical industry and is used in a variety of products. However, the controversy serves as a lasting reminder of the importance of supplement purity and regulation. While it is a valuable amino acid found in many foods, using it in a concentrated supplement form carries distinct risks. Consumers should exercise due diligence by researching manufacturers, checking for third-party certifications, and seeking medical advice before beginning any supplementation regimen to ensure both safety and effectiveness.
Keypoints
- Post-Ban Availability: The FDA ban on tryptophan supplements, initiated in 1989 due to an EMS outbreak, was officially lifted in 2005.
- Historical Context: A contamination issue, not the amino acid itself, caused the 1989 EMS outbreak that led to the original ban.
- Supplement Purity is Key: Consumers should prioritize products from reputable brands that utilize third-party testing to ensure supplement purity and safety.
- Risks and Interactions: Tryptophan can interact with medications, particularly antidepressants, leading to a serious condition called serotonin syndrome.
- 5-HTP Alternative: 5-HTP is a direct precursor to serotonin and bypasses a metabolic step, but it also carries its own risks and requires careful consideration.
- Medical Consultation: Always consult a healthcare professional before starting tryptophan supplementation, especially if taking other medications or having pre-existing conditions.
FAQs
Q: Why was L-tryptophan banned in the 1980s? A: L-tryptophan was banned in 1989 after a widespread outbreak of eosinophilia-myalgia syndrome (EMS) was linked to contaminated supplements from a single manufacturer.
Q: Is it safe to take tryptophan supplements now? A: Since the ban was lifted in 2005, pure tryptophan supplements have not been linked to EMS. However, supplements carry risks of side effects and interactions, and users should consult a healthcare provider.
Q: What is the risk of serotonin syndrome with tryptophan? A: Serotonin syndrome is a potentially fatal condition that can occur if tryptophan supplements are combined with other medications that increase serotonin, such as antidepressants (SSRIs and MAOIs).
Q: How can I ensure the tryptophan supplement I buy is safe? A: Look for products from reputable manufacturers that are transparent about their sourcing and manufacturing processes. Ideally, choose supplements that have been verified for purity and potency by a third-party testing organization.
Q: What are the side effects of tryptophan supplements? A: Common side effects include drowsiness, nausea, stomach pain, and headaches. More severe side effects may include blurred vision, dizziness, and muscle weakness.
Q: Is tryptophan in foods dangerous? A: No, naturally occurring tryptophan found in foods like turkey, chicken, milk, and cheese is safe for most people. The historical danger came from contaminated, highly concentrated supplemental forms.
Q: Is 5-HTP a safer alternative to L-tryptophan? A: While 5-HTP has bypassed some of the historical stigma of tryptophan, it is also a powerful supplement that can interact with medications and requires careful consideration. The safety profile of both depends heavily on product purity and individual health.
Q: Where can I find tryptophan supplements? A: Tryptophan is available through various online retailers and health food stores. Major supplement brands like NOW Foods and Life Extension, among others, sell tryptophan products.
Q: Does tryptophan make you tired after eating turkey? A: The amount of tryptophan in turkey is no more than other poultry. The post-Thanksgiving drowsiness is more likely caused by the large volume of food and carbohydrates consumed.