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Glutamate is        toxins, detrimental changes in the food supply   Table 1) are particularly interesting. As it hap-

        both essential        and the loss of formerly protective lifestyle   pens, glutamate is released in large amounts
                                                                       after a TBI. While the brain has various
                              practices, few of us are lucky enough to have
             and highly       “unaltered physiology.” Thus instead of produc-  mechanisms to restore glutamate homeostasis,
            toxic at the      ing a normal regenerative healing response, our   neurodegenerative conditions and concussions
            same time.        impaired ability to recover quickly results in a   impair glutamate clearance. The result—exces-
                                                                       sive glutamate—then triggers a cascading series
                              “downward spiral of neurological demise.”
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                                 Functional deficiencies and depletion of im-  of damaging inflammatory effects. Thus, as the
                              portant brain nutrients are one of the key reasons   body tries to heal by releasing glutamate, it sets
                              for our increased susceptibility to brain injury   into motion a hyper-reactive excitatory response
                              and our compromised ability to heal. Common   that damages the delicate neuronal tissue in the
                              deficiencies include sulfur, magnesium, zinc, vi-  brain. These secondary effects turn out to be far
                              tamin D, B vitamins and omega-3 essential fatty   more influential in determining the severity and
                              acids (EFAs)—especially docosahexaenoic acid   outcome of concussion injury than the original
                              (DHA). Each of these functional deficiencies   mechanical forces involved in the concussion.
                              has numerous downstream physiological conse-     Neuroprotective omega-3 fatty acids can
                              quences related to brain injury and diminished   decrease the toxic effects of glutamate. How-
                              brain resilience (see partial list in Table 1).  ever, because of the widespread deficiency of
                                                                       omega-3 fatty acids in the modern diet, this
                              GLUTAMATE TOXICITY                       neuroprotective action may not be readily avail-
                                  Glutamate is the brain’s most abundant   able to many concussion sufferers.
                              neurotransmitter, serving as a chemical mes-
                              senger that relays signals between neurons.   SULFATE AND SULFATE TRANSPORTERS
                              Glutamate is needed for learning and memory      Insufficient supplies of sulfate to the
                              and as an important source of energy, and is   brain—or more precisely the cerebrospinal
                              involved in numerous aspects of normal brain   fluid (CSF)—provide a central explanation
                              function and “many different and intercon-  for many neurological disorders.  (Sulfate is
                                                                                                    16
                              nected  processes.”  However, glutamate is   the oxidized form of sulfur.) Impaired sulfate
                                              15
                              excitatory (brain-stimulating) as opposed to   supply is a factor, for example, in Alzheimer’s
                              inhibitory (brain-calming), and it has somewhat   disease, in part because adequate sulfate is
                              of a split personality:                  needed to remove potentially neurotoxic waste
                                 “Glutamate has to be present in the right   products and prevent oxidative damage.  In the
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                              concentrations in the right places for the right   case of concussion, Morley and Seneff suggest
                              time. Both too much and too little glutamate is   that insufficient supplies of sulfate to the CSF
                              harmful. This implies that glutamate is both   (caused by environmental and lifestyle factors)
                              essential and highly toxic at the same time.” 15  leave the delicate neuronal tissues in the brain
                                 The issues surrounding omega-3 deficien-  vulnerable to jarring. When there is insufficient
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                              cies, brain injury and glutamate toxicity (see   sulfate in the brain, the neuronal tissues produce



           TABLE 1. Functional nutritional deficiencies and their implications for brain injuries
           DEFICIENCY OF:        RESULTS IN:
           Sulfur                Impaired recycling of cellular debris and increased sensitivity to sudden impact
           Magnesium             Lower seizure thresholds
           Zinc                  Increased protein misfolding comparable to that seen in Alzheimer’s disease
           Vitamin D             Increased likelihood of infectious agents in the brain
           B vitamins            Glutathione depletion and increased oxidative stress
           Omega-3 fatty acids   Increased glutamate toxicity
           Adapted from Table 1 in Morley and Seneff, 2014. 11

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