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⚠️ Supplement Guide Disclaimer
This supplement guide is for informational and educational purposes only. It is not intended as medical advice and should not be used to diagnose, treat, cure, or prevent any health condition. The supplements listed may support symptoms associated with ALPIMS-related conditions (Anxiety, Laxity, Pain, Immune, Mood, Sensory), but individual responses vary.
Please consult with a qualified healthcare provider—preferably one who is familiar with MCAS, neurodivergence, POTS, and multisystem sensitivities—before starting, changing, or discontinuing any supplement.
Many people with ALPIMS-related conditions are sensitive to ingredients, dosages, and excipients. It is essential to:
- Start with low doses
- Introduce one new supplement at a time
- Use MCAS-safe or clean-label brands
- Monitor for adverse reactions
This guide does not replace the need for individualized medical care. Always seek professional guidance for your unique situation.
🧠 Magnesium Glycinate
- Primary benefit: Calms anxiety, reduces pain, supports sensory regulation and sleep
- Salicylate: Well-tolerated
- Dose: 100–400 mg
- Brands: Pure Encapsulations, Seeking Health
- Cautions: May lower blood pressure (POTS); start low with MCAS; avoid if diarrhoea-prone
- Benefit priority: High – essential for anxiety and muscle regulation
- Best zone to take in: 🟢 Green / 🟡 Yellow
🌿 L-theanine
- Primary benefit: Promotes calm focus, reduces anxiety and sensory overload, supports sleep
- Salicylate: Low
- Dose: 100–200 mg
- Brands: Thorne, Jarrow Formulas
- Cautions: Generally safe; avoid combining with sedatives; rare overstimulation possible
- Benefit priority: Medium – helpful for sensory modulation
- Best zone to take in: 🟢 Green / 🟡 Yellow
😴 GABA (PharmaGABA)
- Primary benefit: Promotes nervous system calm, supports sleep, sensory regulation
- Salicylate: Low
- Dose: 100–250 mg
- Brands: Natural Factors, Thorne
- Cautions: May not be effective for everyone; use PharmaGABA over synthetic; avoid in severe MCAS
- Benefit priority: Medium – gentle calming support
- Best zone to take in: 🟡 Yellow / 🔴 Red
🍊 Vitamin C (Buffered, Non-Citrus)
- Primary benefit: Supports immune health, collagen formation, antioxidant defense
- Salicylate: Avoid citrus-based forms
- Dose: 250–1000 mg
- Brands: Klaire Labs Buffered C, Nutribiotic
- Cautions: High doses may trigger histamine; avoid chewables/flavored versions
- Benefit priority: Medium – structural and immune support
- Best zone to take in: 🟢 Green
💅 Silicon / Silica (Orthosilicic Acid)
- Primary benefit: Supports collagen, skin, and connective tissue
- Salicylate: Low
- Dose: 5–10 mg
- Brands: Hubner Original Silica, Eidon Ionic Minerals
- Cautions: Choose clean brands; generally well tolerated
- Benefit priority: Medium – connective tissue maintenance
- Best zone to take in: 🟢 Green
🦴 Proline + Lysine
- Primary benefit: Amino acids for collagen synthesis and tissue repair
- Salicylate: Low
- Dose: 500 mg each
- Brands: Thorne, Designs for Health
- Cautions: Well tolerated; works synergistically with vitamin C
- Benefit priority: Medium – foundational joint support
- Best zone to take in: 🟢 Green
🔥 Magnesium Malate
- Primary benefit: Pain and fibromyalgia relief, energy support
- Salicylate: Low
- Dose: 125–500 mg
- Brands: Source Naturals, Pure Encapsulations
- Cautions: May be stimulating in sensitive individuals; avoid in evening if energising
- Benefit priority: High – pain modulation and energy
- Best zone to take in: 🟢 Green / 🟡 Yellow
⚠️ Boswellia
- Primary benefit: Inflammation, joint pain
- Salicylate: Often high – use cautiously
- Dose: 250–500 mg
- Brands: Designs for Health (Inflamma-bLOX)
- Cautions: May trigger MCAS or salicylate flares; trial only if other anti-inflammatories fail
- Benefit priority: Low – selective use only
- Best zone to take in: 🟢 Green (if trialing)
⚡ CoQ10 (Ubiquinol)
- Primary benefit: Mitochondrial support, brain fog, energy
- Salicylate: Low
- Dose: 50–200 mg
- Brands: Jarrow QH-Absorb, Pure Encapsulations
- Cautions: May be activating; avoid at night; choose MCAS-safe versions
- Benefit priority: Medium – energy and cognition
- Best zone to take in: 🟢 Green
🛡 Quercetin (Low-histamine form)
- Primary benefit: Mast cell stabilization, immune modulation
- Salicylate: May be citrus-derived — verify source
- Dose: 250–500 mg
- Brands: Thorne Quercetin Phytosome, Allergy Research Group
- Cautions: Start low; may cause herx-type response; useful in long-term MCAS regulation
- Benefit priority: High – MCAS and immune support
- Best zone to take in: 🟢 Green / 🟡 Yellow
☀️ Vitamin D3
- Primary benefit: Mood regulation, immunity, bone health
- Salicylate: Low – check oil base
- Dose: 1000–2000 IU
- Brands: Thorne, Pure Encapsulations
- Cautions: Needs magnesium + K2; check labs for optimal dosing
- Benefit priority: Medium – mood/immune foundational
- Best zone to take in: 🟢 Green
🧬 Zinc (Picolinate or Citrate)
- Primary benefit: Immune defense, histamine regulation, wound healing
- Salicylate: Low
- Dose: 15–30 mg
- Brands: Klaire Labs, Pure Encapsulations
- Cautions: Take with food; long-term use may lower copper
- Benefit priority: Medium – immune and tissue health
- Best zone to take in: 🟢 Green
🐟 Omega-3 (Low Histamine Fish Oil)
- Primary benefit: Inflammation control, brain function
- Salicylate: Neutral – histamine more relevant
- Dose: 500–1000 mg EPA/DHA
- Brands: Nordic Naturals ProOmega (liquid or capsule-free)
- Cautions: May trigger MCAS in sensitive people; refrigerate; consider algae-based alternative
- Benefit priority: Low to Medium – helpful but caution needed
- Best zone to take in: 🟢 Green (trial only)
😊 SAMe
- Primary benefit: Mood lifting, methylation support, joint health
- Salicylate: Low
- Dose: 200–400 mg
- Brands: Jarrow SAMe 200, Doctor’s Best
- Cautions: May overstimulate mood in bipolar/anxious profiles; energizing
- Benefit priority: Medium – mood-specific
- Best zone to take in: 🟢 Green
🧩 Inositol (Myo-Inositol)
- Primary benefit: Anxiety, OCD-type traits, sensory regulation
- Salicylate: Low
- Dose: 500–2000 mg
- Brands: Jarrow, Thorne
- Cautions: Well tolerated; may cause mild GI upset in large doses
- Benefit priority: Medium – ND-friendly support
- Best zone to take in: 🟢 Green / 🟡 Yellow
🧪 NAC (N-Acetylcysteine)
- Primary benefit: Detoxification, glutamate regulation, antioxidant
- Salicylate: Low
- Dose: 300–900 mg
- Brands: NOW Foods, Pure Encapsulations
- Cautions: May increase sulfur load; trial low and monitor MCAS reactions
- Benefit priority: Medium – neuro-immune support
- Best zone to take in: 🟢 Green (trial only)
💤 Glycine
- Primary benefit: Calming neurotransmitter, sleep onset, sensory soothing
- Salicylate: Low
- Dose: 1000–3000 mg
- Brands: BulkSupplements, Pure Encapsulations
- Cautions: May cause vivid dreams; trial at lower dose if prone to nightmares
- Benefit priority: High – calming and sensory-friendly
- Best zone to take in: 🟡 Yellow / 🔴 Red
Melatonin
- Primary benefit:
Supports circadian rhythm regulation, sleep initiation, anxiety reduction, and nighttime calming in sensory-sensitive individuals. - Salicylate:
Low, but check for clean formulations — avoid flavored or dyed chewables and time-release tablets with artificial excipients. - Suggested dose:
0.3–2 mg to start (higher doses like 3–5 mg may be too strong or cause grogginess, vivid dreams, or paradoxical alertness in some individuals) - Example brands:
Pure Encapsulations, Thorne, Seeking Health (sub-lingual or low-dose options) - ALPIMS Cautions:DomainConsiderationAnxiety / MoodCan reduce night-time cortisol spikes and hyperarousal; too high a dose may cause next-day grogginess or vivid dreamsSensory / NeurodivergenceOften helpful for autistic individuals with sleep-onset delay; start low to avoid agitationImmune / MCASGenerally low-reactivity; choose dye-free, alcohol-free forms; some MCAS users prefer sublingual liquid or capsules over tabletsPOTS / LaxityMay assist in stabilizing circadian blood pressure dips; monitor next-day fatiguePain / FatigueImproved sleep onset may reduce next-day pain perception and mental fatigue
- Benefit priority:
High – foundational for sleep and nervous system repair - Best zone to take in:
🟡 Yellow (vulnerable, trouble winding down)
🔴 Red (flare state, sleeplessness, anxiety spike)