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Research & Evidence

Scientific findings from β€œBrain Energy” by Dr. Christopher Palmer supporting the metabolic approach to mental health.

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I am not the first to suggest that metabolism and mitochondria are related to mental illness. In fact, I am building on decades of research from thousands of scientists.

πŸ“–Brain Energy, Introduction
⭐ KEY FINDING

The Ketogenic Diet and Remission of Psychotic Symptoms in Schizophrenia (2019)

πŸ“Š Finding

Published peer-reviewed case studies documenting FULL REMISSION of psychotic symptoms in patients with schizophrenia using the ketogenic diet. These patients had failed multiple medications.

πŸ’‘ Why This Matters

This is the first published clinical evidence that the ketogenic diet can achieve what medications could not - full remission of treatment-resistant psychotic symptoms.

πŸ“–Palmer CM, Gilbert-Jaramillo J, Westman EC. Schizophr Res 208 (2019): 439-440. doi: 10.1016/j.schres.2019.03.019
⭐ KEY FINDING

400+ Research Papers Link Mitochondria to Schizophrenia & Bipolar

πŸ“Š Finding

A 2021 medical literature search found over 400 research articles linking mitochondrial dysfunction to schizophrenia and bipolar disorder, over 3,000 for depression, and over 4,000 for Alzheimer's disease.

πŸ’‘ Why This Matters

Mitochondrial problems are a CORE feature of serious mental illness - this is established science, not speculation.

πŸ“–Chapter 8: A Brain Energy Imbalance

Schizophrenia Patients Are 3x More Likely to Develop Diabetes

πŸ“Š Finding

People with schizophrenia are 3x more likely to develop diabetes - and this increased risk exists BEFORE taking any antipsychotic medications. Sir Henry Maudsley noted this connection back in 1879.

πŸ’‘ Why This Matters

Schizophrenia is fundamentally a metabolic disorder. The brain and body are affected by the same underlying dysfunction.

πŸ“–Rajkumar AP, et al. Am J Psychiatry 174 (2017); Chapter 4
⭐ KEY FINDING

Insulin Resistance Found in First-Episode Psychosis AND Their Siblings

πŸ“Š Finding

Impaired insulin signaling was found in BOTH patients with first-episode psychosis AND their unaffected siblings - suggesting insulin resistance may be a CAUSE, not a consequence, of mental illness.

πŸ’‘ Why This Matters

This groundbreaking study shows metabolic dysfunction precedes psychosis - we can potentially prevent schizophrenia by addressing insulin resistance early.

πŸ“–Chouinard VA, et al. Mol Psychiatry 24 (2018)

Schizophrenia and Dementia: 20x Risk

πŸ“Š Finding

A study of 8+ million people found that if someone with schizophrenia lives to age 66, they are 20 TIMES more likely to be diagnosed with dementia than those without schizophrenia.

πŸ’‘ Why This Matters

Both schizophrenia and dementia involve mitochondrial dysfunction. The brain energy theory explains this connection.

πŸ“–Stroup TS, et al. JAMA Psychiatry 78(6) (2021): 632-641

Dopamine Dysfunction May Be CAUSED by Mitochondrial Problems

πŸ“Š Finding

Dopamine metabolism by monoamine oxidase (MAO) occurs INSIDE mitochondria and directly activates the electron transport chain - linking dopamine to energy production.

πŸ’‘ Why This Matters

The 'dopamine imbalance' theory of schizophrenia may be backwards - dopamine problems may be a DOWNSTREAM effect of mitochondrial dysfunction, not the root cause.

πŸ“–Graves SM, et al. Nat Neurosci 23 (2020): 15-20

Brain Insulin Resistance Causes Dopamine Problems

πŸ“Š Finding

Insulin resistance in the brain alters dopamine turnover and causes behavioral disorders in mice.

πŸ’‘ Why This Matters

This directly links metabolic dysfunction (insulin resistance) to the dopamine problems seen in schizophrenia.

πŸ“–Kleinridders A, et al. Proc Natl Acad Sci USA 112(11) (2015): 3463-3468

Hyperexcitability Found in Schizophrenia, Bipolar, Autism, Alzheimer's

πŸ“Š Finding

Hyperexcitability of neurons has been found in epilepsy, delirium, PTSD, schizophrenia, bipolar disorder, autism, OCD, and Alzheimer's disease.

πŸ’‘ Why This Matters

The same brain dysfunction (hyperexcitable cells) underlies both seizures and psychiatric symptoms. This is why epilepsy treatments like the ketogenic diet can help.

πŸ“–Chapter 8: A Brain Energy Imbalance

B-SNIP Study: Can't Tell Schizophrenia from Bipolar Biologically

πŸ“Š Finding

A major NIMH-funded multisite study of 2,400+ people examined brain scans, genetic testing, EEGs, blood parameters, and cognitive tests. They COULD NOT tell schizophrenia, bipolar, and schizoaffective patients apart from each other.

πŸ’‘ Why This Matters

If these are truly different disorders, why are they biologically indistinguishable? They may be the same underlying metabolic dysfunction with different symptom presentations.

πŸ“–Chapter 3: Searching for a Common Pathway

The Numbers Don't Lie

400+
papers on mitochondria & schizophrenia
6M
people in Danish registry study
85%
seizure reduction in early keto studies
100+
years of keto diet evidence

πŸ”¬ Ongoing Clinical Trials

From the book: β€œThere are several clinical trials for bipolar disorder and schizophrenia getting underway currently.” Dr. Palmer and colleagues worldwide are conducting rigorous research on metabolic interventions for psychiatric conditions.

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Read the Full Research

β€œBrain Energy” contains 500+ citations and 40+ pages of detailed chapter notes with full references.

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