Lithium: A Hopeful Discovery

You may recognize lithium as a treatment for some mental health issues such as bipolar disorder. That would require a pharmacological dose of 600–1,800 mg of lithium per day; levels that high can create severe side effects. But prior research showed that people who were treated with lithium had lower rates or delayed onset of cognitive impairment. The next step in the study was what form of lithium and what amount could help reverse the cognitive impairment and potentially be used to prevent mild cognitive impairment and Alzheimer’s disease.

Forms of Lithium

Researchers examined a variety of organic and inorganic salts to find the form which prevented or reduced the sequestration of lithium in amyloid plaque. Lithium carbonate, the inorganic salt form most used in pharmacological doses, did not prevent the pathology in low-dose supplemental form. An organic form called lithium orotate was successful in amounts consistent with dietary intake. Over a period of weeks, the mice drinking lithium orotate in their water reversed the cognitive impairment and other negative effects.

What’s Next?

The first thing you may be thinking is, “I gotta get me some of that!” Slow down. Remember, these were tested in mice—there are no human trials yet. While there are tests for assessing lithium levels, they’re generally reserved for patients with mental disorders. With such a small range found within the blood, testing requires medical interpretation, and we don’t really know what that level may be in someone with mild cognitive impairment.

Before this becomes a supplement you want to take, a couple of good human trials should be done to determine the proper dosage and any potential side effects. Tremors and nausea are routine side effects when lithium is used to treat mental conditions, but at normal food and water intake levels—1 to 3 mg per day—there should be none. There are many lithium orotate products in the marketplace that range from 1 to 5 mg, but let’s not get ahead of the science.

The Bottom Line

I think there are still questions to be answered before we all start supplementing with lithium orotate. While there is no RDA for lithium, there is a provisional target of 1 mg per day from diet. However, because the amount of lithium in water and food can be so variable, taking 1 to 5 mg per day of lithium orotate seems like a reasonable thing to do if you are over 50 years and are starting to experience memory issues beyond the normal where-are-my-keys problems.

It will take a while before we have the results of human trials. It would also help if you eat better, drink water, and get some exercise; those also help reduce the development of amyloid plaque. When I know more, so will you.

What are you prepared to do today?