Frequently Asked Questions about CARN-AWARE

 

Q:        What is L-Carnosine?

A:        L-Carnosine is a naturally occurring dipeptide that consists of alanine and histadine.

 

Q:        What is CARN-AWARE?

A:        CARN-AWARE is the registered trade-mark for a special mixture of L-Carnosine, plus small primer doses of zinc and vitamin E.  This mixture was designed to augment cellular uptake and neuro-protection offered by just L-Carnosine.

 

Q:        What dosages of CARN-AWARE are clinically effective?

A:        Limited prior human studies show a great safety in large doses of L-Carnosine.  Our Clinical research in autistic spectrum disorders shows that 2 capsules twice daily (400mg of L-Carnosine each dose) is an effective dosage.  From our experience clinically with other brain injury, epilepsy, or central auditory processing, 200mg to 3000mg daily have been safe and useful.  Always consult a knowledgeable physician when using a dietary supplement.

 

Q:        What benefits do parents expect from CARN-AWARE in autistic spectrum disorders?

A:        Although not a cure, CARN-AWARE may improve receptive language, auditory processing, socialization, awareness of surroundings, and even help fine motor planning and expressive language when compared to placebo.  Responses usually are seen between 1-8 weeks into treatment.

 

Q:        How does CARN-AWARE help epilepsy?

A:        The exact mechanism is unknown, but clinically CARN-AWARE has improved some EEG abnormalities and frequency of myoclonic and generalized seizures in open label experiences.  Patients with epilepsy benefited from increased dosages of CARN-AWARE which were higher than doses used for autism.  CARN-AWARE has helped cognitive development in sever epileptics even when EEG or seizure frequency was unchanged.  This suggests another positive effect even when improved seizure control was not obtained.  Remember that CARN-AWARE is only a dietary supplement and not a drug used for epilepsy.

 

Q:        What are the most common side effects of CARN-AWARE?

A:        No harmful physical side effects have been noted from CARN-AWARE to date.  Background research of prior animal and human experience, plus in over 1000 children on L-Carnosine or CARN-AWARE since June of 2001, have not shown any adverse liver, blood, kidney, or central nervous system side effects.  Behaviorally, too high a dose may over stimulate some patients’ frontal lobes which can cause increased irritability, hyperactivity, or insomnia.  This was noted in already manic or hyperactive autistic patients.  These symptoms usually respond to decreasing the dose of either CARN-AWARE or other medications concurrently.  No permanent negative changes have been noted.

 

Q:        Can L-Carnosine be purchased in other places?

A:        Our experience in developing CARN-AWARE was to provide the highest biologically available grade of L-Carnosine, and design a way to make it easy to be absorbed and used by the body.  Therefore, we theorized that the addition of small doses of zinc may augment intracellular L-Carnosine activation, and vitamin E may enhance antioxidant neuro-protective properties of L-Carnosine.  No other manufacturer of generic L-Carnosine has as small a dose available, and some make tablets which may be of larger dosage and not as biologically available.  Titration with smaller capsules is easier in our clinical experience.  No other generic L-Carnosine supplier has the clinical or research experience we have accumulated for using L-Carnosine.

 

Q:        What about using CARN-AWARE with other dietary supplements of drugs?

A:        1.         Supplements:

No other supplements have been studied in a double-blind placebo-controlled manner.  Fish Oil, High dose B6, Magnesium, or probiotic or mega vitamin therapies are all unproven.  Some high dose vitamins may make children hyperactive, which may confuse parents if CARN-AWARE is added.

2.                  Drugs:

CARN-AWARE does not appear to alter valproic acid levels.  We have not seen adverse effects with stimulants, anti-psychotic or SSRI medications.  Acetyl-choline esterase inhibitors may over stimulate in combination with CARN-AWARE, but no physically adverse interactions have been noted.  Acetaminophen, Ibuprofen, and antibiotics are not contra indicated to the best of our knowledge.

3.                  Diets:

CARN-AWARE is designed to be tolerated with diabetics, the ketogenic diet, and gluten-casein free diets.

 

Q:        How long does CARN-AWARE last?

A:        No pharmacokinetic studies have been done to date to determine the half-life of L-Carnosine or CARN-AWARE.

 

Q:        How long do you need to treat with CARN-AWARE?

A:        Again, limited usage since 2001 has not allowed long enough scientific observation of whether children will regress once CARN-AWARE is stopped.  Only small anecdotal evidence suggests some autistic children, but not all, may regress in some of their language gains when CARN-AWARE was stopped.  All of these children regained function after restarting the CARN-AWARE.  Long term use appears neuro-protective and is not suspected to be dangerous.

 

Q:        What ingredients does CARN-AWARE contain?

A:        CARN-AWARE contains L-Carnosine 200mg, Vitamin E 25IU, Zinc 2.5mg.  Other ingredients include Gelatin (capsule), vegetable stearate and silica.  CARN-AWARE does not contain any yeast, wheat gluten, milk/dairy, corn, sodium, sugar, starch, artificial coloring, preservatives, flavoring or carbohydrates.

 

Q:        Does CARN-AWARE have to be given with food?

A:        CARN-AWARE can be given with or without food.

 

Q:        What form does CARN-AWARE come in?

A:        CARN-AWARE comes in a capsule form with a white tasteless powder inside. 

 

Q:        Can the CARN-AWARE capsule be opened?

A:        Yes, for ease of use, the capsule may be opened and mixed with any food or drink.  However, do not mix into very high temperature foods.  For example, you can mix the CARN-AWARE into scrambled eggs once they have cooled off, but do not mix into the eggs while still cooking.

 

Q:        Is a doctor’s order necessary to purchase CARN-AWARE?

A:        No, a doctor’s order is not necessary.  However, you should always consult you physician before starting any new supplements.

    

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