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              Ginseng's Actions in the Brain


                Ginseng seems to increase mental alertness and then maintain it in a relatively steady state,
                 thereby smoothing out the ups and downs of the stress response.
                 Pharmacologically, ginseng may stimulate the production of epinephrine, which helps to
                 indirectly suppress stress-induced release of cortisol and related steroids that may damage
                 hippocampal nerve cells.
                Ginseng seems to boost cholinergic neurotransmission in the brain. Given the link between loss
                 of cholinergic nerve cells and memory loss, this may explain its memory-enhancing effects.
                Ginseng contains a class of compounds called saponins, also known as glycosides, which may
                 affect the function of neurotransmitters in ways that are not fully understood.
                In experiments involving people ranging from telegraph operators to students, ginseng reduces
                 the time required to perform some neuropsychological tasks. This activating property may, in
                 turn, lead to improved registration of new memories.

            Types of Ginseng Preparations


            Three common forms of ginseng are Asian (Panax ginseng), Siberian, and North American (Panax
            quinquefolium). The claims that any one type is superior have not been proven. Ginseng doses range
            from 500 to 3,000 mg daily, and the middle of this range is frequently used: 750 to 1,500 mg daily. A
            Chinese medicine called Ching Chun Bao contains a potent form of ginseng and is thought to be a
            general antiaging tonic, juicing up energy level, sexual performance, and cognitive ability.
            Sometimes ginseng is marketed as a tincture that contains a fairly high alcohol content. People who
            take this tincture may feel better because of the alcohol and not the ginseng itself.

              Given the limited knowledge base on ginseng in people with mild memory loss, I am currently not
            recommending it as part of your promemory program. The preparations listed above are not known
            to have any major side effects, so I am not campaigning against their use either.

            Melatonin

            Melatonin is a naturally occurring hormone that is formed mainly in the pineal gland. The pineal
            gland is the size of a small capsule and
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