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Why does SAM-e cause increased sedation when I take it.

Although increased sedation is an unusual side-effect, "tiredness" has been reported, particularly in individuals with depression.  SAM-e is involved in over 100 biochemical reactions and therefore can have varying effects on different individuals.  For example, deficiencies in folate, B 12 or B 6 may affect the how SAM-e is utilized in the body and ultimately influence the side effects an individual is experiencing.

Adam Perlman, MD, MPH