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QUESTIONS & ANSWERS
SIDE EFFECTS AND WARNINGS
SKIN PIGMENTATION
TENNIS ELBOW
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MSM Cures and Side Effects

Updated: 10/30/2009

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DISCLAIMER
Our readers offer information and opinions on Earth Clinic, not as a substitute for professional medical prevention, diagnosis, or treatment. Please consult with your physician, pharmacist, or health care provider before taking any home remedies or supplements or following any treatment suggested by anyone on this site. Only your health care provider, personal physician, or pharmacist can provide you with advice on what is safe and effective for your unique needs or diagnose your particular medical history.




SIDE EFFECTS AND WARNINGS

1 BETTER BUT WITH SIDE EFFECTS
9 WARNINGS!
6 SIDE EFFECTS
1 QUESTION

[QUESTION]  02/12/2009: Grant Hardy from Dunedin, Otago, New Zealand writes: "This is a request to all MSM users. What type of MSM are you taking? Eg There is the OptiMSM manufactured in the US and then there is MSM manufactured in China. The processing techniques are different. If we can determine the source of the MSM then maybe a picture could develop. As a manufacturer I know the outcomes can be very different depending on the process.

Grant Hardy"

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[SIDE EFFECTS]  01/03/2009: Elsa from New York, NY writes: "Re MSM, BACK PAIN, AND MIGRAINE HEADACHES:

MSM and glucosamine in combination were extremely helpful to my lower back and hip pain (arthritis), but it triggered daily migraines, so I had to stop taking it. I can take glucosamine alone without getting the headaches.

But about arthritic pain: I have found that applying arnica gel, which I get at the health food store or from iherb, stops the pain. (It also helps prevent/reduce bruising.) I wake up with a bad backache, apply a tsp or so onto my back and hip (rubbing it in well), and can get back to sleep.

I wish I could take MSM. My husband takes it every day and has no aches or pains."

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[SIDE EFFECTS]  11/18/2008: TammyQ from Chicago, IL writes: "msm caused severe mood swings in me, then severe depression, so if you have mood disorders, i don't recommend to take it."

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[SIDE EFFECTS]  11/07/2008: Cindy from Silver Spring, MD writes: "MSM & Migraine Headaches:

I tried MSM after reading in several places it helps w/joint deterioration & pain, & also seeing that it is a component of several glucosamine & chondroitin supplements.

Years earlier, my orthopedic surgeon (a Johns Hopkins University professor) recommended Cosamin DS (a brand of glucosamine & chondroitin w/no added MSM), which he also takes, because it's purity & dosage accuracy were verified in (independent, double blind, placebo controlled) research trials. I took the it for years w/no side effects, & w/much pain relief & improved function. I saw other brands of glucosamine & chondroitin w/MSM, which Cosamin DS does not contain.

My doctor was not opposed to my trying MSM, but he was adamant I stick w/Cosamin DS, although it costs more than most other brands. My pets' vets also insisted I use the same company's pet formulation (Cosequin) & not switch their brand. I decided to stick with it, but add in MSM separately, which my doctors did not oppose.

Within a couple of days after starting MSM, I developed a migraine. Initially mild, it worsened over the next 10 days, becoming severe. I'm prone to both muscle spasm & migraine type headaches, & can distinguish clearly between them. I didn't initially attribute the migraine to MSM, since so many other things can trigger migraines, including stress, irregular sleep, hormonal cycles (especially during peak estrogen levels), as well as certain foods/beverages, medications, smoke, fragrances, & chemical odors/fumes.
I'd learned I must stay on a preventative medication (in my case Verapamil), which enables me to avoid most migraines. With it, I can get away w/some things which otherwise trigger my migraines, including certain favorite foods (in small amounts) & unavoidable whiffs of problem scents & tobacco smoke. (See list of common migraine triggers at end, if interested).

I stayed on the MSM, regulated my sleep cycles (no late nights or sleeping in), avoided stressors, & avoided known migraine triggers--including the foods I sometimes 'cheated' on & places where I could be exposed to problem scents or smoke (malls, rest rooms, smokers, crowds, etc.). Friends & family helped by not exposing me to perfumes or scented products & staying across the room if they had tobacco smoke on their clothes.

These measures had always worked in the past, but this migraine did not lessen. An increase to the maximum dose of Verapamil did not help. I temporarily went on a diet of unprocessed foods w/simple ingredient lists, began stress reduction techniques, & avoided new medications & household or personal products, to no avail. After a 5 week period in which I should have been through a full female hormonal cycle (& into the next one) w/no reduction or fluctuation in severity of the migraine, I was concerned. By week 6 I was spending a lot of time in a dark, quiet room, & getting a little desperate. Lights were like daggers & sounds were like bomb blasts. I considered a trip to downtown Washington, DC, to see a trusted migraine specialist, but couldn't imagine making the trip.

As I looked back for what was new in my regimen since onset of the migraine, I considered the MSM. It seemed so innocuous, but it was the only truly new variable I could identify. No literature available to me at the time I first considered taking it had mentioned anything about MSM & headaches. There was little mention of side effects at all, other than sulfa allergy, at the time. I asked two pharmacists, but neither had heard of MSM triggering headaches, nor had my doctors.

It made sense to all of us that I stop the MSM immediately, but if the migraine ceased, we knew it could be coincidence. The migraine DID cease within about a week of stopping the MSM, & I went back down to my original dose of Verapamil a week later. My primary doctor suggested I just stay off MSM.

However, MSM was enough help for my joint pain that I wanted to be as sure as possible that it was not coincidence that the migraine ceased after stopping MSM. I waited a month, during which I stayed on my migraine reduction/avoidance routine & had NO migraines. Then, while continuing this routine, being careful to add in no new foods, products, medications, or other supplements, I restarted the MSM.

Unfortunately, the migraine returned again, about a week after restarting the MSM while eliminating all other variables that I could control. Of course, there were variables I could not control outside a research setting, including my own knowledge of whether I resumed taking the MSM & when. However, there have been so many times I thought things would cause me a migraine but they did not do so (or conversely I thought they would not cause a migraine but they did), that I strongly suspected the MSM was the cause of my protracted status migrainosis.

About 4 years later, I was diagnosed w/a more severe joint disease, which eventually causes destruction of the entire affected joint. With 8 major weight-bearing joints involved & few treatment options, I decided to try MSM one more time. I had been nearly migraine-free for the better part of a year. With my doctors' agreement, I went doubled my Verapamil (to the maximum dose), went back on my strict migraine avoidance/reduction routine, waited 10 days so my body had the full benefit of these measures, & restarted MSM.

This was my third trial of MSM. I took what I was told was likely the minimum effective dose. On this trial, I intentionally chose a different brand of MSM, in hope that any additive or contaminant in the first brand which might potentially have caused the first 2 migraines would not be present in this new brand.
This time, I developed a migraine 3 days after starting MSM. (Usually, things that trigger migraines in me most strongly do so overnight if ingested orally, but fragrances/fumes/smoke do so w/in minutes, via the nasal route. Things less "migrainogenic" for me take 2 to several days at 1 serving/day, but act more quickly w/several servings daily. While I wish there was an environmentally controlled, double blind, placebo-controlled study of MSM side effects, so most other variables could be eliminated, after 3 trials I consider it very likely that MSM caused my migraines, despite use of a migraine-reducing medication, & consider it likely it would do so in others who are prone to migraine headaches.

Migraine triggers:
This is somewhat individual, & doctors don't all agree on items, such as tomatoes.
-Foods: For me, migraine triggers include all foods & beverages high in tyramine (an amino acid), so I eat a low tyramine diet, eliminating or reducing foods such as tomatoes (fresh are less of a problem than tomato sauce, catsup, or paste), some fruits including bananas & all citrus fruits, a few veges & beans including avocados & fava beans, processed or organ meats including liver, hot dogs, balogna, & salami, cultured dairy products such as yogurt, buttermilk (regular milk is OK), & aged cheeses (fresh cheeses such as cottage & farmer cheeses are about all that are OK), fermented products including all alcoholic beverages (red wines are notorious), soy sauce, chocolate, monosodiumglutamate, abbreviated "MSG", (which legally can be hidden on food package ingredient lists in the U.S. under the term "natural flavoring"), etc.
-Caffeine* (including in coffee, tea, & some medications including some headache medicines)--ironically, caffeine can both help treat migraines & can trigger migraines, so avoid it unless you have a migraine already, but if you get one & have no other remedy available, it is worth a try to have a cup or two of tea.
-Estrogens in food or medicine: Foods high in natural estrogen-like compounds such as sweet potatoes & soy beans, plus medications w/estrogen (even w/low-dose estrogen, such as some birth control pills & hormone replacement therapy), & including the estrogen-like compounds now known to leach out of plastic food & beverage containers such as milk or water jugs
-NSAIDs, or nonsteroidal anti-inflammatory drugs: such as Motrin (Ibuprofen), Alleve/Naprosyn (Naproxen sodium), Feldene, Clinoril, Indocin, etc. which are said to cause a rebound effect, intially helping, but making migraine worse w/continued use (but Tylenol, which is not an NSAID, seems to be OK)
-Other medications: Variable. (According to at least one specialist, narcotic pain medications make migraines worse, though in my experience this is NOT the case if the person is on a stable, long-term dose. Rapid increases, reductions, or fluctuations in dose DO trigger migraines, in my experience.
-Smoke: Tobacco smoke(including second-hand), & other smoke including wood smoke, & incense
-Perfumes, Colognes, & Scented Products: highly individual but includes air freshener products in all forms, scented soap or laundry detergent, fabric softener, scented oils (including for aromatherapy), scented candles, scented personal products, such as shampoo, conditioner, hair spray, scented lotions, etc., & scented household cleaning products, including scented air or surface disinfectant sprays
Chemical odors: including unscented household cleaning products w/fumes, freshly printed newspapers, nail polish remover (acetone), "liquid bandages", many disinfectant sprays, moth balls, dry cleaning chemicals, gasoline, diesel fuel, kerosene, propane, natural gas, "bug sprays" (insecticides), "weed killers" (herbicides), fungicides, formaldehyde (including in plywood, & as preservative for animals used for dissection in biology labs such as in high schools & colleges), paint fumes, glues (white glue is usually OK), various solvents

Hint: If you smell a problem scent unexpectedly when out in public, try breathing through your mouth until out of range. If it is just a matter of a few steps to get out of range of the scent, hold your breath & walk rapidly upwind (if outside) & away. Apparently it is the short, direct route from the nasal nerves to the brain (&/or blood supply to the blood-brain barrier) which allows such rapid migraines induction from scents. When one inhales the same substance through the mouth to the lungs, avoiding nasal exposure, these substances do not seem to trigger rapid-onset migraines. They can still trigger breathing problems in those w/asthma."

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[SIDE EFFECTS]  08/10/2008: Denise from Brooklyn, New York writes: "I just started taking 1000mg of msm with 1000 mg of vitamin c and GSE to treat my melasma but today my third day I am feeling kind of strange, anxious, restless and nauseos I dont know much about this supplement and am a little concerned. As much as i want to get rid of the melasma my health is first does anyone know if this passes I already suffer from insomnia and this is making it worse. Would the vitamin c and GSE work on its own?"



[SIDE EFFECTS]  08/15/2008: Kim from Macomb, MI replies: "It was good to read it's not just happening to me. I've been taking a liquid form of MSM, glucosamine, & chondroitin for one week STOPPING today. I have been experiencing rapid heart rate and chest tightness/pain. One night I didn't sleep at all. I've taken the gluc/chon before with no issues, so I'm sure it's the MSM. No more. Also of note, I'm allergic to sulfa as many women are, and I just learned that a person allergic to sulfa shouldn't take MSM. It was good to read your feedback. I hope mine helps someone too."


08/17/2008: Maxine from Havana, Arkansas, USA replies: "For all you people who have had a bad reaction to msm. You must start out taking very small amounts and work up to a larger dose. You will have herxhimer syndrome (body getting rid of bad stuff) if you dont. I get mine from vet supply, 5 lbs at a time, msm for horses, it has no fillers 99.9 % pure. Start out with 1/8 tsp, put on back of tongue, because of taste. I have been taking it many years, but had some bad symptoms at first."

EC: Thanks, Maxine. Very good to know...



08/27/2008: Alyssa from Sautee Nacoochee, GA replies: "I agree with Maxine about introducing MSM in small doses. I am on day 9, and for the last 4 days or so I've had a headache.

I felt like I do when I fast - that what I was actually experiencing was a de-tox effect.

After doing more research on MSM, I found that it is also recommended for Candida, which I have suspected for quite some time that I have.

Now, I'm REALLY excited to continue with the MSM in the hopes of not only helping my joint pain, but killing off the candida.

No wonder I've had headaches and I am in NO WAY discouraged from taking MSM. Sounds as if a lot of the warnings are from Herxheimer reaction.

Some info I found on the internet:

"The Herxheimer Reaction - Feeling worse before feeling better
The Herxheimer Reaction is a short-term (from days to a few weeks) detoxification reaction in the body. As the body detoxifies, it is not uncommon to experience flu-like symptoms including headache, joint and muscle pain, body aches, sore throat, general malaise, sweating, chills, nausea or other symptoms.

This is a normal - and even healthy - reaction that indicates that parasites, fungus, viruses, bacteria or other pathogens are being effectively killed off. The biggest problem with the Herxheimer reaction is that people stop taking the supplement or medication that is causing the reaction, and thus discontinue the very treatment that is helping to make them better. Although the experience may not make you feel particularly good, the Herxheimer Reaction is actually a sign that healing is taking place.

What Is The Herxheimer Reaction?

The Herxheimer Reaction is an immune system reaction to the toxins (endotoxins) that are released when large amounts of pathogens are being killed off, and the body does not eliminate the toxins quickly enough. Simply stated, it is a reaction that occurs when the body is detoxifying and the released toxins either exacerbate the symptoms being treated or create their own symptoms. The important thing to note is that worsening symptoms do not indicate failure of the treatment in question; in fact, usually just the opposite.


Symptoms:
The most common ones include:

increased joint or muscle pain
headaches
chills
Heavy perspiration and night sweats
Nausea
Burning micturition
Bone pain
swollen glands
bloating
constipation or diarrhea
fever (usually low grade)
hypotension (low blood pressure)
Itching, hives and rash (sometimes mistaken for an allergic reaction - this must be an MD's call)
heart palpitations, elevated heart rate, orthostatic "

Of course, I'd say that common sense is in order too.

I'll post later to share the results regarding the candida. Already I'm feel I have more energy, and my muscle aches are subsiding."

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[WARNING!]  07/21/2008: Lisa from SF, CA writes: "MSM sort of a warning... I started taking MSM a few weeks ago, in the hopes of getting rid of, or at least fading, the melasma I have. I started with 2000mg capsules in the a.m. Then increased to 3000mg, and last week to 4000 mg., a combo of tablets and powder (just because I had both, so mixed 'em up). I have not noticed a difference in the melasma, (I am applying topically, too) but have experienced sleeplessness. I already have a problem with insomnia, so this is not good. I noticed the sleeplessness got really bad after increasing to 4000mg., so I've cut down to 3000mg. I really noticed the increase in energy when I started taking the MSM, despite a lack of sleep. About 2 months ago, I began taking SAM-E for mood, and it seems to have helped, but that is also a sulphur compound, so perhaps that with the MSM is too much?"



[WARNING!]  10/09/2008: Lisa from SF, CA replies: "I wrote about my MSM experience on 7/21/08. I had to cut down to 2000mg/day, after days of very bad insomnia. I was taking 2x my normal dose of Ambien to sleep, and still was not sleeping well. While taking 4000 mg of MSM, I noticed my hands were incredibly dry, and the veins (in my hands) were much more pronounced than usual. I already drink 1 gal. + of water per day, but while taking the 4000 mg of MSM, I found myself dehydrated even when drinking up to 2 gallons of water a day. The dehydration than led to a bladder infection!

So, taking 2000 mg of MSM for a few months now. Recently began using MSM in a topical vitamin C serum I make, and found insomnia has worsened again! Didn't even occur to me that it could be the topical MSM, but the onset of worsened isomnia corresponds with the addition of MSM to the serum! It's what led me back to this board. Also increased dehydration. Has anybody found topical MSM to have side effects?

BTW: Have not noticed any improvement of melasma (my reason for taking the MSM), nor have I noticed any other benefits. My hair and nails are no stronger or healthier, and I've had no decrease in joint pain. Not sure if I should even continue with the MSM!"



01/16/2009: Patricia from Medina, Oh replies: "To the person who was taking MSM to help with joint pain and was also taking Ambien:

WARNING on the AMBIEN!

I got addicted to Ambien and after doing a lot of research I discovered that IT was responsible for my aching joints and muscles!! It can cause fibromyalgia and flu-like symptoms.

Within 2 weeks of dropping Ambien my aches and pains went away."

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[WARNING!]  06/26/2008: Lisa from Rockwell, NC writes: "MSM WARNING: I began having heart palpitations and chest tightness & discomfort after taking MSM for 3 weeks. It did help with hip pain but I had to discontinue it because of side effects. This forum is excellent! I'm glad to know it wasn't just my imagination & that other people have had these side effects."

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[WARNING!]  11/27/2007: Paula R.Wagner from Tulsa, OK writes: "re: MSM suppliment, 1000 mg -- I had some bad symptoms similar to Joanna's taking only 1 capsule a day for several days. I'm not allergic to any substances to my knowledge but awoke with difficulty breathing, very sharp pains in my sides, an ache in my back,and my eyes dried out. I'm not real fond of this MSM supplement. Also, my mood was downcast.Watch yourself with this one.."

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[WARNING!]  11/27/2007: Sherry from Jacksonville, North Carolina writes: "re: Side Effects of MSM -- I am so greatful to God for this forum. I can totally relate to DL from CA, that posting is almost a total duplicate of what I just recently experienced. I had been having constant pain in my legs and feet for over a year and had, had my fill. I did some research and came across the MSM. I was also diagnosed with asteopenia about the same time, so I decided to try it. Two night ago I had my son take me to the ER, I was having a lot of what's been discribed here concerning the heart beating weird, anxiety(I quess) because I don't know how else to expain how I was feeling, shaollow breathing, heaviness of chest etc. All this had been going on for sometime and I normally could meditate on scriptures and it would go away, this night was different. My jaunt to the ER, showed irregular heatbeat, palputaions to be exact. However, all of my blood work came back normal, showing no previous heart attacks or heart desease. I have been refered for a stress test. I am going to discontinue my use of MSM and see what happens. I will keep you posted as to what happens after I am no longer taking this product. Oh yeah, one of the other effects is headaches. I also started getting headaches that wouldn't go away. I sorta fluffed that off figuring it was a sinus thing, however these aren't sinus area specific. So, I'm thinking this is all related. Time will tell. I am very happy for those folks that this works for. Of course, every bodies matabolism is differnt, so what works for others may not work for someone else. I am very happy for those folks that this works for. Of course, every bodies matabolism is differnt, so what works for others may not work for someone else. Anyone else that may have related info. that would be helpful to my situation please feel free to e-mail me. God Bless"

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[WARNING!]  10/25/2007: Joanna from New York, New York writes: "I started taking 2 grams of MSM per day for about 9 days (NOW Foods brand in capsule form). As soon as I swallowed a capsule, I became excessively thirsty. I'd even wake up in the middle of the night to drink 2 full glasses of water. I perspired much more (perhaps from all the water I drank), which didn't bother me because I liked sweating more in the sauna. I got pains in my body, especially in my arms and hands - I felt like I was getting arthritis/tendonitis, which was weird because I thought MSM was supposed to help if you have that. My bowel movements increased from 1 per day to 4. At night I'd notice my heart was beating fast. I can usually walk for miles but I got really scared when I found I had trouble walking fast and breathing well on a fairly short walk. I was searching the web for allergic reactions to MSM but couldn't find any. The only other supplement I was taking at that time was 50mg of Ubiquinol (CoQ10). So I stopped taking both. The thirst and breathing/heart problems went away fairly fast, but the pains in my arms lasted a few weeks. Since the time I stopped taking it (probably 1.5 months now), I've been getting sharp pains in my upper abdomen (left and right sides), which have been slowly getting better."

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[WARNING!]  10/20/2007: Tanya from New Orleans, LA writes: "MSM caused anxiety-- I'm glad to see i'm not the only one. I took some organic MSM and that stuff made me sooooo nervous, rapid heart beat and my nerves felt "fried". OMG this stuff grabbed a hold of me and wouldnt let go. I remembered I took this stuff and stopped. This happened twice. Now i know it was the MSM. I even took some prescription anti anxiety med and the feeling would not go away."

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[WARNING!]  05/04/2006: DL from BH, CA writes: "I recently bought powdered MSM for a sports knee injury. The pain in my knee literally went away overnight after the first dose on MSM. I got excited and doubled the dose for the next 5 days. At that same time, I started to have anxiety attacks when I lay down to sleep. It felt as though my lungs weren't getting enough oxygen and I started to get paranoid that I was going to stop breathing during the night! My chest felt as though it had an enormous amount of pressure on it. After a few days of this, I realized it had to be the MSM and stopped taking it. My breathing issues went away 48 hours after stopping the MSM. In the future I will take much less of this!"

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[WARNING!]  04/21/2006: Steve from NM writes: "I started to take MSM recently and started to have anxiety late at night before sleeping. Funny -- you don't hear anything about the side effects of MSM, yet clearly I was having a reaction."

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SKIN PIGMENTATION

1 BETTER BUT WITH SIDE EFFECTS

10/22/2009: Sadia from Dubai, UAE writes: "Is skin pigmentation the same as vitiligo? Anyone knows where to buy msm in dubai? thanks a lot."

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[BETTER BUT WITH SIDE EFFECTS]  03/10/2009: Jodie from Brisbane, Queensland, Australia writes: "I have used msm for 8 months for pigmentation. At first I had many symptoms of an adverse reaction such as lethargy, headaches, diarrhea and felt dizzy constantly. I also had gradually increased the dose over a couple of weeks. After a couple of months I could no longer stand it and stopped taking it. I eventually started taking it again after I stopped drinking Alcohol and coffee for a couple of months and began eating a lot of fresh veges and fruit. I also changed the brand of msm to a pure crystal form (100% crown msm). To my surprise I have had absolutely no reaction this time and am taking up to 12 mgs daily. My pigmentation is slowly breaking up and fading slightly. It has reduced my pigmentation by approximately 30% (It covered most of my face)."

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TENNIS ELBOW

1 YEA

[YEA]  04/28/2009: Mark from Albany, NY writes: "I just read about MSM for tennis elbow. My freaking elbow has been killing me for like 3 days. Cracking, snapping, just all around pain like you wouldn't believe. I don't play tennis or golf, I'm a plumber so I use my hands all day. I think it's from sitting at the computer with my elbow hanging off as I use the mouse. Anyways, I was ready to cut my freaking arm off with a sawzall until I read about this MSM and decided to give it a shot. I went to the local Health store and they had come 15% pure MSM cream. Cost like $8.00 for a small bottle. Got home, still in freaking pain and rubbed it on. Okay, so no bullshit....within like 1 minute...pain gone. I am not freaking kidding, this shit really works! So whatever is in it totally works and I'm a believer. Magic bullet...pain gone! Still a little soreness but the aching, snapping is gone! Thanks Earth Clinic and your posts people! Love this site !!! Keep posting !!!!!"

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WHERE TO BUY

1 QUESTION

[QUESTION]  02/19/2009: Melody from Bangkok, Thailand writes: "Hi to Ted! I wanted to know where I can buy msm supplements here in Bangkok? I have problems with melasma. I heard msm is good and effective for melasma problem. thanks."



02/23/2009: Ted from Bangkok, Thailand replies: "MSM helps melasma if sufficient quantity is taken. However, MSM is not sold in Thailand. Although a common acne medication such as azelaic acid and retinoic acid may reduce some of those issues. It is said that excessive production of estrogen and progesterone brings about melasma, although I believe that vitamin E 400 i.u. also tends to normalize some of these hormone imbalances as this is one of remedies used to alleviate menopause, which is a hormonal imbalance."


05/30/2009: Digger from Tagbileran, Phillipines replies: "Hi to Ted...hi mate im Australian and i use MSM and DMSO...I buy these products in australia when i visit there.. But i also visit thailand a lot..Is there anywhere that i can BUY DMSO in Thailand..or if not, can you tell me where you buy your DMSO from. Thanks. Digger"

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