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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by blueberry1 on January 27, 2007, at 5:14:35
We need a hybrid board of both drugs and alternatives because this post involves both.
Doc took tests and says my serotonin, norepinephrine and dopamine are very low. Glutamate is very high. Glycine and gaba are on the high end trying to fight glutamate. She says this balance of neuros describes my symptoms very accurately. Depression, nervousness, hyper acoustic arousal, easily fatigued.
Prescription for the moment. 15mg cymbalta. Magnesium oxide 400 3 per day. Melatonin 3mg bedtime. Xanax whenever I want (hardly ever). The mag and melatonin are to tame down the glutamate. Mag oxide, even though it is not absorbed as well as other versions, to avoid confusion with glycine, taurine, or other ingredients in the other versions.
The problem is I've tried all of these things before and each one of them made me more depressed! I wanted zoloft because in the past it worked fairly well, better than nothing, and it did so very quickly with few side effects. I thought the best thing to do would be to get me to that place on lessened depression and no anxiety and then begin work on targeted nutritional strategies after some stability had been reached.
I can't start all this stuff at once. If I get bad adverse reactions or seriously aggravated depression, I won't know what is doing what. So for the moment I'm working on the cymbalta. Started 1mg 1st day, 5mg 2nd day, working up to 15mg. She knows I'm sensitive and told me to do titrate this way.
My faith in this approach...zero. But everyone is telling me do what the doctor says.
Things are different now than they were when I tried these things before. So, who knows. We'll see.
Posted by laima on January 27, 2007, at 7:44:07
In reply to Doctor Visit, posted by blueberry1 on January 27, 2007, at 5:14:35
>We need a hybrid board of both drugs and alternatives because this post involves both.
I SO agree!!!!
(Emsam/phenylalanine combos are another example where such a board could be helpful...)
Blueberry, I envy you for having such a well-rounded health practitioner. I'm always eager now to read about your visists. But I agree with you, about trying one change at a time, methodically, in order to best be able to tell what did what. It's true- if you made all the changes at once and felt worse, how would you know the cause? I just imagine that day you took adderall- thank goodness you didn't start it with alongside an entire slew of other short-acting meds, or you might still be untangeling. Good luck, I hope it goes well.
Posted by Phillipa on January 27, 2007, at 10:21:14
In reply to Re: Doctor Visit, posted by laima on January 27, 2007, at 7:44:07
Yes blueberry you sound like you have a well rounded doc good luck with your meds this go round. Love Phillipa
This is the end of the thread.
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