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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by elanor roosevelt on March 6, 2009, at 20:41:57
my life is unraveling
i'm broke
the apartment i live in is up for sale
and i'm down to just adderall and xanaxi was taking some lexapro at night to try a little snap out of it
didn't work and the joint pain got bad
now the depression and the joint pain are working off each other
i do need to get out of this funk to get hings straightened out
years ago i took parnate and after a while got into some terrible self-loathing
later it was suggested that i didn't dose it high enough
also, i remember someone suggesting a stimulant and my pdoc wouldn't go for itwhy the hell would i want to try parnate again?
1) everything else gives me blisters in my mouth
2) I had no joint pain at all on parnate
3) i did not gain weight
4) no nervous habits (with some meds i mess with my cuticles or bite my nails or obsess over the littlest thing stuck between my teeth)what doesn't work anymore or ever:
celexa
lexapro
paxil
wellbutrin
luvox
serzone
nortriptylin
topomax
effexor
depakote
lamictal
neurontin
strattera
modifnal
tianeptinei have to do something
my life is falling apart and i have to find a way to bring my business back up despite the economy
and what i want to do is stay in bed
perfectly still
with the covers over my head
but then i think about how much all my joints and muscles hurt
what's with all the pain and what should i do?
Posted by desolationrower on March 6, 2009, at 21:47:56
In reply to crisis mode, posted by elanor roosevelt on March 6, 2009, at 20:41:57
have you every tried SAMe?
-d/r
Posted by elanor roosevelt on March 6, 2009, at 22:16:12
In reply to Re: crisis mode, posted by desolationrower on March 6, 2009, at 21:47:56
> have you every tried SAMe?
>
> -d/r
no i haven't
how does it function?
Posted by Phillipa on March 6, 2009, at 23:55:38
In reply to Re: crisis mode, posted by elanor roosevelt on March 6, 2009, at 22:16:12
I'd google it. Was going to suggest cymbalta helped with pain for me. Hope business picks back up. Love Phillipa
Posted by desolationrower on March 7, 2009, at 1:44:45
In reply to Re: crisis mode, posted by elanor roosevelt on March 6, 2009, at 22:16:12
> > have you every tried SAMe?
> >
> > -d/r
> no i haven't
> how does it function?
>it is the body's methyl donor; it affects monoamine metabolism and membrane abnormalities.
it is a psychoenergizer (up sides are no weight gain, more energy, mental function; downside is insomnia, jitteriness; this sounds like the right part of the spectrum for you) and works quickly, and also helps arthritis.
-d/r
Posted by Incubusfan on March 7, 2009, at 12:04:22
In reply to crisis mode, posted by elanor roosevelt on March 6, 2009, at 20:41:57
> my life is unraveling
> i'm broke
> the apartment i live in is up for sale
> and i'm down to just adderall and xanax
>
> i was taking some lexapro at night to try a little snap out of it
>
> didn't work and the joint pain got bad
>
> now the depression and the joint pain are working off each other
>
> i do need to get out of this funk to get hings straightened out
>
> years ago i took parnate and after a while got into some terrible self-loathing
>
> later it was suggested that i didn't dose it high enough
> also, i remember someone suggesting a stimulant and my pdoc wouldn't go for it
>
> why the hell would i want to try parnate again?
>
> 1) everything else gives me blisters in my mouth
> 2) I had no joint pain at all on parnate
> 3) i did not gain weight
> 4) no nervous habits (with some meds i mess with my cuticles or bite my nails or obsess over the littlest thing stuck between my teeth)
>
> what doesn't work anymore or ever:
> celexa
> lexapro
> paxil
> wellbutrin
> luvox
> serzone
> nortriptylin
> topomax
> effexor
> depakote
> lamictal
> neurontin
> strattera
> modifnal
> tianeptine
>
> i have to do something
> my life is falling apart and i have to find a way to bring my business back up despite the economy
> and what i want to do is stay in bed
> perfectly still
> with the covers over my head
> but then i think about how much all my joints and muscles hurt
> what's with all the pain and what should i do?
>
>I was feeling like this on Monday, having specific thoughts of self-harm I'd never had before. What got me out of it? Time, and doing the normal things one does in life. When I look at the whole picture and into the future, things look impossible to do and get by. Just focus on the now, little things you CAN do here and there.
Hang in there.
Posted by Sigismund on March 7, 2009, at 14:55:07
In reply to Re: crisis mode, posted by desolationrower on March 7, 2009, at 1:44:45
>later it was suggested that i didn't dose it high enough
also, i remember someone suggesting a stimulant and my pdoc wouldn't go for it>why the hell would i want to try parnate again?
I know the argument for higher doses of Parnate, but I'm not convinced that it always applies.
SAMe is OK for me, and I'm easily freaked.
Posted by bleauberry on March 7, 2009, at 17:30:29
In reply to crisis mode, posted by elanor roosevelt on March 6, 2009, at 20:41:57
Excellent points in this thread. I hope they will be helpful to you. Excellent stuff.
While SAMe doesn't work for everyone, just like anything else, it does seem to have an unusually high responder rate in terms of mood and pain with a rapid onset. It is a good supplement with Fibromyalgia patients, allowing many of them to decrease or eliminate their pain meds.
You would have to do some google searches/studies on it to learn all it does. Very beneficial in a lot of things and ways. The only drawback is it is not cheap. About $1 a day at the lowest dose, about $4 a day at the low end of the clinical trial doses. Get enteric coated tablets in blister packs, not capsules or anything else in bottles. You'll probably feel pain relief better than OTC stuff and mood improvement within 2 to 3 days.
I agree with the other post also saying to do things in small steps. For example with me, instead of looking at the day of ahead of me where I have to bring in a bunch of firewood, light a fire, cook, dishwasher, a load of clothes and hang them up, go to work for 8 hours and everything that involves, the driving, going over mail and bills when I get home, cooking, geez...you know, you get the picture. Well, all I look at is the "get firewood" thing. Once that is done, I sit for a minute and then say, ok, next.
For your business, think of ideas to improve things. Pick the easiest of those ideas. Just start on that idea. Don't tackle the whole thing all at once. Break it down into steps and make it a goal to do one of those steps. The next day, another step. And so on.
With me for example, it is hard to keep up with stuff. I need to pay bills but my mail has just piled up for three days and it is a mess of papers, bills, junk, etc. Instead making a project to sort it all out and pay the bills, for that evening my only task is to sort out junk mail, throw away all junk, and put the bills in a pile. I will sit down to pay those bills tomorrow. One step at a time.
Longer term...kind of difficult without money or a doctor...but I think you need to get tested for Lyme, and regardless of the test (they are terribly inaccurate), talk your doctor into a trial of antibiotics. All that pain is coming from something, and hidden mysterious pathogens is a very likely but often overlooked cause. Doxycycline is a good antibiotic because it covers a wide range of possibilities and is also a very good anti-inflammatory outside its antibiotic properties.
Pain usually comes from inflammation. Inflammation usually comes from an infection. Most of the possible infections are not diagnosable. Treatment has to be blind, based on history, symptoms, and quite honestly, just a test to see what happens and either rule it in or out.
Posted by desolationrower on March 7, 2009, at 21:34:29
In reply to Re: crisis mode » elanor roosevelt, posted by bleauberry on March 7, 2009, at 17:30:29
>Inflammation usually comes from an infection. Most of the possible infections are not diagnosable. Treatment has to be blind, based on history, symptoms, and quite honestly, just a test to see what happens and either rule it in or out.
lack of exercise/sleep, excess calories and obesity, excess trans, w-6 and palmitic fats, insufficient nutrients, various pollutants, etc are all more likely causes of systematic inflammation for most people. heck, rolling around in the dirt and getting a GI parasite can improve some of these conditions.
I mean, if you can't tell what the gremlins are that are infecting you, and you don't know what specifically is going wrong (th1? Type II, III? Who knows?) then how does it help? theres intersting fuctions for the immune system in mental health but unfindable gremlins doesn't help treatment. and if you don't know, they how do you decide if IL-6 shoudl go up or down? hwat if you actually have lyme disease, and IL-10 is suppressed? guess wrong, and have fun with the allergies. better to focus on factors you know are wrong, and can fix, to reduce the dysregulation as much as possible. lots of bad things are inflammatory, but so are good things, like excercise and sleep.
-d/r
Posted by elanor roosevelt on March 11, 2009, at 23:11:15
In reply to Re: crisis mode, posted by Sigismund on March 7, 2009, at 14:55:07
>
> SAMe is OK for me, and I'm easily freaked.what dose do you take and what time of the day
i picked up some SAMe today
Posted by Phillipa on March 11, 2009, at 23:57:13
In reply to Re: crisis mode, posted by elanor roosevelt on March 11, 2009, at 23:11:15
Elaenor let me know how it goes pretty please????? Love Phillipa
Posted by Sigismund on March 12, 2009, at 20:42:48
In reply to Re: crisis mode, posted by elanor roosevelt on March 11, 2009, at 23:11:15
Hi Elanor
I don't take SAMe now, but I have for extended periods over the years.
It can irritate the gut, so there are differing opinions as to whether to take it on an empty stomach.
Doses range from 200 to 1600 mg/d.
Often I would take 400mg first thing in the morning. That is a threshold dose, just noticeable for me, but also useful and not problematic.
It can aggravate insomnia.
(I spend my life trying to figure out my insomnia.
Was it the alcohol, the black tea or the chocolate, or that vitamin B at lunch?)
Which would be why I'd take it first thing.If you need to take a dose of 800 or higher you would be best to split it.
Some people find SAMe agitating.
Posted by Elanor Roosevelt on March 18, 2009, at 0:03:46
In reply to Re: crisis mode » elanor roosevelt, posted by Sigismund on March 12, 2009, at 20:42:48
Thanks
the SAMe seems to help
with the adderalli get edgy from the SAMe lately but realized i had stopped both the tyrosine and tryptophan
switched from ambien to sonata for financial reasons and it's turning out to be a good changealso, i am taking SAMe 1x200 twice a day and may go up to three times
i am getting afternoon headaches but this time of year it's hard to know if they are pollen-related
still need a boost of positive sense of self (although I've been into my creative dressing mode and that's a good sign.
not laughing much
i did have a good interview with a head hunter who actually had a position in mind that was perfect for me
still waiting to hear if I can get an interview with the hiring company
thanks for your support
i'm hanging in as best i can
This is the end of the thread.
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