I'm not exactly sure of the root cause, but I just never feel 100%. I am a 23 year old male and am in pretty decent physical shape. My blood work was fine the last time that I had it taken. I eat what I believe is a fairly healthy diet and try to be kind to my body. I am not sure if it's relevant, but I have never used any type of illegal drugs.
My main problem is my inability to concentrate. I have such a difficult time focusing that I sometimes want to cry (literally). I just cannot seem to focus. If I need to write an essay or do something boring, it's an arduous task. I always feel so overwhelmed. Even something as simple as keeping my room clean feels like too much for me to handle.
I have also noticed that my memory has severely suffered ever since I took Lexapro. I took it for six months back in 2008-2009 for my OCD related issues. Even since stopping, my memory has never recovered. I used to be pretty mentally sharp, but now, I have the hardest time remembering what I did yesterday or the day before. The days seem to all merge into a blur.
I also have ongoing problems with low energy. I just never feel alert and energetic.
I was hoping that nootropics, or other supplements would help me, but I haven't had much success. This is a pretty comprehensive list of what I have tried:
1. Oxiracetam - Doesn't seem to have much of an effect. I've tried 800-2400mg/day for 3+ weeks. It makes me slightly tired, even though it's supposed to be one of the speedier racetams. I've tried it alone, as well as combining it with various dosages of CDP Choline. For some reason, CDP Choline makes me feel horrible. If I don't take the CDP Choline, I usually get a very slight headache, and the fatigue isn't as strong.
2. CDP Choline - I have taken this with Oxiracetam, and it makes me feel terrible. I'm never usually too depressed, but for some reason, this makes me feel somewhat suicidal (I ordinarily never feel this horrible). It also makes me incredibly tired to the point that I can't stay awake.
3. Piracetam - I haven't tried this product, even though I have it. I've been afraid to take it because it is from Cognitive Nutrition. From what I have read, you have to be careful with the heavy metal issue if the company doesn't provide a COA.
4. Acetyl L-Carnitine - This seems to have no effect on my energy levels at all. I have tried adding it with my Oxiracetam, but I haven't noticed any improvement.
5. Now True Focus - This has L-Tyrosine, L-Phenylalanine, Taurine, Grapeseed Extract, Potassium Ascorbate, DMAE, Ginkgo biloba, COQ10, B-6, and C. I have noticed no improvement of any kind.
6. Mental Alertness (by Gaia Herbs) - Ginkgo Lead, Gotu Kola, Pepperming Herb, Vinpocetine, and Rosemary Lead. No effect of any kind on alertness or mental acuity.
7. L-Theanine - I take this before bed. It seems to make me sleep better.
8. B Vitamins - No noticeable effect.
Can anyone make any recommendations? I would be so grateful. Everything I take seems to give me a paradoxical reaction (fatigue).
I appreciate the help.
- Oxiracetam: I can't comment on the effectiveness, I have never tried it, but I hear its good yet short lived.
- Piracetam: Works good but needs support, I consider it a clean up hitter
- Choline could be supplemented with piracetam, but too much choline will cause depression. So if your not taking a lot of piracetam, there should not really be a need to supplement with choline especially if you incorprate eggs or beef into your diet. Helps alleviate brain fog, but not completely. I have a theory that too much choline causes depression because it actually brings back memories to the surface (though very subtle) that have negative connotations attached to them which leads to a depressed outlook on life.
- Brain fog can also be caused from the stress that piracetam puts on your adrenal glands, and from, what I noticed, low dopamine levels too. Supplementing with l-tyrosine can alleviate this yet it is short lived. L-tyrosine -> L-Dopa -> Dopamine...it is comparable in some aspects to adderall. By increasing dopamine levels. It also is not true that high dopamine levels are causing your hyperactivity, it is actually the opposite, high dopamine levels can lead to increased concentration while low dopamine levels cause hyperactivity due to the unableness to focus. I saw that you supplemented it already in the NOW foods supplement, but chances are that what your taking is not nearly enough to produce a result since it is a bunch of elements squeezed into a capsule. Not to mention L-tyrosine is a free-form amino acid so it should be taken on an empty stomach as other amino acids compete for absorption and easily kick out L-tyrosine if both are present.
- Piracetam can be bought online without purity being an issue...unless it is from china.
- Acetyl-L-Carnite is great, you may need more than what you are taking, I'd recommend around 1.5-2 grams each dosing. It is great for perceptional thinking. Also 1.5-2 grams is pushing the upper limit where it can become a pro-oxidant, so if taking that much, though not the end of the world if you dont, it should be supplemented with R-ALA to protect against the pro-oxidation of Acetyl-L-Carnitine. The R-ALA also increases energy by being a mitochondrial antioxidant and revamping the usage of vitamin A and C by the body. * Acetyl-L-Carnitine in high doses can cause you to poop, not diarrhea, but it seems like it just gets everything moving. Sometimes not pleasant. ***Also Acetyl-L-Carnitine from person experience is much much more effective when taken with food.
- Mental awareness- Id recommend vinpocetine (10mg each) 1 or twice a day, or hydergine which is great for awareness. These also potentiate everything else that you are taking so the effects of everything become more pronounced. The other ones you listed besides the two I said would have marginal effects if any.
- B-vitamins should be taken with a multi-vitamin, these should not be a focus of stack but more of a set up for optimal performance of a nootropic.
- I highly recommend Idebenone (180mg each) and you can take 2 at a time (360mg) which produces great result. Up-beat feeling, more happy, increases NGF, reduces hearing loss (questionable..it fixes temporary hearing loss) and more energy. This should be taken with fish oil because it is fat soluble, and works perfectly when Idebenone is able to saturate in the stomach from a shot of fish oil. Not to mention fish oil is great with piracetam and cognitive support.
- Also note that taking too many nootropics can lead to mental fatigue, (too much of a good thing). It is good to take everything in balance and listen to your body. Also remember that nootropics are not like drugs, in the beginning they work noticeably, but soon after they are very subtle. You won't recognize the benefits until you have been taking them consistently for a few weeks, and still then you might notice a difference as your brain may have started reporting to a new baseline meaning that your new normal feeling is the feeling you got at first, but it is very difficult to notice.
- Caffeine works well with nootropics in getting past fatigue, though l-tyrosine helps it is not the only answer, caffeine really helps on those times that you need it. There is no toxicity in caffeine, so a supplement of caffeine once or twice throughout the day is not bad, and should not be looked down upon.
- You should look into Kava Kava, go into the vitamin shoppe, buy some kava kava, take like 3 of them when your feeling hyperactive tell me if you don't feel completely relaxed. (note: tolerance builds fast so its not a complete answer) - L-theanine has the same effects, but works in a different way I'd assume.
- One more thing..I have heard of a L-Phenylaline and an l-tyrosine stack (with something else too I think) to be effective with energy output, but the dosages are still most likely higher than the concentration in the NOW foods supplement.