Posted 10 February 2014 - 02:41 AM
Hey Batman, I'm sorry you've been down lately.
I hope I can help a bit.
I've had major depression for some 15 years now. I went into a gradual decline over the last 7 or so years, until one day my doctor (general practitioner) flat out said to me "If you were ten years older, I would begin to suspect early onset dementia" (I'm 31). That's how bad it was, I could barely speak and couldn't even remember my own age and birthdate at times (often when asked for such things I would hestitate, trying to remember, which usually made people think I was lying about my age).
One of the bigger problems was not having health insurance for years at a time, the other problem was just simple ignorance.
I had very bad experiences with Celexa and amitryptaline (both which act on serotonin). Wellbutrin (works on dopamine and norephinephrine) does do more good than harm but it is not enough on its own.
I would strongly advise AGAINST trying some of the supplements (like phenibut, l-dopa, 5-htp, sam-e, others) out there until you understand a little more about what's going on in your body and what the likeliest causes of your depression and anxiety are. I also think you should hold off on SSRIs until you have tried other things first, things that come with less serious risks, side effects and that would possibly make an antidepressant unnecessary.
What I mean is total body care. Address common causes of depression and anxiety through nutrition. Simple things like low levels of b vitamins, magnesium, calcium, vitamin D, potassium, zinc, DHA/EPA, gluthiathone, taurine and various other amino acids and antioxidants are all consistently associated with depression, anxiety and a lot of symptoms accompanying those things (like poor sleeping). Study after study after study and likely more in the future confirm these things. You should try this avenue first, before moving on to other supplements. It's almost never as simple as serotonin or dopamine levels.
A couple of notes about some of the OTC supplements advertised for mood lifting, antianxiety properties - some of these must be approached with the same level of caution one would have with a prescription psychiatric med. Why? Say that unlike most people who have depressive symptoms, your serotonin levels aren't that low. Taking 5-htp regularly would do more harm than good for you (and shouldn't be taken regularly anyway by anyone, in my opinion). Say that your dopamine levels aren't the cause of your depression, taking things that increase dopamine would also do more harm than good. You can take a look around at the four I listed and you'll see what I mean - you'll find anecodotes from people using them to help with depression and anxiety, with results almost as widely varied as you see with prescription antidepressant and antianxiety meds. The good, the bad, the ugly and the no-effect. Don't get me wrong, I'm not saying they're bad - they are good, and they actually work when taken properly by people who actually need what they do. These chemicals are simply not universally applicable, that's all.
There are a few things you can start right away while working on covering the deficiencies I mentioned that are gentle and have little deleterious side effects; taurine, theanine, dark chocolate. All of these are calming, can be taken any time during the day without compromising alterness, have cognitive enhancing properties and have mildly antidepressant effects without seriously messing with your serotonin/dopamine/norephinephrine levels.
Some might also suggest phenylalanine and tryptophan here (and I'm not saying you shouldn't have these because you should), but I believe you and everyone else would be better off with a more balanced approach with amino acid supplementation. When we supplement an amino acid, we often end up with lowered levels of one or more other amino acids in our bodies (because amino acids interact with each other for various processes) - this is typically a bad thing unless lowering levels of a specific amino acid is the actual goal.
By 'balanced' I mean getting something like whey protein, pea protein, hempseed protein (not oil), or an amino acid complex. All of these things would have phenylalanine and tryptophan, but also everything else you need including gluthiathone, glycine, tyrosine, carnosine, lysine and such. It would be easier on you and cheaper than going out and buying a dozen different things to cover what you would get in protein powders and amino acid complexes. Note on hemp protein: you will find this a significant source of omega 6 and this puts most people off, but know that the omega 6 in hemp is primarily GLA rather than LA, GLA being the longer and healthier n-6 chain than LA, and only omega 3 in hemp, other plant sources is ALA, some of which is converted into DHA/EPA but only about 1% or less. Not enough. You still need your DHA/EPA source.
Virgin coconut oil would also be beneficial for you, a very good source of MCTs and other things. Then look to the usual stuff one would find in the average multivitamin, looking especially at the calc, mag, zinc, potas, D, B vitamins including inositol. Choline may either help or worsen depressive symptoms, just fyi there. Avoid cheap multivitamins with more than 50% DV of iron (unless your doc thinks you may be iron deficient) because they can do more harm than good in more ways than one. Add some multi-fruit-based antioxidants. Cut back on glutens and omega 6 rich foods (a lot of junk foods, fast foods) and if you cook with vegetable or canola oils, stop, and replace with coconut or perhaps olive oil. Cod liver oil or krill oil instead of fish oil. Fish oil is not bad for you at moderate doses, but you have more to gain from the cod liver (additional nutrients) or krill (no fishy smells, plus astaxanthin) oil.
After doing just these things for a month or two, you will begin to get a better impression of what your closer-to-real 'baseline' is, and then you would get an idea of what you still need, if anything, or want to add in at higher doses, and this would also help save you time and money buying this or that one thing that ends up not helping you. Know what I mean?
This post is getting long-winded and there is still more to cover, but I believe that is a very good start. I began this journey slowly, and a bit skeptical at first, but I started improving almost immediately. It was far more effective that Wellbutrin and Ambien alone. I believe in the very near future Wellbutrin will be unnecessary, if it isn't already. Actually since I began my regimen, Wellbutrin has been making me restless and agitated, even very angry at times, rather suddenly after about 4 months of taking it without such side effects - which means that my natural dopamine/norephinephrine levels are higher now due to my nutritional needs being met and the Wellbutrin is boosting them into nontherapeutic levels.
More impressive during the first two weeks of supplementing was my regaining my speech skills, I can physically talk now and I can't even remember last time I had one of those days, or even a period of several hours, when I could barely make my mouth and jaw move properly to speak clearly. I am happier, more positively motivated and have hope for the future. My memory still needs working on, I believe there may have been some lingering 'damage' due to chronic sleep deprivation from untreated sleep-onset insomnia in addition to the depression (or rather, nutritional deficits), but a lot of my daily anxiety has vanished, which Wellbutrin had no therapeutic effect on. Wellbutrin merely gave me a small kick in the ass to get up and do stuff, like give a damn about fixing myself.
Well, that's it for now. Good luck buddy!
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