Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

153 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for severe anxiety and depression

Answered by
Kathy Shattler

Dietitian & Nutritionist

Practicing since :1985

Answered : 872 Questions

Posted on Mon, 20 Mar 2017 in Thyroid Problem and Hormonal Problems
Question: Hi my name is Ana , 65 yrs old and gaining weight like crazy even when I do Cardio, weights, yoga.
I also have depression and anxiety. I need something to give me a push.
Do you recommend 5 HTP ?
Answered by Kathy Shattler 40 minutes later
Brief Answer:
Welcome to HealthcareMagic

Detailed Answer:
Hi Ana,

I can understand your frustration. As we grow older our metabolism gradually decreases as percent body fat increases making it more difficult to maintain or lose body weight.

I do not recommend 5-HTP or tryptophan. A lack of tryptophan can be involved with depression, but rather other neurotransmitters such as serotonin or norepinephrine. If you feel you are depressed, please see someone to talk to about the situation and perhaps prescribe medication to make you feel better.There are side-effects to taking tryptophan as well including: heartburn, stomach pain, belching and gas, nausea, vomiting, diarrhea, and loss of appetite. It can also cause headache, lightheadedness, drowsiness, dry mouth, visual blurring, muscle weakness.

You are very active. I would keep that up but emphasize toning and building muscle since that is what we lose as we age. It is the lean tissue that burns energy. Attempt to complete 30 minutes of continuous activity for a total of 200 minutes per week. You may find samples of exercises you may do in a seated position on my free website on the fitness board. It is searchable by looking for and virtual nutritional synergy or Kathy Shattler.

Look at your eating patterns. Eat protein at breakfast. Have breakfast. Concentrate on lean meats, increasing fiber by 2 fresh fruits per day and lightly cooked veggies, lower the fat (whole milk, switch to low fat). The type of fat used helps with losing weight. Avoid saturated fats. Eliminate trans fats. Focus on getting your 2 essential fatty acids per day:

Alpha-linolenic acid is one of our omega-3 fatty acids found in plants. It is found in flaxseed oil, and in canola, soy, perilla, and walnut oils. Alpha-linolenic acid goes on to make the well-known omega-3 fatty acids that are in fish oil, called eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).

Linoleic acid is a type of fat, or fatty acid, found in vegetable oils, nuts, seeds and animal products. An essential omega-6 fatty acid, linoleic acid is required by the human body in small amounts.

Remember, it only takes 100 calories of a bad dietary habit to gain 10 lbs. per year. Portion control is of utmost importance. Follow a balanced diet, reduced portion size, no added sugar and no high fructose foods. Fat has more than twice the calories of protein and carbohydrate, so reducing total fat may help. Good dietary guidelines include the Mediterranean Diet and the MIND diet, just adjust calories for weight loss. A reduction of 500 calories per day will result in a 1 lb weight loss per week.

Please have your doctor do a thyroid check if he hasn't done one recently. Strive for the XXXXXXX Thyroid Association guidelines of .3-2.5 to feel less depressed and to help with energy metabolism should it be found to be low.

Drinking green tea unsweetened 4x per day, as well as staying well hydrated by drinking a lot of water, helps with weight loss by a mechanism we just uncovered to be an inhibition of fat growth in the body and a stimulation of the weight friendly hormone adiponectin. Caution re: kidney stones.

If you are confused as to if you are eating poorly, you may send a one day food diary to me to review along with all medications and supplements. I can give you an idea of what you are eating and what you should be eating. Please review your portion sizes so what you record is accurate and include height and current weight.

Otherwise, if you are satisfied with my answer, good luck and above all "do no harm."

To your good health, Kathy Shattler, MS,RDN

Above answer was peer-reviewed by : Dr. Arnab Banerjee

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Topics ,  

Recent questions on  Lightheadedness

doctor1 MD

So I have had some swelling for a few days now in my ankles. It goes through waves in term of pain and varies from tolerable pain to excruciating pain. The pain seems to come from my ankles and near my hips, making moving almost impossible. The past two days I have developed red lumps, the size of large mosquito bites. They did not hurt at first but today, they are hard and painful. I have not been outside or near anything that could contain bugs that could do harm and ultimately, bite me. I did recently come back from a visit to the midwest and back that was 10 hours each way. I have been to two doctors, in which they took blood and did an ultra sound but I have only received news from one doctor that my blood work is normal (Kidney, Liver, Glucose levels). They did indicate that I did have a slightly higher-then-usual blood pressure which may be an indicator or may be due to my stress and anxiety from this entire situation. I also have been having moments where my ears have been ringing along with lightheadedness. I don t know what it is but I am wondering if its allergy related. Any insight would be fantastic!

doctor1 MD

Hi, I am on my third day taking Duromine ( Phentermine ) 30mg and I have been experiencing some of the common symptoms associated with taking this eg headache , lightheadedness , dry mouth however I have had ZERO reduction in appetite! I am starving constantly and stopping myself from eating but I have massive hunger pains every 2 hours or so. I am drinking over 2litres of water a day but even this isn t keeping me full. I am currently menstrating and wondering whether this is why I am hungry? Could my appetite be increased because of this and this is why they are not working or should I go back to my gp to get a 40mg prescription? Everyone else on duromine has to force themselves to eat and even forget to eat because they have such little appetite and I m the complete opposite and starving! I m very confused!

doctor1 MD

I sometimes get a weird feeling in my head. I call it being light headed, but I read about light headedness and my feeling doesn t fit. It is like sinus pressure because it is in the sinuses as well as the top of my head. It doesn t happen all the time, but is annoying when it does.

doctor1 MD

I am a 43 year old male in good health and take no medication. Very occasionally I wake up in the middle of the night with a strong, dull pain in my anus. I have assumed it was hemorrhoids and have used Prep H in the past which took away the pain in 5-10 mins. However, the last 2 times I had the pain and applied the cream I immediately felt light headed, broke out in a cold sweat and noticed my heart rate was very, very slow. I have never passed out in my life but I think I was on the verge of doing so. My questions are what happened to me? Can pushing or application of Prep H to the inside of the anus upset things which causes the light headedness, cold sweat and decreased hear rate (low blood pressure??)? Is it actually hemorrhoids or someting worse? Thanks for your help.

doctor1 MD

Hello, i used the CLR cleaner to clean my sink afterwards sprayed it with bleach once the clr was washed away. had lightheadedness for about 15 minutes afterwards. The smell is gone and i feel better. Do i have anything to worry about?

doctor1 MD

I’ve been experiencing severe vaginal itching . Internal and external. Also, little white pieces of discharge in and out of my vagina. started bleeding this morning, 9 days too early for s period but it may be early. Also, I cleaned my ears and...

doctor1 MD

I am currently taking Trazadone 50mg for depression and sleep problems, Klonopin .05mg for anxiety disorder and essential tremors in my hands, and Nortriptyline for debilitating Gi tract spasms 50 mg. I have had a lot of dizziness and light headed...