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Suggest treatment for severe anxiety, depression and insomnia

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Posted on Mon, 13 Apr 2015
Question: I tested positive for one copy of the MTHFR C677T and one copy of the MTHFR A12983. I am working with a nutritionist who requested for me to have this testing done. I suffer from severe anxiety, depression, insomnia. I am just trying to obtain as much information as possible regarding this mutation as my goal is to navigate through this medication free. Is working with a nutritionist sufficient or should I seek genetic counseling?
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Answered by Dr. Muhammad Ahmad (2 hours later)
Brief Answer:
Need some more info

Detailed Answer:
Hi,

Welcome to Health Care Magic,

I am Dr.Muhammad Ahmad, I have read your message and will try to help you in best possible way.

I would like you to give me some more info in this regard.This will let me evaluate if you need another doctor or not.

Here i will ask you some questions to guide our conversation.

1)Please tell complete history when things started and how they proceeded what were your symptoms then and what are they now.


2)How has nutrional consult helped you.

3) Are you getting better or worsening with time.

4) Taking any meds?

5) Any other medical condition along with this?



Waiting for your input.

Dr.Muhammad Ahmad

M.B.B.S

Resident M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Muhammad Ahmad (26 minutes later)
Hello,

I went to the Urgent Care back in October of 2014 to address some asthma related issues. I was having shortness of breath due to a cold I had. The doctor recommended an EKG and noticed that I had a slightly prolonged QT interval of 451. I was sent to the ER where several tests were run on my heart all of which returned normal and clear. I followed up with a cardiologist and he told me he is not concerned. So this is good. I have a history of problems with severe anxiety, panic attacks, just a constant state of unrest. I was on medication for several years (on and off). The most recent was Zoloft. I was prescribed 50 mg daily. I weaned off Zoloft last May and the symptoms returned. I also have lorazapam which I take in small doses of .25 mg. as needed. I haven't used it in over 3 weeks as my goal is to be medicine free.

While I was in the hospital being treated, I was diagnosed with anxiety. At this point I felt I really needed to address this issue forcefully, my reason for consulting a nutritionist. The Zoloft made me feel terrible and have insomnia.

My symptoms worsen when I am tired or hungry. I seem to have zero tolerance for low blood sugar. My symptoms fluctuate, better at times and worse at others but the two common denominators are lack of sleep and if I don't eat. I am the most anxious upon waking up in the morning.

I had a series of panels run at the request of my nutritionist; stool, urine, saliva and blood. It was determined that I have leaky gut, am extremely deficient in Vitamin D, somewhat deficient in magnesium, and with a fasting glucose of 101 which is now at 106. I also have not menstruated in 8 years resulting from my Mirena IUD which I had removed last month. I am 5'6, 140 lbs, exercise, eat healthy, don't drink or do drugs; clean.

I currently have a kidney infection; I have never had one in my life, nor a UTI, so I am on antibiotics to treat it but other than that, I don't regularly take any medications.

I am just curious as to what the MTHFR results mean. My doctor suggested I seek genetic counseling. The tests were ordered by my nutritionist as she believes that much of my anxiety is rooted in this mutation and can be treated with proper supplementation. My understanding is that it has something to do with an inability to convert B vitamins into amino acids?

Yes, nutritional consult has helped me. I was severely deficient in Vitamin D and just getting that up helped a lot but I am not symptom free. I am still very, very anxious.

doctor
Answered by Dr. Muhammad Ahmad (12 hours later)
Brief Answer:
You can get better quite easily.

Detailed Answer:
Hi,

Thanks for writing back in such detail.

I have read both your posts and will try to help you in this.


I will hereby want to assure you that what ever issues you are having are very treatable. I appreciate that you are drug free, addiction free and you want to stay medicine free too.

Here I would like to address all your concerns one by one.

1) Anxiety , depression:

This can be treated staying drug free by simple counselling sessions, joining help groups, meditation, yoga, and staying busy in your favourite hobbies.

Vitamine D correction will also relieve your symptoms by making you feel energetic strong and better .

Also I would like you to get your thyroid profile done , thyroid issues sometimes cause anxiety , lethargy problems.

2) MTHFR mutations.

Yes you are right, the mutation causes faulty amino acid metabolism , which causes elevated amounts of homocysteine in the blood , this mutation is really common and seldom cause any issues, but with that some people get homocysteine levels elevated, if on blood tests homocysteine comes out to be elevated, this can be treated really easily with simple measure, not heavy duty meds, your nutritionist will be able to deal with it.

3) Kidney Infection:

This is not a big issue i think by now issues must have settled. If you were prescribed antibiotics by you dr , i will suggest you to use them completely according to schedule and course.

4) Heart issues.

QT interval can be elongated by meds or any other issues sometimes it doesn't mean any thing serious we just have to take care , not to use meds which increase QT interval that's all what you ought to do about heart.

5) Blood sugar:

It's well within normal limit a difference to 101-106 ain't significant you don't have to worry about that.



I would suggest you to keep consulting nutritionist but also start getting consult with a psychiatrist and do discuss with your psychiatrist that you want to have a drug free treatment with exercises, counselling, therapies, remedies etc.

I am quite hopeful that things will get better in some time all you have to do is to keep calm and keep a good followup and compliance with the treatment.


I Hope this answers your question, if your have more queries feel free to ask, otherwise close the discussion and rate it. Wish you the best of health.



Regards,

Dr.Muhammad Ahmad.

M.B.B.S.

Resident M.D.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Muhammad Ahmad (16 hours later)
Thank you very much for your time and expert opinion. It is so nice to know that sites like this exist!! Have a wonderful evening.
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Answered by Dr. Muhammad Ahmad (12 hours later)
Brief Answer:
Thanks for appreciation,

Detailed Answer:
Hi,

Thanks for your appretiation in the efforts we put in to help you out in your concerns.

You are always welcome to ask any concerns you might have.

Regards.

Dr.Muhammad Ahmad.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Muhammad Ahmad

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Practicing since :2012

Answered : 1308 Questions

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Suggest treatment for severe anxiety, depression and insomnia

Brief Answer: Need some more info Detailed Answer: Hi, Welcome to Health Care Magic, I am Dr.Muhammad Ahmad, I have read your message and will try to help you in best possible way. I would like you to give me some more info in this regard.This will let me evaluate if you need another doctor or not. Here i will ask you some questions to guide our conversation. 1)Please tell complete history when things started and how they proceeded what were your symptoms then and what are they now. 2)How has nutrional consult helped you. 3) Are you getting better or worsening with time. 4) Taking any meds? 5) Any other medical condition along with this? Waiting for your input. Dr.Muhammad Ahmad M.B.B.S Resident M.D.