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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Cairo on December 30, 2004, at 20:33:52
I need to put together a new vitamin/supplement regimen for my 16 y/o daughter. She's been diagnosed with ADHD, social phobia, dysthymia, depression, and LD. She is currently on Lexapro and Provigil, and has just been weaned off low dose Librium for some acute social anxiety situations. Her social phobia is better on the meds, but there's room for improvement and her health is a concern.
Her diet is very poor - she craves meat and carbs, though her appetite in the last 6 weeks (prior to starting the Provigil and Librium, but 10 months after being on Lexapro with no effect on appetite) has decreased dramatically. Although I have no experience with anorexia, I honestly don't think she is anorexic, nor bulemic. Either her tutor or I am with her constantly and there is no evidence of purging. She says she's just not hungry and I believe her. We will be following this up with our psychiatrist and pediatrician, just to be sure.
Her symptoms are: social anxiety, poor attention, motivational difficulties, difficulty falling asleep (sleep shift), daytime fatigue.
Physical signs are: increased body/foot odor, constipation, dry skin and bumps all over her body, acne, muscle aches and trigger points, joint hypermobility, increased loss of hair. Thyroid panel is normal.
I have tried giving her Coromega and vitamins, but she either complains of the size of the capsule or the taste and we end up not giving anything a good therapeutic try. She definitely needs to be on a good regimen and this is where I need help.
I know she needs antioxidants, B-vitamins, omega-3s, magnesium/zinc/calcium, etc., but what would be your specific recommendations for supplement, dose, type/brand and frequency? I read the literature and come away fearful that giving her too much of something will be deleterious. Her diet needs to change, but in the meantime, we need to supplement to get her feeling better.
I would really appreciate your help! Thank you.
Cairo
Posted by Larry Hoover on January 1, 2005, at 22:01:46
In reply to Need a regimen for daughter, posted by Cairo on December 30, 2004, at 20:33:52
> I need to put together a new vitamin/supplement regimen for my 16 y/o daughter. She's been diagnosed with ADHD, social phobia, dysthymia, depression, and LD. She is currently on Lexapro and Provigil, and has just been weaned off low dose Librium for some acute social anxiety situations. Her social phobia is better on the meds, but there's room for improvement and her health is a concern.
>
> Her diet is very poor - she craves meat and carbs, though her appetite in the last 6 weeks (prior to starting the Provigil and Librium, but 10 months after being on Lexapro with no effect on appetite) has decreased dramatically. Although I have no experience with anorexia, I honestly don't think she is anorexic, nor bulemic. Either her tutor or I am with her constantly and there is no evidence of purging. She says she's just not hungry and I believe her. We will be following this up with our psychiatrist and pediatrician, just to be sure.
>
> Her symptoms are: social anxiety, poor attention, motivational difficulties, difficulty falling asleep (sleep shift), daytime fatigue.
>
> Physical signs are: increased body/foot odor, constipation, dry skin and bumps all over her body, acne, muscle aches and trigger points, joint hypermobility, increased loss of hair. Thyroid panel is normal.
>
> I have tried giving her Coromega and vitamins, but she either complains of the size of the capsule or the taste and we end up not giving anything a good therapeutic try. She definitely needs to be on a good regimen and this is where I need help.
>
> I know she needs antioxidants, B-vitamins, omega-3s, magnesium/zinc/calcium, etc., but what would be your specific recommendations for supplement, dose, type/brand and frequency? I read the literature and come away fearful that giving her too much of something will be deleterious. Her diet needs to change, but in the meantime, we need to supplement to get her feeling better.
>
> I would really appreciate your help! Thank you.
>
> CairoI'm still thinking about certain things before I say anything more, and I just wanted you to know that your post isn't being ignored.
I'm a little concerned that she doesn't like taking pills. I'm thinking that the best course might well be a fair number of pills each day, at least to see if you can get some of the symptoms to settle down a bit.
I need to research a couple of things still.
Lar
Posted by Cairo on January 17, 2005, at 15:10:09
In reply to Re: Need a regimen for daughter » Cairo, posted by Larry Hoover on January 1, 2005, at 22:01:46
Larry,
I appreciate your help. I re-started her on a combo of minerals in a prep called Krebs Cycle Chelates by Enzymatic Therapy which has various minerals as citrate, fumarate, malate, succinate and alpha-ketoglutarate salts as well as re-starting B-50 and Ester-C 500mg and her appetite picked up a smidgen. But it's still not what it was and she's still complaining of being tired. The doctor ordered some lab tests this week: B-12 and folic acid levels, lead level, RBC magnesium, ferritin, EBV (she had mono 2 years ago),SMAC with liver enzymes/CBC and thyroid panel .
We're having a little better luck on her taking tablets, but the large EPA/DHA capsules make her gag. She said she'd go back to the Coromega emulsion packets.I'll keep you posted on the results of her lab tests.
Also, she's only partially responded to Lexapro, Librium for social phobia. Provigil makes her a little more pro-social, but her confidence is not what it needs to be. And her attention is still not good, even with a tutor working with her 1-on-1. Psychostims cause anxiety and withdrawal in her. Any ideas for supplements?
Thank you for your dedication to all of us Dr. Bob-ers.
Cairo
> I'm still thinking about certain things before I say anything more, and I just wanted you to know that your post isn't being ignored.
>
> I'm a little concerned that she doesn't like taking pills. I'm thinking that the best course might well be a fair number of pills each day, at least to see if you can get some of the symptoms to settle down a bit.
>
> I need to research a couple of things still.
>
> Lar
>
>
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