by Dr.Glenn Rothfeld

1. Nutritional approaches
a. Eliminate sugar / food additives / caffeineb. Food sensitivity elimination and challenge: most common allergens are dairy, wheat (and other gluten grains), yeast, sugar, coffee, eggs, preservatives, citrus, tomatoes

b. most common allergens are dairy, wheat (and other gluten grains), yeast, sugar, coffee, eggs, preservatives, citrus, tomatoesc. Decrease High Glycemic Carbohydrates — 3 meal, 2 snack protein & produce diet or: balance protein and carbohydrate at each meal (”Zone” approach)

2. Nutrient approaches

a. Vitamin B6 (25 mg with other B)

b. Folate 1-2 mg (check B12)

c. Vitamin C (500 – 3000 mg, buffered form)

d. Cal / Mag (500-1000 mg apiece; chelated form)

e. Potassium (99 mgm three times daily)

f. Zinc / Copperg. Chromium 400 mcgm, L-Glutamine 500 mg (3-4 / daily) help control sugar cravings

g. 400 mcgm, 500 mg (3-4 / daily) help control sugar cravingsh. Neurotransmitter precursors: L-Tyrosine, L-Phenylalanine; 5-Hydroxytryptophan (200 mg to start)

i. Laboratory measurements of amino acids and a customized formulation to address deficiencies

3. Hormonal approachesa. DHEA (adrenal reserve hormone)

a.adrenal reserve hormone)b. Melatonin (chemically related to serotonin, and converts to it)

c. Natural progesterone (particularly for premenstrual depression)

d. Tryptophan (serotonin is made from this)

e. Salivary assays for adrenal function, and adjust accordingly

4. Herbal approachesa.St. John’s Wort (usually standardized to .3% hypericin) 300 mg 1-3 times daily

a. (usually standardized to .3% hypericin) 300 mg 1-3 times dailyb. Valerian (tincture or capsules, variable doses, usually taken at night)

c. Passiflora / Passionflower (tea, tincture, capsules)

d. Licorice (tea, tincture, capsules)e. Stabillium (2-4 capsules at night)

f. Kava (30% extract; 200 mg 1-3 times daily)

g. Ginkgo biloba extract (24%; 240 mg daily) helps sexual side effects of SSRIs

g. Chinese herbal medicine: Suanzaoren; An Mien Pian

5. Other approaches

a. Exercise b. Environmental medicinec. Acupuncture (Five Element Style, other styles)

c.(Five Element Style, other styles)d. Behavioral medicine / Biofeedbacke. QiGong, Yoga

e. f. Low frequency cranial stimulators (CES) g. Pulsed magnetic stimulation (Neo-Pulse)h. Light therapies

h.

These recommendations should be done in conjunction with your physician.