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Latest Questions


Yesheen (dr.) Singh Medical Doctor View profile

Dear T



Thank you for your question. I empathise with what you are going through. It is often quite traumatic to have one's trust broken. That said it is impossible for me to advise you on an appropriate course of treatment, be it pharmaceutical or alternative, without doing a proper history clinical examination first. This is especially important given your previous history of depression. I can advise that you ensure that you take in high quantities of good quality omega 3 fatty acids as these have been found to be beneficial to most people with mood disorders but anything more will have to follow a consultation.



You are welcome to contact me via www.healthnation.co.za to make an appointment.



Many thanks and warm regards

Yesheen Singh

Yesheen (dr.) Singh Medical Doctor View profile

Dear N



Thank you for your question. I would not advise that you mix the two. Both make use of a particular enzyme group in the liver to deactivate used molecules of the drug and if you use both together then a bottle-neck occurs and both drugs float around for much longer in your system than intended. This can be dangerous as it can lead to overdosing of both the Wellbutrin (Bupropion) and Solal's Burnout Fatigue product.



I would advise a proper consult with a practitioner to why you feel the need for Solal's Burnout product and then the practitioner can find something that helps alleviate the symptoms you are experiencing that will either work wth the Wellbutrin or even take away the need for the pharmaceutical.



You are welcome to contact me at www.healthnation.co.za if you would like to discuss your options further.



Many thanks and warm regards

Yesheen Singh

HealthNation

Nicola Webster Psychologist View profile

Thank you for your question. I am glad that you have sought help as it seems that your symptoms are causing real difficulties in all areas of your life. I can imagine that being a business owner comes with a lot of stress and what we know is that over time, stress takes a huge toll on us physically, emotionally, cognitively and behaviourally. A certain amount of stress in itself is not bad but chronic stress eats away at our resources and coping skills. With time too much stress can lead to physical complaints such as headaches, neck pain, high blood pressure, and digestive problems, as well as irritability, insomnia, difficulty concentrating, anxiety and depression.

You describe a problem which began with insomnia but has now extended to lethargy, a lack of motivation to do the things you used to enjoy, moodiness and little desire to be active.This tells us that your stress has moved far beyond being constructive. The first important step is recognising the signs of stress which is what you have done. What will be important next is to sit down and identify the causes of your stress.

It sounds like running your business is a huge contributing factor but there may be other things adding to the stress which you may not realise. Any changes in our home or work lives can add to our stress even if they are positive. From things like financial troubles, death of a family member or friend, divorce and personal illness to others like moving house, having a baby, business readjustments or even getting a promotion, we can sometimes underestimate the stress that events in our lives cause. You may want to sit down and think about what is contributing to your stress. By doing this you are then able to see where you may be able to reduce the stress. Perhaps you can delegate more at work or get more support from your family with your responsibilities at home.

I would suggesting trying a more holistic and long term approach in dealing with your stress, which will include lifestyle changes which may take a while to implement and get used to (it may be helpful to enroll the help of your partner and family). The basic things like eating healthily and exercising can help a huge amount in reducing stress. Unfortunately, stress also decreases our motivation to exercise and maintaining an exercise programme may be difficult. You mention that you no longer feel you have the energy for the sports that you used to enjoy. Ironically exercise, once we get ourselves to do it, helps with exhaustion and stress. Not only is this because sport is a good outlet for emotions but also because, among other physical effects, it increases the levels of the neurotransmitter serotonin in our brains. Serotonin helps regulate our moods and reduces irritability, anxiety and depression. Exercise also ensures that we sleep better at night. It may thus be helpful to force yourself to exercise even if it is only for a short time everyday. This could be going for a walk with someone from your family or your dog, playing outside with your children or nieces or nephews, or doing a hike over the weekend. Getting outdoors and spending real time with family have both been shown to reduce stress in their own right.

Finding other relaxation methods that work for you can also be very beneficial. More general methods like deep breathing, which can be done throughout a stressful day, or specific techniques like yoga and meditation, can all help to reduce stress. If none of these appeal to you, simply building time into your day to do the things that you enjoy and that help you to unwind will have a similar effect. We know that a lack of restful sleep will exacerbate any stress we feel and this can become a vicious cycle- the more we stress, the less we sleep, the more stressed we feel… and so on. Again start with the basics: try to reduce your caffeine intake during the day and not have caffeinated drinks after about 5 ‘o clock. Similarly with alcohol, reduce your intake particularly in the few hours before you go to sleep. Switch off the TV and computer a while before you go to bed and rather do something that calms your mind like reading or having a relaxing bath. Not sleeping properly is a serious problem and can be a symptom of depression. If none of these things seem to make a difference I would certainly recommend speaking to your doctor about this.

The moodiness that you describe may also be pointing to something that is bothering you but that you may not be aware of. Often when our underlying emotions are ignored they spring out up in different ways. For example some people may become irritable, others may begin to drink or smoke more, while others may withdraw. Try speaking to your spouse or a close friend about some of what is bothering you. A few sessions with a cousellor or therapist could also be helpful in exploring all the causes of your stress and helping you to find ways of reducing and dealing with the symptoms.

Approaching your stress in a more holistic way will help to deal with the underlying causes of your symptoms rather than just ‘putting a plaster on’ them. This said, however, if you find that you are more and more unable to function in your everyday life it will be important to visit your doctor who may suggest putting you on short-term medication in order to help you get back on track.

I hope this helps you to start reclaiming your life back.

Kind regards

Nicola

Yesheen (dr.) Singh Medical Doctor View profile

Dear B

Thank you for your question. I have to say that it is quite difficult to offer a sound opinion because I do not have access to your entire past history. Specifically the reasons why your psychiatrist felt the need to continue with an anti-depressant such as Prozac. If it was for something that was quite temporary then I see no reason why you should wean yourself off the medications once you have built up enough of the personal coping mechanisms to begin engaging with the up's and down's of today's world without the need for a pharmaceutical.

The fact that you are on one pill every second day without any return of negative symptoms is encouraging. I would continue easing yourself off the pills, removing an additional pill per week every two to three weeks. For example if in week one you were using four pills per week on Sunday, Tuesday, Thursday and Saturday, in week four remove the pill used on Saturday, in week seven remove the pill used on Tuesday and so forth.

I always prefer a slow and steady approach to weaning anyone off chronic medication and the slower the process moves the more opportunity your body has to acclimatise to a state without the influence of the pharmaceutical.

One major oversight in your plan of action though is the use of a strong Omega 3 product. We're talking extra-high doses of high-grade EPA and DHA used for the duration of your weaning off process and at a lower dose for the rest of your life. Metagenics make an excellent product called "EPA:DHA Extra Strength" which you can get from your local Wellness Warehouse.

If you need a more detailed plan of weaning off your antidepressant please don't hesitate to make an appointment at www.healthnation.co.za

Many thanks and warm regards

Yesheen

Yesheen (dr.) Singh Medical Doctor View profile

Dear F

Thank you for your question. The Elexoma Medic Machine purports to make use of Cranial Electrotherapy Stimulation, which involves the application of electricity as pulses across the head of the recipient. The charge is quite low but there are several promising studies that have shown positive benefit in people dealing with depression, anxiety, stress, insomnia and substance dependancy disorders. There are also a few studies that show some benefit to people with chronic pain syndromes, such as trigeminal neuralgia, although these produced temporary alleviation of pain symptoms. The currents used here where in the range of 600 milli-amperes.

I have not used the Elexoma machine personally nor prescribed it and as such cannot offer an opinion on its effectiveness. I would however consider a trial run to evaluate the response of you body to the micro-current stimulation.

What I have found to be successful in the management of TN is acupuncture combined with the appropriate use of omega 3 oil and herbal supplements that support mitochondrial rehabilitation.

Many thanks and warm regards

Yesheen


Please Note:

The Wellness Q & A is for informational purposes only, and is not intended to diagnose or provide treatment for any condition. If you have any concerns about your health, you should always consult directly with your healthcare professional. Wellness Warehouse will not be liable for any errors in the Wellness Q & A, or for any actions taken in reliance thereon. The advice on the Wellness Q & A is not comprehensive and does not replace the assessment and advice of your own healthcare professional. Consultation with your healthcare professional is extremely important if you are experiencing persistent or severe symptoms.

Caution:

Consult your doctor, healthcare professional, and/or pharmacist before using any supplements or before making any changes in prescribed medications. If you have a chronic illness or routinely take prescribed or over-the-counter (OTC) medication, or you are pregnant or breastfeeding, it is extremely important to consult your doctor, healthcare professional, and/or pharmacist before taking any new medication. Do not stop taking any prescription medication without consultation and guidance from your doctor.

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