I just started taking supplements. Just thinking if it does not fully fix it.
Well if you take enough, the numbers on your blood work will come up.
There are those who argue that getting it naturally from sunlight (ultraviolet) is ābetterā. I am not convinced that there is great evidence for that. But itās advice that is out there.
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Iām sure weāve talked about this, but just in case - have you tried Doxepin for sleep?
It changed my life. I used to fall asleep fine, but then wake up at 3am and not be able to get back to sleep until 6am. It was hell. Doxepin fixed that, and I feel perfectly normal in the morning.
Iāve been on it for at least 15 years and still use the same dose. And I can generally sleep ok w/o it if I have to.
Never that one but tried another antidepressant for sleep. Also was prescribed benzos at one point. None of it worked better than just over the counter melatonin tbh, which is to say not 100% effective at inducing sleep and does nothing for feeling dead within a few hours of waking up.
Might be worth it to try doxepin. The sleep dosage is 1/10th the depression dosage.
I do the liquid, which I like because the taste sends my body a message that itās time to sleep. That and watching something soothing like How the Universe Works, or one of my zoo shows, or any documentary with David Attenborough - just puts me right out.
My mom used to take doxepin to help sleep and it worked fairly well.
The liquid I get for sleep is super cheap. Maybe because they canāt separate out a sleep dose and itās the same patent as the depression dose or something.
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Ask your doctor about Thursday Night Football. I donāt really have trouble sleeping as much now though since Iām not crashing inappropriately way before bedtime anymore. The number of daytime naps and sleeps Iāve taken since starting adderall is pretty close to zero, whereas before it was multiple per day.
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Sounds like they realized the liquid actually worked for insomnia and came up with a new patent that they could charge 50x for. Then of course marketed the hell out of it and donāt let anyone know about the liquid.
Iām lucky to have a very good psychiatrist who researches a lot and was on this (I think) before the pills came out.
The video was hilarious, like in the sad way
https://twitter.com/sulmoney/status/1591460526240006150
https://twitter.com/sulmoney/status/1591587654361313280
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Have you ever looked at prices for melatonin receptor agonists? 
To me that seems smart if you are working on long term relationships. If he reps other stuff in the future you are more likely to give him consideration.
Sadly Iāve heard this is incredibly common. Never affects me though.
That could have been the problem. Should have sent in one of the many smokeshows theyāve got in these roles.
In case itās not obvious, Iām kidding.
A good friend of mine is a surgeon who often complains about getting peer reviewed by non-surgeons.
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There is a study they did to see how doctors treat disabled patients. It seems like in this context disabled means in a wheelchair. But. It kind of flits in and out.
Some of this data is based on really small data sets, the main study was a bit bigger.
in Health Affairs, that showed only 56 percent of doctors strongly welcomed patients with disabilities into their practice. Less than half were confident or very confident that they could provide the same quality of care to people with disabilities as they could to other patients.
The patientās discharge notes repeatedly recommended an appointment with a specialist, but it hadnāt happened. Lagu asked why. Eventually, the patientās adult daughter told Lagu that she hadnāt been able to find a specialist who would see a patient in a wheelchair. Incredulous, Lagu started making calls. āI could not find that kind of doctor within 100 miles of her house who would see her unless she came in an ambulance and was transferred to an exam table by EMS,ā she said, āwhich would have cost her family more than $1,000 out of pocket.ā
There is more interesting information including doctors often feeling disabled have a lower quality of life and that impacts how they are treated. It also touches on obesity being used as an excuse for lots of health problems, making it so a doctor is less likely to dig deeper on obese patients.
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Got the same issue. Apparently, thereās a tenuous connection between lack of vitamin D3 and seasonal depression. So I make sure to take my multivitamin + D3 supplement and wear my silly looking lightbox type glasses for 15 minutes every morning before work. Like you, I take melatonin before bed and drink a bunch of coffee in the morning.
Itās been an improvement. Iām actually happier and way less anxious now than I was at this time last year.
Anyway, the Czech healthcare system does have its issues. For example, I assumed that my flu vaccine would be covered the same way my COVID vaccine was. But sadly, that is not the case. Flu vaccine is only covered if you have some kind of risk factor. Otherwise itās 500 CZK (about $21 US) for a vaccine. Since I am a teacher, my school covers half the cost. Iād say $10 for a flu shot is worth it but it isnāt the universal healthcare one would expect.
The real issue is really with the lack of assistance provided by receptionists/secretaries. Doctors and nurses are fine at their job but getting to them is a pain in the ass. Called 4 phone numbers and sent emails to 3 addresses just to get a new prescription for my medications. This is primarily due to my neurologist moving to a new hospital and sending me the wrong contact information. And I really needed it because I was almost out of medication. Turns out heās on vacation and I luckboxed my way to his substitute who did write me a prescription. But man today was an anxious day.
Sounds a lot like seasonal affective disorder? If thatās what you have then noticing an improvement would be expected. In my case, none of the interventions like light box therapy or sleep hygiene methods had any appreciable effect. Eventually I went to an actual expert and we figured out why with extensive testing, but my treatment options arenāt great. We tried two drugs that targeted it directly which worked well but I had to stop both due to side effects, so Iām back to managing / masking it with the stimulant + melatonin cocktail.
I saw the light box and assumed you had seasonal affective disorder too. Sorry for the misunderstanding.
No problem. SAD is more common but it also gets used for circadian entrainment.