One of the most remarkable papers I have read in the psychiatric literature was about a 57 year old woman who was treated with months of both antipsychotic and #antidepressant medications and given two rounds of electroconvulsive treatment before anyone bothered to check her vitamin B12 level. Her symptoms were years in the making including tearfulness, #anxiety, movement abnormalities, constipation, lethargy, and eventually perceptual disturbances (hearing her name called) and the ultimate in severe psychiatric pathology: catatonia. Despite her inpatient treatment, she remained suicidal, depressed, and lethargic. Within two months of identifying her deficiency, and subsequent B12 treatment, she reverted to her baseline of 14 years previous, and remained stable with no additional treatment. If this is not a wake up call to the average psychiatric prescriber, I’m not sure what is. Much of what we attribute to serotonin and dopamine “deficiencies” melts away under the investigative eye of a more personalized style of medicine that seeks to identify hormonal, nutritional, and immune imbalances that can “look” #psychiatric in nature. kellybroganmd/artic…/b12-deficiency-brain-health/
Posted on: Tue, 13 Jan 2015 02:30:01 +0000
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