53 year old female with Anxiety
A lovely 53 year old woman came to the clinic with concerns of anxiety, tinnitus, attention issues, and some confusion. Her GAD7 score was 18, indicating severe anxiety. [GAD7 Questionnaire].
A review of the labs ordered:
TSH, ferritin, lipids, hsCRP, homocysteine, CBC, Metabolic panel were all normal.
Vitamin D 23 [low]
B12 203 [suboptimal]
qEEG results showed her to have an "overwhelmed anxiety spectrum" pattern.
Organic Acid Testing:
- elevated need for fat soluble antioxidants
- elevated oxidative stress markers
- low glutathione
- high need for B vitamins and Magnesium
Treatment Plan:
Acetyl-l-carnitine
CoQ10
B12 sublingual
Vitamin D
Herbal formula: Gotu Kola, Bacopa, Ginkgo, Ashwagandha, Shankhpushpi
High polyphenol/ Mediterranean Diet
8 Week Follow Up:
At the 8 week follow up, her energy was improved and she was finding it easier to focus. Sleep problems has resolved and her GAD7 score decreased to 10, indicating moderate anxiety.
Treatment Plan:
Adrenal Support: Ashwgandha, Scutellaria, Eleuthrococcus, Rhodiola, L-theanine, Phosphatidylserine
Gluten Free diet
Begin neurofeedback
16 Week Follow Up:
At the 16 week follow up, her energy continues to improve, sleep continues to improve and GAD7 score decreased to 4, indicating minimal anxiety. Vitamin D and B12 levels were retested and found to be within normal limits.
Treatment Plan:
Continue with gluten free diet, and adding high polyphenol foods
Discontinue B12 and vitamin D
Check in after neurofeedback ends in 4 weeks.