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King of supplements: Omega-3 fatty acids (fish oil)


Altostrata

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I'm thinking about switching omega 3 fish pills from the original Nordic Naturals Ultimate Omega 1280 mg daily to the ones made from algae or potentially cod liver oil due to histamine issues the originals could be causing. Is this something I need to slowly transition over to or can I just make the switch since its still fish oil just made with a few different ingredients?

-2014: Lexapro/escitalopram 10 mg, 2015-2021: Lexapro/escitalopram 20 mg

-10/2020-3/2021: decreased 20 mg to 15 mg, 1 mg a month

-4/2021: decreased to 10 mg, held for 11 days, 4/2021: decreased to 5 mg, held for 8 days

-4/2021: 3-6 days cold turkey lexapro, withdrawal symptoms so reinstated 2.5 mg 

-omeprazole taper: 9/2021 cut 25%, 10/20/21 25% cut, 12/1/21 25%, 12/28/21 25% cut, (9/36 beads of 40 mg)

-11/2020 omeprazole 20 mg, 3/2021: omeprazole 40 mg,

-Nordic Naturals Ultimate omega 3 fish pill: 1280 mg

-montelukast: 10 mg dailyzyrtec: 10 mg daily 

-3/20/2021-7/25: mesalamine 1.2 GM, 3 times a day - dropped

-birth control: Trilinyah 2014- 2/1/2021 quit cold turkey middle of pack 

7/16/2021-8/1/2021 Quicksilver Liposomal multivitamin liquid: biotin, zinc, Vitamins A, C, D E, K, Niacin,, Thiomine, Riboflavin,Vitamin B6, B12, 7/16/2021- 8/25/2021 - boswelia complex (tumeric. ginger, celery) - 2 a day - dropped

7/16/2021 - probiophage probiotic - dropped 

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After reading this entire thread, I found some conflicting views on algae fish oil. Anyone have any updated research they found?

 

I read @nick1990 wrote how algae fish oil would work as a replacement for regular fish oil with studies to back it up saying how there is NO drawback in supplementing with Algae DHA over Fish Oil DHA and how health risks are lesser with the Algae option. Especially with algae being the original source. What brands of algae fish oils would you recommend? 

 

However, I also read that algae fish oil has no benefit on nerves, brain, and inflammation, which is what we need in WD and not helpful because EPA needs to be twice as high as DHA. According to @JanCarol EPA is apparently needed to get the available DHA into the brain, so EPA supplementation is way more important than DHA, which leaves us with fish oil as the best source.

 

I'm looking to switch from regular to algae oil because regular fish oil has high histamine content and salicylates and I think its causing reactions for me as I lower the amounts in my diet. Will a switch from fish oil to algae fish oil cause side effects? I need to drop it with high histamine in my diet causing unfocused vision, anxiety, heart palpations etc. 

 

-2014: Lexapro/escitalopram 10 mg, 2015-2021: Lexapro/escitalopram 20 mg

-10/2020-3/2021: decreased 20 mg to 15 mg, 1 mg a month

-4/2021: decreased to 10 mg, held for 11 days, 4/2021: decreased to 5 mg, held for 8 days

-4/2021: 3-6 days cold turkey lexapro, withdrawal symptoms so reinstated 2.5 mg 

-omeprazole taper: 9/2021 cut 25%, 10/20/21 25% cut, 12/1/21 25%, 12/28/21 25% cut, (9/36 beads of 40 mg)

-11/2020 omeprazole 20 mg, 3/2021: omeprazole 40 mg,

-Nordic Naturals Ultimate omega 3 fish pill: 1280 mg

-montelukast: 10 mg dailyzyrtec: 10 mg daily 

-3/20/2021-7/25: mesalamine 1.2 GM, 3 times a day - dropped

-birth control: Trilinyah 2014- 2/1/2021 quit cold turkey middle of pack 

7/16/2021-8/1/2021 Quicksilver Liposomal multivitamin liquid: biotin, zinc, Vitamins A, C, D E, K, Niacin,, Thiomine, Riboflavin,Vitamin B6, B12, 7/16/2021- 8/25/2021 - boswelia complex (tumeric. ginger, celery) - 2 a day - dropped

7/16/2021 - probiophage probiotic - dropped 

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Hi everyone.

 

I've been reinstated back onto Citalopram 2.5mg daily for a few months now, and am still taking supplements but not sure if they're having much effect. I'm willing to do whatever I need to do, but they're not cheap, so wanted to see if anyone had any experience to share on the effectiveness of them vs not taking them at all?

 

They are:

 

Omega 3 - 2000mg - 2 capsules daily

Magnesium - 100mg - 2 tablets daily

Vitamin E - 400 IU - 1 tablet daily

 

I was thinking of stopping to see how things were without them, but still get some pretty bad waves of withdrawal, so didn't want to make things worse. Alternatively, I've always taken them since I started my initial taper, so not sure what I'm getting from them, or even if they're making things worse.

 

Any ideas?

 

Thanks in advance,

 

x

Olanzapine 2.5mg 2007 - 8.5.2020. 1.25mg held for 4 weeks then stopped.

 

Citalopram 20mg 2007 - December 2020. Tapered down from 20mg daily, to 1.25, by halving the dose, holding for 3/4 weeks after each reduction, then jumping off in March 2021.

 

23/6/ 2021 Reinstated Citalopram, 0.5mg, held for a week then increased to 1mg. Held for four weeks then increased to 1.5mg. Held for two weeks then increased to 2mg. held for two weeks then increased to 2.5mg. been on 2.5mg since 24/8/21

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Fish oil

 

Hello,

 

I see fish oil can be extremely beneficial. Now, for someone who is on alot of supplements for different reasons, I want something that's reputable, cost effective, etc and not something that's 1 more pill to put in my body. I am cautious with this stuff. I know there's much controversy on vitamins and supplements these days. Any good fish oil brands?  I know everyone responds differently.  

 

Thank you.

 

Edited by ChessieCat
added topic title before merging with existing topic

2009-2018, Paxil 40 mg. Tapered-0mg in 6 weeks.

October 2020-May 2021

Zoloft, 25mg, 50mg, then 100mg. Tapered 25mg a week then 0mg less than a month. 

July 2021-  Zoloft reinstated  25mg 1 week , 50 mg 1 week later, 100mg 2 weeks later.

March 2022- began taper from 100mg, 10%/ 4 weeks. Got to 75mg around July 2022. Bad fatigue, body pain, OCD thoughts, intrusive fears/thoughts, occasional nightmares, memory loss, tongue tied, more frequent headaches, fear of losing everything, bipolar like behavior, paranoia that everyone is watching and judging me, unprovoked anger/rage, occasional flu like symptoms, dizziness, hair loss becoming the norm in the last few months.

Still in treatment for Lyme Disease and  Bartonella 4 years later as well as for Mycotoxins, EBV, MCAS with no resolution or positive responses to treatment protocols.

May 2023-August 2023 75mg-62.5mg.

August 2023-Current 50mg

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Hello,

 

is algae oil with enough DHA and EPA as good as fish oil or is fish oil a "better" form to take? Of course algea oil is more expensive and has more DHA than epa but if you take 3000mg it should be enough of both 

Venlafaxine 150mg since 2016

2018-2020 start to reduce Venlafaxine in 10% steps to 50mg

August 2020 switch from Venlafaxine 50mg to Prozac 13mg cross taper switch over 2 weeks

 

Also taking Omega3 and Magnesium (not anymore)

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  • 3 months later...

Idk if anyone mentioned it here somewhere but I wanna mention that if you have bad reaction to the fish oil - it doesn't necessarily have to be the fish oil itself. It can be its form which starts the adverse reaction. There Are 4 main forms - ethylesthers, tryglicerides, tryglicerids that were first transformed to ethylesthers and then back to tryglicerides and krill oil. Ethylesthers are usually cheap in capsules form - I found that I have pretty bad reaction to these and I think that it is because even there is a little alcohol in ethylesther molecule there is still some. Then we have more expensive tryglicerides (usually lower epa+dha but still better than ethylesthers cuz the absorption Is twice better). Finally most expensive transformed tryglicerides and krill. Best for absorbtion is krill And transformed tryglicerides (for example nordic Naturals ultimate omega 3) these are the Kings for omega 3 supplemantation and I recommend them the most.

I have no adverse reaction to these.

January 2018 - August 2018 Zoloft, from 150 mg to 0 in one month (last dose in August)

December 2018 - July 2019 Seropram (Citalopram), from 8 drops to zero in 2 months (last dose in July)

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  • 1 month later...

@Altostrata

 

Hi all.

 

Been taking both Omega 3 & Magnesium since Citalopram reinstatement a year ago. Over a year it's worked out kind of expensive. I don't mind the expense if I know they're helping but....

 

I really don't remember much of a change to my symptoms when I started taking them so I'm not really sure if they're helping, or how much?

 

Has anybody got experience of taking them, then not taking them & what happened. Any noticeable benefit or difficulties to speak of?

 

Thanks in advance,

 

x

Olanzapine 2.5mg 2007 - 8.5.2020. 1.25mg held for 4 weeks then stopped.

 

Citalopram 20mg 2007 - December 2020. Tapered down from 20mg daily, to 1.25, by halving the dose, holding for 3/4 weeks after each reduction, then jumping off in March 2021.

 

23/6/ 2021 Reinstated Citalopram, 0.5mg, held for a week then increased to 1mg. Held for four weeks then increased to 1.5mg. Held for two weeks then increased to 2mg. held for two weeks then increased to 2.5mg. been on 2.5mg since 24/8/21

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  • Administrator

If you don't feel magnesium and fish oil are beneficial, you might stop taking one and see if that causes any changes. If no change, you could then stop taking the other and run the same experiment.

 

Over time, people can reduce their dosage of omega-3 fish oil to a lower daily maintenance dose.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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  • 3 weeks later...

I have this.. How many capsules should I take per day?

 

 

img_٢٠٢٢٠٦٢٨_٠٢٣٦٢٥١٤٩.jpg

I don't speak English fluently but I speak to you with google translator

2005-2006:Diversity in taking medications
 2006-2019 Seroxat 20 mg
 2020-2021 Cipralex 15 mg
 Mar 2021 it has decreased from 15 mg to 12.5 mg/Aug 2021 9mg/Sep 12, 2021 8mg/Oct 12, 2021 7mg / Nov 12, 2021 6mg / Dec 12, 2021 5mg / Jan 12, 2022 4.5mg /Feb 12, 2022 4mg/Mar-Apr 3.5mg/May 3mg The beginning of severe withdrawal

/sep 23, 2022 2.5mg

On March 19, 2023, I ended up in the emergency room, with severe palpitations, panic, and severe mental and physical fatigue, then I went back to a dose of 20 milligrams of Seroxat to this day.

 

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  • Moderator Emeritus
On 6/28/2022 at 9:39 AM, Mutfael said:

How many capsules should I take per day?

 

See the top of Post #1 of this topic.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • Moderator

This independent group called ‘Labdoor’ reviewed around 65 different brands of fish oil. They scored them on label accuracy, product purity, nutritional value, ingredient safety and projected efficacy.


https://labdoor.com/rankings/fish-oil

 

Active Monday-Friday UK time

 

MEDICATION:

1) Sertraline:

50mg - Oct 2020, 100mg - Dec 2020, 50mg - April 2021, 75mg - May 2021, 50mg - Sep 2021; Failed taper attempt (50 -> 49) - Jan 2024; Second attempt to start taper - 17 Feb 2024

Current dose: 48.9mg (Feb 2024)

2) Mirtazapine:

15mg  - Nov 2020

SUPPLEMENTS:

Cod liver oil

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  • 1 month later...

In continuation to my previous reply I wanna add some more valuable information for those who are still struggling with taking Fish Oil. What I discovered from my observation with taking it Is that trygliceride form should be raw, wild and unprocessed without any post added vitamins or other things - for example Rosita Cod Liver Oil (best experience so far with this one). Same pays for phospholipides form (krill oil). You should stay away from ethyl-esthers and re-transformed ethyl-esthers if you are sensitive one like me. I discovered that 100% natural things usually doesn't trigger any adverse effects in post WD. I don't say this pays for everyone but for me it works not only with fish oil but also with other supplements. Also you should always eat your fish oil with some fatty food to increase it's absorbtion. I usually eat it with peanuts. I tolerate this combination very well and if I take fish oil alone I usually struggle with it's digestion.

January 2018 - August 2018 Zoloft, from 150 mg to 0 in one month (last dose in August)

December 2018 - July 2019 Seropram (Citalopram), from 8 drops to zero in 2 months (last dose in July)

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I wonder what would the tapering protocol be for fish oil. I quit my 1500mg omega-3 fish oil pills because I'm having an inflammation (not covid) and one of the chinese patent medicine's instruction is : "do not take the medication when you are eating fish or fish products."  Can you really just stop taking fish oil all of a sudden? and will you still be able to take original dose(for example I stopped at 1500mg and I want to go back at 1500mg again) after pausing for a while?

2018: abilify(ct) -> lamictal(ct) -> quetiapine(fast taper): no withdrawal syndrome. All side effects and adverse reactions disappeared as soon as I went off the meds.

2019-2021: psych med free;

2021/05 - 08: oral contraceptive for abnormal period (had very irregular period with bleeding that could last 3 weeks)

2021/11: Had shingles for a few weeks, used gabapentin & Valacyclovir. Stopped when shingles stopped. No issues.

2022- 2/11-2/27: Vraylar 1.5mg/day, 2/25-2/27: Mirtazapine(all under previous psych NP's instruction); Went to ER for akathisia on 3/6/2022 and tried propranolol with lorazepam for around 5 days but did not work. Hospitalized on 3/16/2022 due to akathisia and introduced the following: Clonidine 0.1mg/day for 2 weeks; Lorazepam 0.5mg twice/day for 1 week; benztropine 1mg twice/day for 1 week; propranolol 10mg/day for 1 week.

100mg/day vitamin B6 from 4/6-4/17.

No med since 4/14/2022.

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I would always recommend tapering off supplements gradually instead of abruptly stopping them. For me it’s not worth the risk when you consider how sensitised our nervous system is from withdrawal. I like to spend 2-4 weeks tapering off them, depending on dose and how long I’ve taken it.

 

@SlowVeil

Active Monday-Friday UK time

 

MEDICATION:

1) Sertraline:

50mg - Oct 2020, 100mg - Dec 2020, 50mg - April 2021, 75mg - May 2021, 50mg - Sep 2021; Failed taper attempt (50 -> 49) - Jan 2024; Second attempt to start taper - 17 Feb 2024

Current dose: 48.9mg (Feb 2024)

2) Mirtazapine:

15mg  - Nov 2020

SUPPLEMENTS:

Cod liver oil

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1 hour ago, Erimus said:

I would always recommend tapering off supplements gradually instead of abruptly stopping them. For me it’s not worth the risk when you consider how sensitised our nervous system is from withdrawal. I like to spend 2-4 weeks tapering off them, depending on dose and how long I’ve taken it.

@Erimus dang, too late for me now. already stopped fish oil 1500mg for a week because of the inflammation. not feeling anything weird rn but do I still have to go the route of gradually upping the dose, starting from 900mg?

2018: abilify(ct) -> lamictal(ct) -> quetiapine(fast taper): no withdrawal syndrome. All side effects and adverse reactions disappeared as soon as I went off the meds.

2019-2021: psych med free;

2021/05 - 08: oral contraceptive for abnormal period (had very irregular period with bleeding that could last 3 weeks)

2021/11: Had shingles for a few weeks, used gabapentin & Valacyclovir. Stopped when shingles stopped. No issues.

2022- 2/11-2/27: Vraylar 1.5mg/day, 2/25-2/27: Mirtazapine(all under previous psych NP's instruction); Went to ER for akathisia on 3/6/2022 and tried propranolol with lorazepam for around 5 days but did not work. Hospitalized on 3/16/2022 due to akathisia and introduced the following: Clonidine 0.1mg/day for 2 weeks; Lorazepam 0.5mg twice/day for 1 week; benztropine 1mg twice/day for 1 week; propranolol 10mg/day for 1 week.

100mg/day vitamin B6 from 4/6-4/17.

No med since 4/14/2022.

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  • Moderator

It’s a person-by-person situation with supplements really. Different individuals have different tolerances when it comes to how much chopping and changing they can do with supplements (and drugs). 
 

On SA they recommend introducing one supplement at a time, starting at a low dose and gradually increasing. Obviously not everyone follows these guidelines, they’re just there as advice. At the end of the day only you can decide what’s best for your scenario, and how quickly you reintroduce the fish oil pills. Don’t stress it too much.

 

@SlowVeil

Active Monday-Friday UK time

 

MEDICATION:

1) Sertraline:

50mg - Oct 2020, 100mg - Dec 2020, 50mg - April 2021, 75mg - May 2021, 50mg - Sep 2021; Failed taper attempt (50 -> 49) - Jan 2024; Second attempt to start taper - 17 Feb 2024

Current dose: 48.9mg (Feb 2024)

2) Mirtazapine:

15mg  - Nov 2020

SUPPLEMENTS:

Cod liver oil

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  • 5 months later...

I would like to know from people who have tried fish oil. Who took fish oil by itself and who took it in conjunction with vit e? 

2015- Jan 2021 20mg Citalapram

Jan 2021- April 2021 Sertraline (CT)

June 2021 - Fluoxetine & Trazadone

Oct 2021- Trazadone to Quitiapin 

Oct 2021 to June 2022 switches Duloxetine then paroxatine then Venlafaxine.

June 2022- venlafaxine for 5 or 6 weeks at 37.5 twice daily. Upped for one week to 75mg twice daily but caused panic attacks. Dropped back down to 37.5 twice daily. Panic attacks stopped. 

1 week- 62.5mg 1 week- 50mg 1 week- 37.5mg 1 week - 25mg 

ANTIDEPRESSANT FREE SINCE JULY 22ND 2022!! 

18/05/23 - 01-06/23 doxycycline for a rat bite 

Taken propranalol since 2015. 80mg.

21/11/22 76mg. 28/11/22 72mg. 05/12/22 68mg. 19/12/22 64mg. 27/12/22 60mg. 02/01/23 56mg. 09/01/23 50mg. 16/01/23 47mg. 23/01/23 44mg. 29/01/23 40mg. 05/02/23 38mg. 12/02/23 35mg. 19/02/23 32mg. 25/02/23 27mg. 04/03/23 25mg. 11/03/23 22mg. 17/03/23 19mg. 24/03/23 20mg. 05/04/23 18mg. 11/04/23 16mg. 17/04/23 14mg. 27/04/23 20mg. 19/06/23 19mg. 25/06/23 20mg. 04/08/23 18mg. 11/08/23 17mg. 16/08/23 16mg. 25/08/23 15mg. 01/09/23 14mg. 08/09/23 13mg. 15/08/23 12mg. 22/09/23 11mg. 29/09/23 10mg. 19/11/23 9mg. 26/11/23 8mg. 03/12/23 7mg. 10/12/23 6mg. 17/12/23 5mg. 24/12/23 4mg. 31/01/23 3mg. 07/01/24 2mg. 13/01/24 1mg. 19/01/24 0mg. DONE! 

 

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Me too. I haven't been able to tolerate magnesium, but I need to take something for WD.

 

Prozac 10mg 1990-1999    -1999-2018 Effexor XR 75 mg capsules

-2018 Dr direct switched me from Effexor 75XR to Cymbalta 20mg XR and 20 mg Metoprolol following irregular heartbeat incident  -Late 2019 began worsening anxiety/ depression symptoms     -2020 Dr direct switched  back to 75 mg Effex XR   Symptoms worsened   -2021 Changed Dr and began therapy for GAD and worsening physical symptoms   -2022 Found this forum and began slow taper by removing beads -    6/7 - 6/10 Effexor 73.2mg  6/11-6/14  Effexor 72.9mg   nightmares, tinnitus, anxiety;  6/15- Effexor XR 72.6mg  6/16 - 6/20 Effexor XR 72.8   nausea, heart palpitations, anxiety, tinnitus 6/22-7/4 hold Effexor XR 72.9-73.1     7/5-7/11  Effexor XR 72.62  7/12 - 7/15  Effexor 72.6  bad symptoms 

7/16-7/17 Effexor XR upped to 72.9  7/18 Effexor XR 72.9  most symptoms gone  hold at 72.9 - 73.0   8/26 - 9/6  Trying to keep dosage under 73. Holding around 72.9 sometime 72.86 due to bead count  Having symptoms most days.

9/6-9/23    Holding at about 72.9-73. Still very ill. No improvement.

9/23 - 11/23  Still keeping dose around 72.9-73

11-23-Jan 14   Held until one week ago. Dropped to 72.75-72.81  terrible WD

1/14- present   Worse WD symptoms. Back to 73.10. Cannot seem to stabilize. 

2/2 - present Holding at about 73 hoping to stabilize  

3/19 - present Dropped to aprox 92.9-92.88. (vary from day to day.) Holding 

Take only Clarinex 5mg for allergies and the Effexor 73 XR. I cannot take any supplements. No caffeine, sugar, soy, gluten, dairy.

 

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Hiya, I've spent the eve reading this thread. I've just finished doing a 7% drop and feeling quite unstable, so I'm thinking about helping myself with supplements. I'm currently taking Vitamin D2+K2, C and  80mg of Magnesium Glycinate and wondering whether I should take another 80mg of magnesium....any ideas? I've also just bought Nordic Naturals Ultimate Omega fish oil, and hoping that will help...Also, do you have a break in between when you finish your supplements? I'm just thinking about alleviating the liver from processing all this stuff...

Mirtarzapine: 

2017 - 2018, 30mg 
2019 - 2021, 45mg 
11 December 2021: 41.25mg x 1 day, 45mg x 2 days (in alternate fashion) 

22 December 2021: 41.25 approx (still cutting pills manually), 8 January 2022: 42mg, 16 February 2022: 40mg, 18 February 2022: 39mg, 25 April 2022: 36mg, 9 August 2022: 35.5mg, 23 August 2022: 35mg, 08 Sept 2022: 34mg, (Brassmonkey method started on 8th Jan) 29 Jan 2023: 31.8mg, 11 April 30mg 

 

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  • Administrator

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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I take 400mg of magnesium a day, split between breakfast and bedtime. I would take magnesium glycinate, but mirtazapine has made me constipated so I take magnesium citrate instead for it's laxative effect. I also take fish oil. I've used Nordic Naturals but switched to Microingredients brand. Someone I trust recommended it and it's cheaper. I know not everyone can take supplements but I think they have really helped me. I'm not sure what you mean by taking a break when you finish your supplements. 

2005-2013 Ambien 5mg. Stopped taking with little problem

12/20 Buspirone 7.5mg 2x daily

5/22 CT from Buspirone- no WD

12/20 Mirtazapine 7.5mg 1x daily

2/11/21 17% reduction homemade Mirtazapine liquid to 6.2ml, 3/27/21 5.9ml, 4/23/21 5.6ml, 5/8/21 5.3ml, 5/28/21 5.0ml, 6/13/21 4.88ml, 6/20/21 4.75ml, 7/2/21 4.62ml, 7/12/21 4.5ml 7/25/21 4.37ml, 8/4/21 4.24, 8/17/21 4.10, 8/27/21 3.96, 9/23/21 3.84, 10/8/21 3.72, 11/13/21 3.5, 12/13/21 3.3, 1/9/22 3.1mg, 2/10/22 2.9mg, 3/9 2.7mg, 4/8 2.5mg, 5/22 2.3mg, 5/28 CT Buspirone, 7/24 2.2mg, 8/24 2.05mg, 9/14 1.9mg

10/11 1.75 11/12 1.6, 12/3 1.47, 1/3/23, 1.35, 2/1 1.24, 2/23 1.14, 3/17 1.03, 4/7 .93, 4/27 .83, 5/18 .75, 6/13 .67, 7/17 .59, 8/7 .52, 8/25 .50, 9/1 .48, 9/23 .43, 10/22 .38, 11/5 .33, 11/20 .28, 12/4 .24 12/18 .20, 12/31 .15, 1/14/24 .10, 1/30 .07, 2/18 .04, 2/25 0, drug free

 

Supplements: 4,000iu vitamin D, Vitamin K, Probiotic, 400mg magnesium glycinate, 250mg vitamin C, Fish Oil, collagen peptides, CBD or CBN as needed for sleep,  Ginger Tummy Drops as needed

 

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  • 3 months later...

I just want to note something for anyone reviewing this thread. When I was really sick 2 years ago, I just couldn't get it in my head that you need to take ALOT of fish oil. I think I was taking 3 not-so-good quality fish oil pills per day. This isn't enough. Alto says in the first post of this thread to take 4-6 per day and to make sure you read the label.

 

I started taking high doses of fatty acids a month or two ago and it made a huge difference! Within a week, the morning fear rushes went away. I currently take the following daily:

 

Biomega-500 - 3 per day (Anchovy)

Omaprem - 4 per day (Green Lipped Muscle)

Standard Process Wheat Germ Oil - 2 per day

 

It's my understanding that these help malfunctioning cells to repair.

2012-present - Escitalopram currently 2.55 mg

Supplements:  Daytime- Green Lipped Mussel 1200mg, Omega-3s 1710mg, Wheat Germ Oil 770mg, Multi-Min 2 tablets, Liposomal Glutathione 4 pumps, Probiotic 1 capsule, Beyond Balance herbal tinctures for lyme and gut healing (including one only taken during menstruation); Nighttime - L-theanine 200mg, melatonin 1mg, magnesium glycinate 400mg.

History:

2012-2017- Escitalopram 10mg

2017-2020 - Escitalopram 5mg

07/2019-11/2019 - Valium 10mg, every 2-3 days, then stopped

11/2020 - Stopped Escitalopram 5mg abruptly (crashed January 2021)

1/2021-12/2021 - Escitalopram Reinstated 2.5mg to 5 to 10 to 7.5 and then started slow taper

1/2021-2/2021 - Ativan .5mg - Took 13.5 pills over the course of 22 days and stopped

2/2021-9/2021  Hydroxyzine - 50-100mg tapering down to .8mg, then cross-tapered to Claritin and stopped

9/2021-9/2022 - Claritin 5 mg (tapered off)

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  • 4 weeks later...

Hi there!
Where would it be possible to find a "infographic survey" of effects people had found while taking omega3 supplements?

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  • 2 weeks later...

It could be interesting to know more about Fish Oil supplements, if those could cause withdrawal side effects

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On 3/13/2011 at 10:29 PM, Altostrata said:

ADMIN NOTE Fish oil contains EPA and DHA, 2 omega-3 fatty acids. For nervous system support, 2,000-3,000 mg EPA + DHA a day is best. You may need to look at the ingredients label on your fish oil to find the amounts of EPA + DHA in a capsule. Usually, you will want to take 4-6 capsules of fish oil per day (2 capsules at each meal). To help fish oil to work, take it with 400IU vitamin E (preferably mixed tocopherols) per day.

 

Traditionally, doctors advise people to stop fish oil before surgeries. Fish oil might have anti-clotting properties at extremely high doses, not at usual levels of intake.


 

A lot of us have found omega-3 fatty acids, commonly found in fish oil capsules, help withdrawal symptoms.


Our nervous systems need omega-3 fatty acids for healthy operation. Because of factory farming, which depletes nutrients in food, our food may not be providing us with the daily amounts of omega-3s our bodies need.

 

 

Around the Web, some people say omega-3s are particularly good for brain zaps.

Fish oil capsules contain the omega-3 fatty acids called EPA and DHA. For nervous system support, take 2,000-3,000 mg EPA + DHA a day. You may need to look at the label and add up the amounts of EPA + DHA in a capsule. Usually, this amounts to 4-6 capsules of fish oil per day.

Do not take fish oil that does not specify how much EPA and DHA is in each capsule -- it's probably weak.

To help fish oil to work, take it with 400IU vitamin E per day. This helps metabolize the fish oil. Good types of vitamin E to take are d-alpha-tocopherol and natural mixed tocopherols. (Also see Vitamin E (tocopherol) )

 

Fish oil should be refrigerated. People who get "fish burps" say keeping the fish oil capsules in the freezer eliminates them.

Some people are hypersensitive to fish oil. Try one capsule a day for a few days to see how it affects you. If you feel okay, continue to take it and gradually increase the dosage.

Don't take fish oil if you're allergic to fish.

For those who cannot take fish oil, Dr. Weil has these recommendations at http://www.drweil.com/drw/u/QAA400645/Vegetarian-Sources-of-Omega3.html (from 2009)
 

 

If you avoid fish oil because you are vegetarian or vegan, you might consider making an exception for a while to get omega-3 fatty acids from the best source available to help your nervous system heal.

 

More from Dr. Weil on Fish Oil, Omega 3's: https://www.drweil.com/vitamins-supplements-herbs/vitamins/fish-oil-and-omega-3/

" EPA supports heart health and DHA is a constituent of membranes of nerve cells in the brain and is thought to play an important role in normal brain development and function."

https://www.drweil.com/health-wellness/body-mind-spirit/mental-health/omega-3-oil-for-anxiety/

 

You do not need to get fancy fish oil, just good-quality supplements from cold-water fish. I get Trader Joe's fish oil myself.

 


 

ADMIN NOTE - SUMMARY OF THIS TOPIC, up until post #475. 

 

The Following Posts have key information

Links to key studies -   Here, Here                                                                                                                                                                                     

What to look for in a fish-oil – Here, Here ,Here 38, 50, 86, 90, 93, 109.  

 

The benefits of fish oil for Post-natal  depression -   Here

Best brands, plus studies - Here

Possible vegan dha/epa supplements - Here,  and Here

Video on the benefits of fish oil - 366

Podcast on the benefits of fish oil- Here

Contamination test results – Here

 

Some figures

Noticed improvements in w/d symptoms -  19 members (relaxing, cleared brain fog, helped brain, lessened depression, calming, stopped brain buzzing, better sleep, less brain zaps, dizziness, clearer vision, calmness, more focused, positive feelings, less panic, improved mood).

 

Noticed improvements once taken in conjunction with vitamin E – 1 member.  Also, Alto commented ‘The mixed tocopherol form of vitamin E is best for general health. The vitamin E helps the fish oil stay active as you metabolize it.

 

Didn’t notice benefits at first, but when they tried to stop they noticed the difference greatly – 4 members

 

Tolerance to fish oil has lessened over time – 2 members

 

Can’t tolerate fish oil – 17 members (some reported feeling ‘wired’ or anxious, had worsened sleep, acne.  One of these members can however tolerate salmon).

 

Haven’t noticed benefits – 2 members, but one was too scared to stop and put it to the test.

 

Haven’t noticed problems or benefits from fish oil – 1 member

 

Other remarks taken from the posts.

A few people experienced both positive and negative symptoms, and sometimes tweaked things by lowering their dose. 

 

Hypersensitivity can change over time – for better or for worse. 

 

As with many supplements, once you are taking the dose recommended above, more is not necessarily better.

 

Alto:  ‘So many people with withdrawal syndrome have responded well to it, I believe the benefits outweigh any risks for this purpose.’

 

It’s worth trying different brands to find one that works for you, or trying capsules or no capsules.

 

If you find fish oil to be mildly stimulating, take it in the morning.

 

Alternatives to fish oil suggested by members

Flax seeds, chia seeds and walnut seeds;  Sardines (but they can be activating for some);  Fresh or canned fish;  Grass-fed meat;  Children’s products for lower dosages;  Hemp seed oil - posts 232, 409, 451.

 


I thought fish oil was making me anxious when I tried to restart it months ago. Previously took high quality twice daily for 3-4 years with no issues. Last night I tried to take it again before bed with my Lunesta and I was up all night feeling extremely weird in my brain. Didn’t fall asleep at all either.. should I try in the morning or just eat salmon twice a week? I seem to be tolerating salmon, but it doesn’t make sense 

5/10-viibryd 15 to 10 start 10 prozac

5/17-adrenaline surges, panic, viibryd to 7.5

5/20-stopped viibryd ?serotonin syndrome

5/23-stopped Prozac as symptoms continued 

6/2-reinstated viibryd 5mg

6/7-10 mg-better x 1 week only

6/13-15 mg-same thing

6/22-20 mg-same thing but akathesia went away

7/7-viibryd 25 mg split 15 am 10 pm
7/7-started Lunesta to sleep, 0.25 Ativan prn.

7/27-started propanolol 10 mg BID
8/1-viibryd reduced to 10 mg am 10 pm

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5 hours ago, Ma205 said:


I thought fish oil was making me anxious when I tried to restart it months ago. Previously took high quality twice daily for 3-4 years with no issues. Last night I tried to take it again before bed with my Lunesta and I was up all night feeling extremely weird in my brain. Didn’t fall asleep at all either.. should I try in the morning or just eat salmon twice a week? I seem to be tolerating salmon, but it doesn’t make sense 

 

I wish there were an exact science to this whole withdrawal business, but when our CNS is compromised our reactions to things can change over time.  If you want the benefits of Omega-3 and are tolerating the salmon okay, then you may just want to get it that way.  Sardines are good too.  

Disclaimer:  This is not professional medical advice but is based on personal experience only.

1994 - 2017:  Prozac, Cymbalta, Celexa, Paxil, Wellbutrin, Zoloft, Seroquel, Buspar, Lorazepam, Xanax, Ambien

2005-present:  Trazodone 50 mg 

2017:  Effexor XR 37.5 >> 75 mg 

2020 (March):  Began 10% monthly taper of Effexor XR (got down to 12 mg)

2021 (September):  Completely crashed.  Went back up to 37.5 mg but in doing so I kindled myself for two years

2024:  1/1:  35.6 mg (-6 beads)  |  2/1:  33.8 mg (-11 beads)  |  3/1:  32.1 mg (-16 beads)

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Other medications:  Levothyroxine 75 mcg

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Some people get odd reactions from fish oil. You are in a sensitized state from your history of adverse drug effects and your current ongoing adverse drug effects.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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Do some people react to fish oil at first but if they persist on a small dose their bodies eventually get used to it? 

2008: start Lexapro 10 mg which is quickly upped to 20 mg. 2008:2013 try at least four individual times to get off Lexapro, never get lower than 5mg, settle at 15 mg. 2015: again, attempt to get off Lexapro and get to 5 mg. After 6 months, feel i'm stabilizing but go back on a higher dose because of one stressful event. 2016: go to 20 mg from 15 mg due to work stresses, hit severe tolerance for the first time and become very suicidal. 2016-2017: try viibryd and cymbata in an attempt to feel better. Also add Lamictal 150 at some point. 2017: eventually land on paxil 37.5 and Lamictal 150. January 2018: cut paxil to 25. April-July 2018: reduce Lamictal in 50 mg increments till im off August. 2018: reduce paxil to 20 mg. december 2018: dropped Paxil to 18 mg, SEVERE CRASH. March updosed to 20 mg April 11: dropped to 19.4 mg due to akathsia (still experiencing akathsia symptoms from updose) April 20: 19 mg Paxil May 4: 18.7 Paxil July 5: 18.2 July 12: 17.8 Aug 19: 17.5 Aug 26: 17.3 Oct 20: 17.1 Nov 3: 16.9, 8/17/20: 16.6 after nine month hold, 8/24/20: 16.4, 8/31/20:16.2, 9/14/2020: 16.0, 9/21/20: 15.8, 9/28/20: 15.6, 10/19/20:15.4, 10/26/20: 15.2, 11/2/20: 15.1, 11/7/20: 14.8, 3/6/2-: 14.5, 3/20/20: 14.3, 4/3/20: 13.9, 4/10/2021: 13.7. 4/21/21: 13.5, 5/5/2021: 13.1, 12.2 8/12/2021 (slowly microtapered to this number. I just can’t remember the exact dates), 11.8 9/6/2021, 11.6 9/13/21, 11.2 9/27/21, 11.1 9/30/21.....11/5/21 switched to 10 mg tablet. I am holding to stabilize for the foreseeable future. 3/25/22: 9.4, 5/6/22: 9.0, 5/30/22: 8.25, 6/7/22: 8.1, 7/722: 7.65, 8/16/22: 7.39, 9/22/22: 6.91, 10/1/22: 6.78

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Hi All!

 

Just started fish oil and was having some trouble with the vitamin E supplement. How important is it to take vitamin E with fish oil? I tried the recommended dosage (400Iu) once and got some pretty bad brain fog from it. Could I just do without? Or would it be worth trying fish oil with a smaller amount of vitamin e? Thanks!

SleepPls009

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May-Jun 23–Nebivolol 2.5, Amlodipine 2.5, Budesonide, omeprazole, rosuvastatin 5mg

April 23- Amlodipine 2.5 mg, Omeprazole 40mg, Budesonide nasal rinse 1/day,

Feb 23-March 23- Bisoprolol 2.5 mg (1/24-2/1), Atenolol 5mg (2/12-3/1)

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September22 – Melatonin 1mg, Ambien 5 mg, Ramelteon 8mg, Seroquel 50-125mg

June 22 – Sertraline 100mg, seroquel 25-50 mg, Ambien 10mg, Amitryptiline 25 mg, July-Aug 22 –Melatonin 1mg nightly (July),  Dayvigo 5 mg, Ambien 5mg 

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AD : 2009 - 2012 Lexapro 10mg (CT?). 2015 - 2021 Lexapro 10mg. Spring 2021 - Summer 2021 Lexapro 0mg (CT)
Couple of days in summer 21 : Lexapro 5mg, Oxazepam, Cyamepromazine, Risperidone (blurry period, no details)
Summer 21 - 27 sept. 23 : Lexapro 10mg (sometimes 5mg, 20mg but mainly 10mg throughout this period)
28 sept. 23 to 4 oct. 23 : many changes in few days (no Lexapro for 2 days, Cyamepromazine for 2 days, Risperidone 1 day 0,5mg and 1 day 1mg, then Olanzapine for 1 day, each day with 3x25mg Oxazepam). Permanent dysautonomia symptoms appeared on the 1st day
5 oct. 23 - 7 nov. 23 : Lexapro 10mg
8 nov. 23 - 14 nov. 23 : Lexapro 5mg + Cymbalta 30mg
15 nov. 23 - 21 nov. 23 : Cymbalta 60mg

22 nov. 23 - 28. nov. 23 : Lexapro 5mg + Cymbalta 30mg

Since 29 nov. 23 : Lexapro 10mg

Benzo & others : Anxiety Summer 23 - 8 nov. 2023 : Oxazepam (varying from 0 to 75mg a day). 9 nov. - 7 dec. 2023 : Diazepam (5mg, tapering at 2,5mg from 28 nov.). Sleep : 8 nov. 23 - 29 nov. 23 : Alimemazine (2,5mg) (replaced Imovane (7,5mg)/Ambien (10mg), used since 7 oct. 2023)

Since dec. 2023 Magnesium bisglycinate 200mgOmega 3 1600mg (800mg EPA/600mg DHA), Probiotics

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If you can't tolerate fish oil I would reccomend starting out with cod liver oil. It contains lower amounts of EPA + DHA but is easier on a sensitive system.

Active Monday-Friday UK time

 

MEDICATION:

1) Sertraline:

50mg - Oct 2020, 100mg - Dec 2020, 50mg - April 2021, 75mg - May 2021, 50mg - Sep 2021; Failed taper attempt (50 -> 49) - Jan 2024; Second attempt to start taper - 17 Feb 2024

Current dose: 48.9mg (Feb 2024)

2) Mirtazapine:

15mg  - Nov 2020

SUPPLEMENTS:

Cod liver oil

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I found early on that I can't tolerate fish oil in PAWS. Maybe I should try a lower dose? I can tolerate a lower dose of vitamin D but not the 5000 ius I used to take every day. 

2017 Paxil about 2-3 weeks

2021 Klonopin 3 weeks off and on and started Cymbalta 20 mg in Aug

2022 Percocet and Gabapentin for about 12 weeks after surgery

2023 April CT Cymbalta, was on 50 mg went to 30 mg and 2 months later to 20 mg for 1 week 

2023 October 1  flexeril 5-10 mg 2023 October 12 propanolol 10 mg, then increased to 20 mg. 

2023 October 22 Ativan 0.5 mg 

 

 

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@Altostrata,

 

On 3/14/2011 at 2:29 AM, Altostrata said:



To help fish oil to work, take it with 400IU vitamin E per day. This helps metabolize the fish oil. Good types of vitamin E to take are d-alpha-tocopherol and natural mixed tocopherols. (Also see Vitamin’sE (tocopherol) )

 

 

Hi,

 

My fish oil already contains mixed tocopherols in it, is it still necessary to supplement with vitamin e? (Fish oil manufacturer is ZipVit)

 

Thanks.

Sertraline 50mg 10/23 - 27/02/24 , 45mg 27/02/24 , 40.5mg 25/03/24

 

Omeprazole 40mg - 09/23 - 01/11/23 - 40/20mg/20mg - 31/01/24 0mg 01/02/24 

 

 

Supplements:

Vit D3: 1000 IU - Nov 23 to Present

4000mg Fish Oil (2200mg EPA +DHA) - 26/02/24 -Present

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I can’t tolerate fish oil either, it makes me agitated within a few hours.

 

That said, I replaced it with a can of sardines a few times a week, which has loads of it. Plus heaps of other healthy nutrients. I have no problems with that at all.

 

It does seem that in withdrawal, getting nutrients the natural way (food, sunshine) is fine, but anything involving man-made supplements causes an issue.

Oct 2018 - Jun 2020: 10 mg per day generic Escitalopram in pill form.

Jul 2020 - Aug 2020: Switched to 9 mg per day of Cipralex drops to aid tapering.

Sep 2020 - Oct 2020: Taper to 8 mg.

Nov 2020 - Dec 2020: Taper to 7 mg.

Jan 2021 - Feb 2021: Taper to 6 mg.

Mar 2021 - Apr 2021: Taper to 5 mg.

May 2021 - Jun 2021: Taper to 4 mg.

Jul 2021 - Sep 2021: Taper to 3 mg.

Sep 2021 - Jan 2022: Taper to 2 mg.

Jan 2022: Stopped taking altogether.

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I'd just like to add my name to the list of people for whom fish oil makes things worse in withdrawal. 

 

I started high EPA fish oil around 1.5 months into withdrawal from Fluoxetine. Things got worse for 2 months, which I attributed to more and more of the Fluoxetine leaving my system, so I decided to reinstate at a low dose.

 

Things didn't really improve, but when I ran out of fish oil I slept longer and had lower anxiety than since the very early days of withdrawal. I started fish oil again, and insomnia/anxiety came back. Stopped again, with the same good result.

 

My story is almost the exact same as this:

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664844/

 

My guess is that for some people high EPA is too sensitive for the nervous system. In that article, I think the authors are suggesting the adverse reaction to fish oil could be to do with brain changes that come with age, but it is clear that the individual's sensitivity comes from being on and off Fluoxetine several times over 12 years.

2008-13: Fluoxetine, 20mg intermittently, for low mood/lack of focus & 2015-2018: 40mg for situational low mood, but stayed on.

2018: cold turkey, causing breakdown around exams but now recognise was withdrawal, reinstated Fluoxetine without issue, 40mg.

2018-Oct 2021: Fluoxetine at 40mg, plus 2 x short term diazepam, zopiclone & propranolol for nervous breakdowns

Oct 2021-June 2022: stopped Fluoxetine, Mirtazapine 15mg nightly instead; also regularly prescribed diazepam, zopiclone & propranolol in this time.

June/July 2022: 10 days on Trazodone; back on Fluoxetine, increasing from 10mg to 40mg between July & September

Aug-Nov 2022: worsening bouts of anxiety/panic due to repeated Diazepam kindling (tapered from 14mg (probably too rapid), 0mg by 20 Nov) & possible adverse reaction to restarting Fluoxetine.

Jan 2023: reduced Fluoxetine from 40mg to 20mg in preparation for switching to Sertaline or Escitalopram, but hit a window, so did not go ahead with switch.

Bad waves and windows until May 2023, when started to ease up, albeit still far from baseline, with help from ketogenic diet

June-Sept 2023: tapered from 20mg Fluoxetine to 10mg using liquid (2mg every 3 weeks) - quite comfortable until 12mg then huge, suicidal wave.

2 Jan: reinstated at 1mg, increase to 4mg over 3 weeks; adverse reaction; back down to 1mg as of 22 Jan

 

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1 hour ago, ArthurDaly said:

I'd just like to add my name to the list of people for whom fish oil makes things worse in withdrawal. 

 

I started high EPA fish oil around 1.5 months into withdrawal from Fluoxetine. Things got worse for 2 months, which I attributed to more and more of the Fluoxetine leaving my system, so I decided to reinstate at a low dose.

 

Things didn't really improve, but when I ran out of fish oil I slept longer and had lower anxiety than since the very early days of withdrawal. I started fish oil again, and insomnia/anxiety came back. Stopped again, with the same good result.

 

My story is almost the exact same as this:

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664844/

 

My guess is that for some people high EPA is too sensitive for the nervous system. In that article, I think the authors are suggesting the adverse reaction to fish oil could be to do with brain changes that come with age, but it is clear that the individual's sensitivity comes from being on and off Fluoxetine several times over 12 years.

I am grateful to see this. Thank you so much for the post ArthurDaly! 🌷

It just confirms for me that much as I wanted to jump from 1 fish oil capsule to 6 "quickly", the advice around keeping it slow and simple, and steady is really worth gold. I am now taking 1 capsule per meal instead of just 1 per day, but I will keep it at this level for a few weeks, before ramping up further. It just shows me once more that that the hypersensitive CNS can easily be affected even by supplements that may seem "safe", and to be fair, they likely are safe for many people, and even hugely beneficial, with or without withdrawal, but that we need to continue to introduce changes in our supplements slowly even as we consider the changes to medication also.

(Signature last updated 20 Feb 2024.)

1996–2016 “Everything else”, including Fluoxetine, Enalapril 10mg.
2009 Paused meds for 2 months.
2016 Venlafaxine 150mg, Lithium 400mg, Bupropion (?mg), Olanzapine 5mg, Enalapril 10mg.
2019 Venlafaxine 150mg, Lithium 1,000mg, Bupropion (?mg), Olanzapine 5mg, Enalapril 10mg. Quetiapine 200mg (sporadic).
2023 Venlafaxine 6 week taper at 75mg from Jun 1. Untapered: Bupropion (?mg), Olanzapine 5mg, Enalapril 10mg. Quetiapine 200mg (sporadic).
2023 Enalapril 10mg from Jul 13. Quetiapine 200mg (sporadic).
2023 Benzodiazepine 30mg from Nov 20 to Dec 31 (5 sporadic doses). Enalapril 10mg. Quetiapine 200mg (sporadic).
2024 Benzodiazepine 30mg from Jan 1 to Feb 9 (5 sporadic doses). Enalapril 10mg. Quetiapine 200mg (sporadic).
2024 0.00mg AD. (9 Feb 2024)
Non-AD Meds: Enalapril 10mg (Ongoing, for blood pressure), Quetiapine 200mg (Stopped Feb 10).

Supplements detailed snapshot can be found here (as at 14 Feb 2024)

 

 
 
 
 
 
 
 
 
 
 
 
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