Notes from Practice

Stimulants that help your focus can also leave you wired, but that feeling is usually one of four different problems: adrenergic activation, end-of-dose rebound, sleep loss, or anxiety the ADHD was covering up. Sorting out which one you have is most of the work, and the dose is usually the first thing to look at.

Patients ask me about supplements constantly. Most of the time I am cautious. The evidence for a lot of what gets marketed as brain health or mood support is thin at best. Magnesium is different. It is one of the few supplements I recommend regularly, across a wide range of patients, because the evidence is real and the need is genuinely common. Why So Many People Are Deficient Magnesium is involved in over 300 biochemical processes in the body. Sleep regulation, muscle relax