Before considering medication for mental health, I have to wheel out the usual old advice: sometimes it can be as simple as diet and exercise. The fundamentals really should not be overlooked when thinking about any medication for long term care.

I found out my anxiety symptoms were actually caused by my A1C being in diabetic territory (8%). High blood glucose has a direct impact on the brain and blood vessels. Random heart palpitations, breathing being off, etc. all lined up. I'm so thankful that my doctor had the experience and courage to tell me like it is and refused to believe it was anything truly serious. I brought it down to 5.5% in a few months and now have new cooking and eating habits for life. Too much alcohol can also lead to vitamin deficiencies (magnesium, potassium, zinc, etc. will need blood tests to confirm).

I kinda let myself go for a few years during the shift to remote work back in 2020. After I got back on track I even gained some muscle without weight loss and no longer have sleep apnea. Sleep quality and hydration are also important things that we forget when we are in a slump.