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56 year old Susan suffered from anxiety and panic attacks, and had been prescribed Valium, Effexor and Wellbutrin by her primary care doctor. The drugs had adverse side effects and didn't seem to be helping, so she stopped taking them. After further discussion, she told me that symptoms started a few years ago when her monthly cycles stopped and with the onset of menopausal hot flashes. She noticed that the anxiety and panic attack seems to precede an episode of hot flashes.
Left Image: Actress demonstrating Anxiety, Fear and Panic courtesy of Wikimedia commons
Estrogen Deficiency Causes Anxiety
We sent Susan to the lab for a hormone panel, and sure enough, Susan's estrogen level was low. Susan's symptoms were caused by menopausal estrogen deficiency, a finding commonly seen in the post menopausal age group. Symptoms are promptly relieved with bioidentical estradiol applied as a topical cream twice a day. Additionally, Susan's tests revealed vitamin and mineral deficiencies which were, no doubt, aggravating the anxiety attacks.
Susan was started on her bioidentical hormone program which included estradiol and progesterone as a balanced topical cream. She was also started on vitamin B12 and Magnesium supplements. Six weeks later, Susan reported that her anxiety and panic attacks had improved and were almost gone. She also noticed better sleep and more clarity of mind, and her night sweats and hot flashes had resolved as well.
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