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Melatonin is honestly my least favorite supplement

Melatonin is honestly my least favorite supplement and here’s why:


1) ideal dosing is not readily available (0.1 mg is probably ideal, but the lowest I’ve ever seen is 1 mg and that’s so hard to find!)


2) it can make sleep problems better or worse and you don’t know for sure if it’s helping. Examples are: nightmares, restless legs, rem sleep behavior disorder


3) everyone takes way too much! 10 mg is a mega dose. Just stop it, it's probably not helping.


4) It’s not ideal to take it everyday


5) Most people experience morning sedation with these high doses available OTC.


6) My neurospicy patients (ADHD, OCD, Autism Spectrum Disorder) have paradoxical reactions to it. It can get them very hyper!


What I do like melatonin for is correcting jet lag. A very low dose 2 hours before desired bedtime time and then morning light on your face to help you get back on schedule.



Alternatives to melatonin that usually have less hangover or morning sedation are:


Valerian Root


Chamomile


Lavella or Lavender supplements


L-theanine


GABA


Magnesium (I probably recommend magnesium the most because it also reduces restless legs, anxiety, and constipation).


I do not have a preference as to which Magnesium my patients take as I'm personally a non-responder to the "optimal" magnesium types (glycinate and citrate).


Hiding under the covers in the morning due to a melatonin hangover? You are not alone!
Hiding under the covers in the morning due to a melatonin hangover? You are not alone!




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Tally Reproductive Psychiatrist, LLC

Private Practice of Jamie Sorenson, MD

3689 Coolidge Court Unit 5

Tallahassee, FL 32311

Call or Text: 850-694-2008

Fax: (786) 590-1485

Email: info@tallyrepropsych.com

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Conditions Dr. Sorenson has expertise in:

  • Attention Deficit Hyperactivity Disorder (ADHD)

  • Autism Spectrum Disorder (ASD)

  • Obsessive Compulsive Disorder (OCD)

  • Depression or Major Depressive Disorder (MDD)

  • Anxiety or Generalized Anxiety Disorder (GAD)

  • Panic Disorder with and without agorophobia

  • Bipolar Disorder

  • Bipolar 2 Disorder

  • Post Traumatic Stress Disorder (PTSD)

  • Chronic Post Traumatic Stress Disorder (CPTSD)

  • Premenstrual Dysphoric Disorder (PMDD) or Premenstrual Exacerbation of a mood disorder (PME)

  • Perinatal Depression and Postpartum Depression

  • Perinatal Anxiety and Postpartum Anxiety

  • Perinatal OCD and Postpartum OCD

  • Perinatal Psychosis and Postpartum Psychosis

  • Perimenopause/Menopause Mood and Anxiety Disorders

  • Perimenopause/Menopause Cognitive Disorders

  • Gender Dysphoria

  • LGBTQI Mental Health

  • Mood and anxiety disorders while undergoing infertility treatments

Comorbidities not directly treated by Dr. Sorenson that will routinely be considered in your individualized treatment plan and recommendations:

  • Ehlers-Danlos Syndrome

  • Hypermobility Spectrum Disorders

  • Mast Cell Activation Syndrome (MCAS)

  • Postural Orthostatic Tachycardia Syndrome (POTS), dysautonomia, and Mitral Valve Prolapse

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  • Chronic Fatigue Syndrome (CFS)

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  • Narcolepsy and Idiopathic Hypersomnia

  • Chiari Malformation

  • Small Fiber Neuropathy

  • Pelvic organ prolapse, incontinence, chronic pelvic pain, pelvic floor dysfunction, hernias

  • Irritable Bowel Syndrome (IBS), gastroparesis, gut dysmotility

  • Bladder Pain Syndrome (previously interstitial cystitis)

  • Osteoporosis/Osteopenia

  • Dental Problems/TMJ

  • Migraines and Headaches​

  • Hormone Replacement Therapy (HRT)

  • Infertility Treatment

  • Endometriosis 

  • Polycystic Ovarian Syndrome (PCOS), Now Polyendocrine Metabolic Ovarian Syndrome (PMOS)

  • Thyroid Disorders: Hypothyroidism and Hyperthyroidism

  • Raynaud's Disease

  • Autoimmune disorders: Lupus (SLE), Sjogren's Syndrome, Hashimoto's thyroiditis and Grave's DiseaseCREST SyndromeSclerodermaCeliac Disease and Ulcerative Colitis (UC)Psoriasis/Psoriatic ArthritisRheumatoid Arthritis (RA), Multiple Sclerosis (MS) and Neuromyelitis optica (NMO)

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