DISCLAIMER: THIS IS NOT MEDICAL ADVICE! We do not employ doctors or licensed medical professionals, so we do not provide medical advice. Nothing presented here is a substitute for the advice of a DOCTOR or other licensed health care provider. Never stop, start or add medications or supplements to your health or mental health care regime without first checking for interactions or other problems, and thoroughly researching the substance. Before you employ any information here, consult your health care professional. No information here is the result of valid clinical trials.


All Pharma drugs affect all organs and some can mask underlying root health problems.

Mental health, autoimmunity and chronic pain symptoms may be caused by toxicities, sensitivities, deficiencies, infections, imbalances (hormone, thyroid, pituitary, adrenal), physical or emotional trauma, genetic factors, system overloads (mycotoxins), poor coping skills or leaky gut/poor gut health.

If you have tapered off of Cymbalta (or other pharma) and still feel out of sorts or sluggish, etc. consider these tests:

  1. Hormone profile - http://www.zrtlab.com/Patients/Hormones-101
  2. Thyroid - http://www.webmd.com/women/thyroid-hormone-tests
  3. Don't let the docs take your thyroid gland. You'll be stuck on a medication for life. If you have already had your thyroid remove Dr. Mercola suggests the right kind of medication and why.
  4. Vitamin D - http://www.webmd.com/osteoporosis/vitamin-d-test
  5. Cortisol - http://www.webmd.com/a-to-z-guides/cortisol-14668
  6. Which medical tests can actually help pinpoint the root cause of what we commonly think of as mood disorders? At the very start of treatment, as my patients begin a strict dietary protocol,  the following tests seem appropriate:
  • Thyroid function tests: TSH, free T3, free T4, thyroid autoantibodies, and reverse T3
  • Underlying genetic variant: the MTHFR gene test (the MTHFR gene produces the MTHFR enzyme, methylenetetrahydrofolate reductase, which is essential for several bodily processes that directly tie into mental well-being)
  • Signs of vitamin B12 deficiency: serum vitamin B12 levels and homocysteine levels, which can detect B12 deficiency as well
  • Levels of inflammation: High-sensitivity C-reactive protein
  • Blood sugar balance: Hemoglobin A1C
  • Vitamin D deficiency: Levels of 25OH vitamin D in the blood

Suggested in an interview.

  1. Electrolyte Panel http://www.webmd.com/a-to-z-guides/electrolyte-panel-topic-overview
  2. Metabolic Panel https://labtestsonline.org/tests/basic-metabolic-panel-bmp
  3. Do you know what the Cytochrome P450 is? It is an enzyme which helps with metabolizing chemicals in the body. It is thought that roughly 10% of the population is missing this enzyme and that is a big problem when taking multiple meds. Here is what Dr. Ruth Levine has to say " The bad news is that we still only know the metabolism of a minority of drugs and most of our patients are on more than one drug". She also, says " The outcome of drug/drug interactions can range from annoying to catastrophic....and death!". Have yourselves tested for the Cytochrome P450 gene. Could answer a lot of questions as to why you are having severe reactions when others don't.
  4. From Béatrice Challer- Low thyroid function is linked to depression and anxiety. If you have not had your thyroid checked have the following test done : free t4 and free t3, reverse t3 (very important though doctors don't do this test), tSh, tpoab and tgab to check if you have hashimoto. Do not trust your doctor if she/he says your results are fine. Ask for a copy of your results and check in Facebook ftpo thyroid patient only to see if your results are actually fine or not. If I had done that I could have been treated with thyroid hormones replacement therapy instead of ADs. Second thing : have your b12 and vitamin d3, calcium, magnesium rbc, iron panel (4 tests), potassium, zinc, selenium tested. If you have had eating disorders you most likely have deficiencies. Have a 4 point saliva test done, you most likely as well have adrenal fatigue. Do you crave salt? If you have all of these checked, and deal with, and clean your diet, it could solve some of your issues


CHW Tapering Off Multiple Drugs

There are three schools of thought on tapering multiple drugs: 1) Taper one drug at a time in order to connect decreases to withdrawal symptoms.2) Taper all at once – very slowly 3) The stair-step method, where one drug is slow tapered for awhile, and then tapering that drug is stopped before tapering the next drug begins.

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CHW Crisis and Safety Planning

This is about suicidal thoughts, imaginings and plans. This is a possible effect of many medications: antidepressants and anticonvulsants. When taking or tapering off Cymbalta / Duloxetine, young and old, we are at risk. This is one reason CHW does not allow promoting or advocating Cymbalta or other drugs.

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CHW Akathisia

It’s difficult for those of us who have never experienced the powerful sensations of akathisia, a potential but horrific side effect of many psychotropic medications, to truly understand what those afflicted have gone through.

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CHW Tapering Guide

We are here to support you in tapering slowly, steadily and consistently off Cymbalta/Duloxetine. You will find several warnings here about staying safe. This information is all about HOW to do that careful taper off the drug. Please, please follow our recommendations.

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CHW Fighting Insomnia

Fighting insomnia with a better sleep environment and routine
Two powerful weapons in the fight against insomnia are a quiet, comfortable bedroom and a relaxing bedtime routine. Both can make a big difference in improving the quality of your sleep.

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CHW FAQ and Key Definitions

These are simple questions, mostly with short answers. The key words will help you search the “CHW Files” list for documents giving more detail. Use the “Search” box on the CHW FB page to see what others have said about (key word) and see what they have experienced.

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Please take the time to report your adverse symptoms from Cymbalta and Cymbalta withdrawal to the FDA. Call 1-800-332-1088 FDA

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