Vitamin B12 Toxicity – I understand that vitamin B12 generally is safe even in large doses, however with more and more supplements coming to the market with extremely high doses, does one need to worry?

Thank you for your great question about B12. It is true that many supplements contain B12 because of its impressive benefits for the brain, nerves and energy/metabolism. However, as you point out it is important to consider possible downsides of taking too much of any nutrient. You are correct in stating that B12 is water […]

Hi. I had shingles earlier this year and am on a regime of vitamins. I am taking 6000 mcgs of vitamin a as I had shingles in my eye. Some cornea damage left but not where the light passes thru.

Shingles can be a very tough condition and very serious when it involves the eye. I am glad you are recovered and that your vision was not permanently damaged. Vitamin A is an excellent natural anti-viral but due to its fat soluble nature it can also be toxic. It also has a drying effect on […]

I understand that vitamin B12 generally is safe even in large doses, however with more and more supplements coming to the market with extremely high doses, does one need to worry?

Thank you for your great question about B12. It is true that many supplements contain B12 because of its impressive benefits for the brain, nerves and energy/metabolism. However, as you point out it is important to consider possible downsides of taking too much of any nutrient. You are correct in stating that B12 is water […]

I am having menopausal problems and started on the hormone patch, Climara prosp?. But I still get moderate to severe anxiety attacks. I have no other personal issue that would cause these. What could I be taking that would help me relax and give me energy.

Hormone replacement can be very helpful at relieving symptoms of anxiety. Progesterone in particular is one of the most important female hormones for relaxation and supporting a calm state of mind. Unfortunately, the form of progesterone in your patch is of a synthetic nature and does not mirror the type your body naturally produced during […]

Dr Passero, I have a quick question. I’m a healthy individual with no known health problems. If I had to choose to take just 1015 pills vitamins, multivitamins or any kind of supplements on a daily basis, which ones do you think I should take. Thank you in advance.

I am a huge advocate of individualizing each persons supplement regime based on their particular needs and family history. Even a seemingly healthy person can have risk factors such as heart disease or breast cancer in their family history that require special attention. With that said, there are some blanket recommendations I often make to […]

Hello, I am currently taking urso tabs for my liver. I am also taking a multi vitamin, milk thistle, vitamin e, and acidophilus. I am curious to know if maca is alright to add to what I am already taking?

The best way for people to gain weight in a healthy way is through muscle building. You may have a limit as to how much muscle mass you will be able to put on, but any muscle you do gain will be very helpful in supporting your smaller structure. For your particular exercise goals, you […]

I have been diagnosed with lyme disease since 2000 and taken lots of antibiotics. I went to a health store and had a foot bath that was totally dark water. They put me on Cats Claw, colostrum, slippery elm and magnesium. What do you think? Are these good supplements to be taking? I am so tired of dealing with medications that haven’t worked. I go to a specialist in Springfield, MO and he thinks I may have the babesosis strain. Hope to hear from you soon. Margaret Castellaw

Lyme disease can be a very difficult condition to improve.  The spirochete organism is an expert at evading the immune system and reeking havoc on the body.  Anti-biotic therapy is often necessary to clear up these chronic infections but don’t always produce the desired outcome as you have experienced. The supplements recommended to you are […]

Dear Sirs, I am a female 20 years old and suffered from mild depression for 6 months? May I know what are the natural herbs that I can take for my mild depression ? I have been taking B complex and roseflower and chamomile. Thank you and hope to hear from you soon.

Depression is a major concern for many people today. There are some very important supplements to consider when addressing this condition naturally. Below is a list of natural supplements that can be helpful for depression symptoms. However, if you have never had depression before it is important to consider what might have triggered these feelings. […]

For the past 5 months, my husband has numbness of the pads of his sole and along the outer side of his feet. He has had an EMG and a MRIslight herniation of s45. Three orthos have no answers. he has had ankle ligament surgery 30 yrs ago and episodes of plantar fasciitis and nowm is being referred to a neurologist. Could this be a b12 def?

I would continue the follow up with the neurologist to rule out any serious neurological issues.  B12 deficiency may be an issue but there are probably other factors involved to create such pronounced symptoms.  If he is a vegetarian he is at greater risk for B12 issues. With this said, it is clear that his […]

My question is : I am going thorough counseling for depression and I was wondering if there is a natural vitamin or herb that can help with my depression with my prescription cymbalta? what can I take for my mind also. I don’t think as fast as I use to or remember things as well. I am only 45 and I want to grow to a good old age with a clear mind and healthy body. Thank You Tammy

One of the best places to start when considering supplements for depression is with essential fatty acids.  These important fats must be obtained from our diet and play a crucial role in the functioning of the brain and neurological system. Of particular importance is the Omega 3 family of fatty acids, particularly those that arise […]

Do you have a product or any advise for quitting smoking. I’m taking chantix and it works pretty well but I’m still smoking a little. About 2 or 3 cigs a week. Ive been on it for 2 months and still have strong cravings.

The best things to utilize from the natural pharmacy would be compounds that help to relax and calm you in an effort to reduce the severity of the cravings.  In addition, if you are in a more relaxed state of mind, you are less likely to get triggered into a craving in the first place. […]

I am on thyroid medication and last week I took 1 folic acid and 1 vitamin B 50. It made me have a headache and feel sick, could this be because of my nonworking thyroid or is it the folic acid and vit. B 50?

B vitamins and folic acid are generally very well tolerated.  However, due to the ability of a B-complex to stimulate detoxification in the body it is possible that it caused your headache.  In addition, some people are more sensitive to supplements than others and can react in various ways, like headaches.  I would suggest trying […]

Hello Dr. I am on Metformin for a type two diabetic diagnoses. If I want to take milk thistle to promote healthy liver, how and when should I take it? Will there be any interference with the effect of the drug? Thank You

Milk Thistle is not one of the herbs known to readily interact with other medications.  Some herbs have a specific ability to alter the way the liver processes medications which can either raise or lower blood levels of that medication. Because milk thistle is an herb that acts on the liver there is the possibility […]

Are there any vitamin supplements that should not be taken together.

This is a very broad question and I would much prefer to look at specific examples.  However, generally speaking, most supplements are safe to be taken together.  There are some theoretical interactions that involve taking too many herbal/vitamin supplements that cause potential thinning of the blood.  These include a list of about 150 different items […]

Ive noticed that just about every vitamin company has evening primrose supplements in several brands. What exactly should I look for when choosing an evening primrose product?

There are several things to look for when selecting an oil based product and specifically Evening Primrose Oil.  First, you want to make sure that the label clearly states details about how the oil was extracted.  Many companies will use harsh chemicals to extract the oil because it can greatly speed up the process.  Choosing […]