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Patients with depression have unsatisfactory effect of taking medications and blood draw finds vitamin D deficiency-News-Free Health Net

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A 30-year-old female patient with depression who received antidepressant treatment for more than a year had unsatisfactory results. Physician Zheng Yingzhi took a blood test and found that the patient was suffering from severe vitamin D deficiency. She took medication and supplemented with vitamin D supplements, and her symptoms finally improved significantly. . Situational photo, the characters in the picture have nothing to do with this article. (Photo by reporter Liao Xueru)

[Reporter Liao Xueru/Report from Hsinchu]A 30-year-old woman suffered from depression for a long time. She had been treated with antidepressants for more than a year, but the effect of several changes of antidepressants was not satisfactory; Zheng Yingzhi, a psychologist, suggested smoking The blood test found that the patient was suffering from severe vitamin D deficiency. Considering that supplementation from sun or diet alone would still be insufficient. In addition to the original drug treatment, with additional vitamin D supplementation, the patient’s depression symptoms under dual treatment Significantly improved.

Zheng Yingzhi, a psychologist at the Hsinchu Affiliated Hospital of China Medical University, published in the 2020 international journal Depression and Anxiety, “Integrated Analysis of Vitamin D Supplements Used in Depression and Mood”, integrating the past 25 studies on the use of vitamin D in the treatment of depression symptoms, totaling 7,534 Of the subjects found that vitamin D supplementation can effectively help reduce negative emotions. Especially for people with insufficient blood vitamin D concentration and accompanied by depression, vitamin D supplementation has the best effect and response.

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Zheng Yingzhi, a psychophysical physician at the Chinese Medicine University of Hsinchu, published in the 2020 international journal Depression and Anxiety, “Integrated Analysis of Vitamin D Supplements Used in Melancholia” and found that vitamin D supplementation can effectively help reduce negative emotions. (Photo by reporter Liao Xueru)

Zheng Yingzhi pointed out that blood vitamin D, or calcifediol, with a concentration between 20ng/ml and 30ng/mL is considered insufficient. The current target ideal value of calcifediol is 30-80ng/mL, but the above cases are only There is 17ng/mL.

Therefore, cases with signs of depression can first go to the clinic to check the vitamin D concentration to find out whether the vitamin D is low or high, and then discuss with the doctor whether to increase sun exposure or need to supplement vitamin D.

Zheng Yingzhi suggested that the average daily supplement should be more than 2000 international units at least. If you just want to get enough vitamin D3 from the sun, it is recommended to lie down at the middle of the day (about 10 am to 2 pm) and expose the body to a large area of ​​about 15 -30 minutes. But in this state, if you do not expose to the sun, you must pay attention to the risk of skin cancer caused by ultraviolet rays. Therefore, moderate dietary supplements from food sources rich in vitamin D, such as liver, cod liver oil, fatty fish, fortified dairy products, egg yolks (Vitamin D3), mushrooms (Vitamin D2) or nutritional supplements, may be better than intensified sun exposure. Convenient and safe.

Zheng Yingzhi reminded that in the cold and humid weather in winter, days are reduced and nights are longer. Many people often start to have so-called seasonal affective disorder. Symptoms include depression, weakness, fatigue, lack of energy, weight gain, etc. It is recommended to discuss with a doctor to find out the best The best solution.

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A 30-year-old female patient with depression who received antidepressant treatment for more than a year had unsatisfactory results. Physician Zheng Yingzhi took a blood test and found that the patient was suffering from severe vitamin D deficiency. She took medication and supplemented with vitamin D supplements, and her symptoms finally improved significantly. . Situational photo, the characters in the picture have nothing to do with this article. (Photo by reporter Liao Xueru)

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