Hi everyone,
For some background: I have post-concussion syndrome (a few years since the sporting accident). A nutritional GP was helping me with a supplement stack for the concussion (this doctor is excellent). A recent SPECT scan showed significant hypoperfusion to my temporal lobes, and I was then recommended to start dextroamphetamine to help improve my quality of life. Dextroamphetamine has been very helpful for me. It did make my migraines worse, so I have added topiramate to help combat that. My issue is that my nutritional GP does not prescribe dextroamphetamine and is unfamiliar with neurotoxicity, tolerance, vitamin interactions, etc. I have been trying to modify my old stack to be more appropriate around the timing of the stimulant, as well as adding a few vitamins which seem to be quite beneficial. This is what I have come up with:
6am
Treadmill
7:15am
Acetyl-L-Carnitine - 500mg
CoQ10 - 100 mg
Magnesium Citrate - 200 mg
L-Theanine 100 mg
L-Arginine 500 mg
7:45am
Dextroamphetamine 2.5 mg (I am taking stimulants every day at the moment while I get used to them. Longer term I will take weekends off. I will move to an extended release once we have got the dose right).
Breakfast 8:15am
Pristiq 50mg (would there be a better way to break this up then having it with the vitamins?)
Fish Oil (EPA 528 mg/DHA 372 mg)
Selenium 100 mcg
N-Acetyl-Cysteine 600 mg
Brain Active LongVida 400mg
Thorne Basic B Complex
10:30am
Acetyl-L-Carnitine - 500 mg
12:30 pm
Dextroamphetamine 2.5 mg
Lunch 1 pm
Vitamin E 400 mg
Vitamin D3 2000 IU
L-Theanine 100 mg
Vitamin B6 100 mg
Zinc Citrate 25 mg
L-Arginine 500 mg
2:30pm
Acetyl-L-Carnitine - 500 mg
Dinner 6:30pm
Vitamin C 2000 mg
Fish Oil (EPA 528 mg/DHA 372 mg)
Magnesium Citrate 200 mg
Acetyl-L-Carnitine - 500mg
Curcumin 665 mg
N-Acetyl-Cysteine 600 mg
Selenium 100 mcg
L-Tyrosine 500 mg (I have not started taking this yet as I cannot decide whether it is dangerous or not when taking dextroamphetamine every day as I am at the moment).
Fusion Probiotic
8:30pm
Topiramate 25 mg
9pm
Melatonin 3 mg - 6 hour time released (started this last week. I have been waking up a lot during the night and having very vivid dreams. Should I swap to 5-htp?)
Things to try
Memantine: I want to start taking this, once everything else is sorted. What dose and where should I slot it in? Other vitamins I see mentioned a lot: R-ALA, ALA, Green Tea Extract, CDP Choline, Taurine. I think I have way too many vitamins as is but if something is vital to what I am trying to achieve, then I would add it.
I am mainly interested in feedback on the timing of when I am taking the supplements. I have had particular trouble trying to sort out the morning; taking some on an empty stomach before the stimulant and some with breakfast (problem is I also take Pristiq at this time).
Any feedback would be greatly appreciated as I just do not understand this stuff and I have tried my best with this!