11 Comments
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Greg's avatar

Thank you so much. I want to bring memantine to the forefront of the discussion. Along with herbal and mineral supplements you can get your life back. Long lasting NMDAR antagonist memantine is a life saver. You can buy years supplies for under 100 dollars

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Courtney Snyder MD's avatar

You´re welcome. Thank you for sharing this.

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Nick's avatar

Where do you buy? What is its label?

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Greg's avatar

Science.bio has it. No brand name it's a chemical mate

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Carlen Altman's avatar

Such an amazing episode, thank you! I will be sharing this with those I know it will help.

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Courtney Snyder MD's avatar

Thank you, again, Carlen. I really appreciate your commenting...and sharing.

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Carlen Altman's avatar

Of course! You have such great wisdom and learned experience to share. Thank you for all your dot connecting!

I would like to work with you and I am wondering how to decide on whether a 45 min VS 60 min would be right for me. Is it just a time difference or do you recommend a 60 minute for any specific reason?

Is it better I contact you via your website? Thanks!

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Courtney Snyder MD's avatar

It's really just the difference in time. Often people schedule for 45 min if they intend to move on to an evaluation and those who are in states or countries where I am not licensed and thus who aren't pursuing ongoing treatment schedule an hour. I do offer follow up consultations if needed.

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Carlen Altman's avatar

Thank you 🙏

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Naomi Martin's avatar

Great essay Courtney; I have a question. For an individual who is presenting with undermethylation on labwork (functional serum methylation panel), but who is not necessarily presenting with brain based symptoms that they feel are unmanageable for them or negatively impacting their life- do you feel it is still advantageous to support/upregulate methylation for that person for optimal health and longevity (i.e. detox capabilities, etc.)?

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Courtney Snyder MD's avatar

Thank you. Addressing methylation pathways can be helpful for those who are underemethylated, however, if the person has low serotonin symptoms (depression, anxiety, OCD symptoms), doing typical methylation support (which typically involves folate) can worsen depression and anxiety. Instead, we use methionine or SAMe (if homocysteine is less than 10) to support serotonin activity.

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