Panic attacks and anxiety can be so scary. You may feel betrayed. You may feel out of control. Why is your body doing this to you. Anxiety can have other physical contributors. Anxiety is not always chemical or mental. What other physical contributors are there?
For women, estrogen and progesterone levels can contribute to anxiety symptoms. If your estrogen is very low, it can precipitate anxiety and panic attacks. It is a good idea to get your estrogen levels checked, especially if you have irregular periods, don’t have periods, or are going through peri-menopause or menopause.
Low progesterone can also cause anxiety issues.
If you are having anxiety around day 13-17, or in the week before or of your period, it may be because of high histamine levels. If you are having increased anxiety and headaches, then high histamine is very likely. To help with histamine see here
If your thyroid hormone is low, or if your thyroid function is low, you may see increased anxiety, panic attacks, or depression. Other symptoms that may indicate thyroid issues are if you have dry, brittle hair and nails, constipation, fatigue, and dry skin. If you have symptoms like these, it would be a great idea to get your thyroid checked. I recommend checking the following tests:
TSH
Free T3
Free T4
TPO
Antithyroglobulin antibody
Food dyes and some food additives can increase anxiety risk, so consider eliminating artificial dyes and additives. Try a month or two of eating non-processed foods and see if your anxiety and panic attacks improve.
Low levels of B vitamins, especially Vitamin B2, Niacin, B6, Folate, and B12, can lead to anxiety and depression. These micronutrients are very important for energy production in the body AND the brain. They are also important for the manufacture and metabolism and the neurotransmitters (brain messengers) that we believe control mood and motivation, GABA, dopamine, and serotonin. Consider taking a good quality multivitamin like the Foundation Multi (2 capsules daily) for 2-3 months and see if symptoms improve.
Low zinc and selenium levels correlate with increased anxiety. Zinc and selenium are important co-factors your body needs to make energy in the body and brain, as well as to break down toxins and get rid of oxidation that may increase risk of anxiety. A starter dose of both minerals can be found in the Foundation Multi also.
Birth control pills, birth control patches or rings, as well as metformin are medications that can all decrease B vitamin levels, so supplementing with extra B vitamins while on them can decrease risk of anxiety and depression. The Foundation Multi usually has enough B vitamins to help with this. Do not take your B vitamins at the same time as metformin.
Intrauterine devices (IUDs) can also increase risk for anxiety, panic attacks, and depression. The copper IUD devices can cause decreased zinc levels, which precipitates anxiety in some women. If you choose to use a copper IUD, then please supplement with a well absorbed zinc, such as zinc glycinate. The hormonal IUD devices can mimic progesterone in the uterus, but bind and block Progesterone binding to other receptors, decreasing the calming effect of progesterone.
Supplementing with Omega-3’s or eating more fish can help over 2-3 months to decrease anxiety and panic attacks. Decreasing vegetable seed oils that contain a lot of Poly-unsaturated fatty acids (PUFAs) like corn, vegetable, canola, sunflower, and safflower oil is also helpful. These are in most fried foods.
Music: Listening to music that you find relaxing can decrease anxiety and panic attacks. Combining this with breathing or meditation will increase how powerful the music can be for you.