Anxiety

Introduction: Why Anxiety Needs More Than Medication

Anxiety disorders affect 40 million US adults, yet most treatments only mask symptoms. At Patients Medical in NYC, we take a different approach—using advanced testing to uncover biological roots of anxiety, then creating personalized plans that may include:

  • Targeted nutraceuticals to calm the nervous system
  • Gut-brain axis repair to reduce inflammation
  • Hormone & neurotransmitter balancing
  • Lifestyle therapies that address root causes

We don’t just manage anxiety—we help your body overcome it.

Types of Anxiety We Treat

1. Generalized Anxiety Disorder (GAD)  
  • Symptoms: Constant worry, restlessness, fatigue
  • Root Causes: Often linked to GABA/glutamate imbalance, magnesium deficiency
2. Panic Disorder
  • Symptoms: Sudden attacks with heart palpitations, trembling
  • Root Causes: Histamine intolerance, HPA axis dysfunction
3. Social Anxiety 
  • Symptoms: Fear of judgment, physical blushing/nausea
  • Root Causes: Oxytocin receptor variants, gut microbiome disruptions
4. Health Anxiety
  • Symptoms: Obsessive health fears, body scanning
  • Root Causes: MTHFR mutations, pyrrole disorder
Hidden Causes of Anxiety

Hidden Causes of Anxiety

Functional medicine digs deeper than “stress”:

1. Gut-Brain Axis Dysfunction
  • Leaky gut → Systemic inflammation → Neuroinflammation
  • SIBO/H. pylori → Triggers histamine and cortisol release
2. Nutrient Deficiencies
  • Magnesium: Needed for GABA receptor function
  • B6/B9/B12: Critical for neurotransmitter production
  • Omega-3s: Reduce brain inflammation
3. Hormonal Imbalances
  • High cortisol: Creates “wired but tired” feeling
  • Low progesterone: Excitatory neurotransmitter dominance
  • Thyroid dysfunction: Mimics anxiety symptoms
4. Toxicity & Genetics
  • Heavy metals (mercury, lead) disrupt neurotransmitter balance
  • MTHFR mutations impair detoxification and methylation

Diagnostic Testing

We identify your unique triggers with:

Neurotransmitter Testing (urinary GABA, serotonin, dopamine)

Gut Health Panel (stool microbiome, zonulin for leaky gut)

Hormone Testing (cortisol x4, thyroid, sex hormones)

Nutrient Analysis (RBC magnesium, zinc, B vitamins)

Genetic Testing (MTHFR, COMT, GST detox pathways)

Heavy Metal Testing (hair, urine)

Integrative Anxiety Treatments

Nervous System Support

  • IV Magnesium & B Vitamins: Rapidly calm overactive stress response
  • Amino Acid Therapy: L-theanine, GABA, 5-HTP for neurotransmitter support
  • Phosphatidylserine: Helps reset cortisol rhythms

Gut Healing Protocol

  • Probiotics: Specific strains like L. rhamnosus for GABA production
  • Anti-inflammatory Diet: Low-histamine, gluten-free options
  • Herbal Antimicrobials: For SIBO/candida if present

Hormone & Detox Support

  • Adaptogens: Ashwagandha, rhodiola for HPA axis regulation
  • Methylation Support: Active B vitamins (methylfolate, B12)
  • Liver Detox: NAC, milk thistle for toxin clearance

Mind-Body Therapies

  • Neurofeedback: Trains brainwave patterns for calm focus
  • Acupuncture: Reduces cortisol and boosts endorphins
  • Breathwork Coaching: Resets vagal nerve tone

Case Study: David’s Anxiety Recovery

David, 34, had panic attacks and insomnia for 2 years.

Testing revealed:

  • Severe magnesium deficiency (RBC Mg: 4.1 mg/dL)
  • Leaky gut (zonulin 55 ng/mL)
  • COMT mutation (slow neurotransmitter breakdown)

Treatment Plan:

  1. IV magnesium + B complex (weekly for 1 month)
  2. Gut repair protocol (L-glutamine, probiotics)
  3. Methylated B vitamins + SAMe

Results in 3 Months:

  • Panic attacks ceased
  • Sleep restored to 7 hours/night
  • Zonulin normalized (32 ng/mL)

Testimonials

Frequently Asked Questions

Yes, many types of anemia can be reversed with nutrition, gut healing, and targeted supplementation.

Many notice improvements in 2-4 weeks; full protocols typically take 3-6 months.

Yes! 90% of serotonin is made in the gut—dysbiosis directly impacts mood.

We provide superbills for out-of-network reimbursement. Some tests may be covered.

Our advanced neurotransmitter and genetic testing often reveals overlooked factors.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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