Writing · Author
Shantanu Baghel
Plain, evidence-grounded explanations of the questions patients bring to the practice, written by the physician who treats them.
Pristiq Withdrawal: Symptoms, Timeline, and How to Taper
Coming Off Pristiq: What to Expect Updated October 2026. Label facts are from the Pristiq prescribing information dated April 2026. Pristiq withdrawal is a group of symptoms, most often dizziness, nausea, headache and irritability, that can start within…
How to Taper Off Lexapro: Withdrawal, Timeline, and Plan
Coming Off Lexapro: What to Expect I’m a board-certified psychiatrist practicing in North Carolina, and I supervise antidepressant tapers, including Lexapro. Most people who stop an antidepressant have no withdrawal symptoms or mild ones. In a 2024 meta-analysis…
Supplements for ADHD: What a Psychiatrist Says the Evidence Supports
A psychiatrist goes through supplements for ADHD one by one: iron, vitamin D, saffron, omega-3, melatonin, herbs, and nootropics, with doses and adult trials.
Brain Zaps: Why They Happen and What Actually Helps
Brain zaps are a real antidepressant withdrawal symptom. A psychiatrist explains why they happen, how long they last, and why no supplement has ever fixed them.
Zoloft Withdrawal: How Hard Sertraline Is to Stop and How to Taper Safely
Zoloft Withdrawal: What Happens When You Stop I’m a board-certified psychiatrist practicing in North Carolina. I’m board-certified by the American Board of Psychiatry and Neurology in psychiatry and forensic psychiatry. Sertraline is one of the most widely prescribed…
Cymbalta Withdrawal: Why Duloxetine Is So Hard to Stop and How to Taper Safely
Cymbalta Withdrawal: What Happens When You Stop I’m a board-certified psychiatrist practicing in North Carolina. I’m board-certified by the American Board of Psychiatry and Neurology in psychiatry and forensic psychiatry. Cymbalta withdrawal is one of the harder problems…
Is Semax Legal? What the FDA Panel Actually Voted On
Published: July 25, 2026 | By: Dr. Baghel | Category: Peptide Therapy Updated July 25, 2026. An FDA advisory committee voted on semax on July 24. Every vote tally on this page is as reported by trade press…
DSIP Peptide for Sleep: What a Psychiatrist Makes of Delta Sleep-Inducing Peptide
DSIP peptide arrives with a name that sounds like a promise: delta sleep-inducing peptide. Unlike a lot of what gets sold online, it has an actual human research record behind it, one that goes back to the 1970s…
TRT and Antidepressants: What Actually Interacts and What to Watch
TRT and antidepressants get prescribed to the same men all the time, and the interaction checkers say there’s nothing to report: no drug-drug interaction on file. The checkers are answering a narrow question, whether one drug changes the…
How MDMA-Assisted Therapy Works, and Why the FDA Said No
Two phase 3 trials reported that MDMA-assisted therapy reduced severe PTSD symptoms more than the same therapy with an inactive pill. The improvements were large, the kind that usually carries a drug through to approval. In August 2024,…