Practices

A second study, this time of 44 products, found only about half were authentic. Roughly six in ten were mislabelled, three in ten contained a substituted ingredient, and one in five held contaminants or fillers.

One study of this kind is a story about some bad batches. Two independent studies finding the same thing is a description of how the market works.…

Several herbal products change how fast the liver processes medication, which can leave a prescribed drug either weaker or stronger without a single change to the dose.

This is often why a supplement looks like it caused a relapse or a sudden run of side effects. Nothing about the prescription changed, so the pattern…

Two to be careful with in particular. Yohimbe reliably ramps anxiety up, so much so that it has been used in research to bring panic on, and kava is a sedative that stacks with alcohol and with sedating medication and has damaged livers at higher doses.

Kava has been restricted or banned in several countries over liver harm, which tells you how seriously that risk is taken. Yohimbe is a poor choice…

You cannot patent a plant, so there is little commercial reason to fund expensive trials of one. When you read that a herb has no evidence, that often means nobody paid to look rather than that somebody looked and found nothing.

Both halves of that need saying. No evidence is not proof of no effect, and it is also not permission to assume one. It leaves you with an open…

Herbal products are rarely covered by insurance and they add up quickly. That cost belongs in the decision, particularly when you cannot be sure the capsule holds what it says.

Money spent here is money not spent elsewhere, and often the alternative is a treatment that is covered and has been tested. Nobody is telling you…

What you feel does not stay in your head. Emotional states register in the body's immune signalling too, which is one reason a long stretch of unspoken distress can leave you physically run down.

This is not a claim that you can think yourself well or ill. It is closer to saying the body keeps a tally. If you have been carrying something heavy…

A physical symptom is not a free floating fact. Read it next to what your life has actually held, the early parts included, and it often makes more sense than it does on its own.

This works in both directions. It stops you treating a body complaint as something random that landed on you, and it stops you treating it as a…

Saying a difficulty is in the past is not the same as saying it was never real. Sometimes a picture changes because something that was making it worse got taken away, and the honest words for that are neither cured nor imagining it.

People who have been disbelieved by doctors are very sensitive to this, and with reason. The choice usually gets offered as either it was all in your…

If your attention runs low on stimulation, salty and sweet food is the fastest legal source of a lift and it is available all day. Worth knowing about yourself, because it explains a pattern that willpower alone never seems to touch.

Rates of overweight and type 2 diabetes are higher in people with ADHD, and the reasons are not moral ones. A reward system that is under stimulated…

Caffeine buys about half an hour of sharper focus and takes the payment out of your sleep. It is a decent tool for a particular hour, and using it in place of treatment usually leaves you worse off across the day.

Four cups a day and upwards starts producing insomnia, irritability, tremor, an unsettled stomach and a racing heart, and a few people go sleepy on…

The vitamin D in a general multivitamin is a maintenance amount, nowhere near what is used to correct a real deficiency. If your level is genuinely low, that is a prescribing conversation with blood tests behind it, not a shelf in the chemist.

Correcting a deficiency usually means a high dose for a defined period and then a steady daily amount, with the level rechecked to see where you have…

If a health habit keeps sliding, attach something immediate to it. The apps where you put real money on hitting a step target work for a reason: the payoff arrives now instead of in twenty years.

The natural reward for walking more is invisible and decades away, which is no use to a brain running on what happens next. A small stake, a streak,…

A child struggling with attention, anxiety and daily reflux at once may be dealing with one problem wearing three coats. Undiagnosed coeliac disease and other food reactions can produce all of it, and the gut symptom is the clue worth following.

Symptoms that arrive together are worth asking about together. If reading, mood and stomach all went wrong over the same period, that pattern is…

Cutting artificial preservatives out can genuinely help a child who reacts to them, because a child who feels unwell behaves worse. What it does not do is treat the ADHD underneath, which will still be there once they feel better.

Worth being clear with yourself about what you are hoping for, because these diets are expensive and hard to keep up. If your child does have…

Gluten free and dairy free eating is essential in coeliac disease and in a genuine milk allergy. Neither one treats ADHD, and putting a child on them without a reason carries costs of its own.

The cost is not only money and nutrition. It is the birthday party where they cannot have the cake and the lunch table where their food is different…

Every feeling comes with something it wants you to do. Catching the move before you make it is most of the skill.

Anger wants to push, fear wants to get out of the room, sadness wants to curl up, shame wants to disappear. None of that is wrong, and the trouble is…

You do not need a long list of feeling words. Half a dozen you can actually reach for under pressure will do more than forty you have to look up.

Angry, sad, afraid, ashamed, surprised, glad is enough to start with, and most hard moments are some mixture of the first four. The aim is not to…

If someone is saying so much that you have lost the thread, stop them kindly and check. Sorry, that is a lot and it matters, can I say back what I have got so far.

It feels rude and it is usually received as the opposite, because it says the words were worth keeping. Listening while quietly drowning helps…

Point at the body. 'Your hands went up just then', or 'you put your head in your hands', gives a feeling something solid to stand on.

Feelings argued about in the abstract go round and round. A gesture you both just watched is much harder to dispute, and it opens a door: what was…

When someone goes quiet and you can see they have gone inside, that is not your moment to help. Stay still and let the silence run.

You will feel the pull to summarise, to check they are alright, to bring the other person back in. All of it lands as an interruption. Give it a few…