### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 51 yr. old woman. I have a medical history of anxiety, asthma-copd,hgh.bld.press.,sleep apnea,migraines,acid reflux,bells palsy-hemi facial spasms,and t. dyskinesia. I have tried cogentin, valium,topomax,primidone,and neurontin for the tremors. They were not tolerated very well. I had been on numerous depression meds when this developed 2 yrs. ago. I take lorazepam,enalapril,singulair,symbicort,and abuterol on a regular basis. I would like to know of any vitamin-mineral or natural product that might help with the symptoms of this disorder. Look what prescription meds. have already done. Please TRY and figure out something. My family does not understand this disorder and is considering putting me in a nursing home.......CAN YOU HELP!!!!!!!

### output:

Hi dairy understand your concern. Vitamin or minerals can help, but they only boost your energy level but not help to recover from depression. L methyl folate and methylcobalamine can help in depression. Both have a good review in treatment. It is effective only when give with ANI depressant. Anti-depressant like sertraline / Escitalopram will help along with L methyl folate. Thyroid function is also necessary. Do it if you have not done yet. Supplements of thyroxine also beneficial. Do take advise from your treating doctor. Consult psychiatrist and get help. Still if you have a query then feel free to ask. Thank you. Get well soon.