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Author Topic: Morning anxiety - GAHH! - solutions?  (Read 416 times)

floraljo

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Morning anxiety - GAHH! - solutions?
« on: August 31, 2025, 09:48:29 AM »

Hello, I've read through posts on the forum about morning anxiety so know others experience it. I've read on here advice about diet (e.g. eating a biscuit), supplements and lifestyle changes but would love to know whether any changes to medication dose helped or whether these episodes appear at certain times during the month for people. I think mine are a bit better when I have progesterone but I'll test that out next week!

As a bit of background:

I had it first in 2023 for a few months and then it subsided. I don't know if it improved as a result of increasing my oestrogen dose or if that was a coincidence. More recently, it returned and has been daily for a couple of weeks. It is horrific, from when I wake up 7-8ish and then subsides during the day. On waking, I have pins and needles in my feet which vanishes quickly then a wave of panic and dread. When I experienced it before, I was tested for nerve issues, diabetes, B12 - all fine.

The current episodes are coming with some episodes of me crying spontaneously during the day for no reason although I've got other life events going on too which might be contributing.

I'm 44. On estradot 100, utrogestan 200. I recently started trying testosterone gel again at the lowest dose. My SHBG has always been high when tested.
My results last week were:

Oestrogen - 730
Testosterone 1.69 (only just slightly above the reference range)
SHBG - >200
FAI - couldn't be calculated
Prolactin - mildly raised but endo said it was fine
Thyroid- all fine

These results are similar to my 2023 results when I was having the same issues.


Thanks
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Lavender Girl

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Re: Morning anxiety - GAHH! - solutions?
« Reply #1 on: September 01, 2025, 05:06:10 AM »

Hi,
t's such a horrible feeling, it's hopeless, relentless dread and that sick feeling in the stomach.
mine is also due to an emotional situation I'm going through but I've found the only thing that has actually helped take the worst of it away is SSRI
I've only just started Sertraline, and the first week was awful, it was my anxiety times 10.
Now it's calmer.. it's just taken the edge off.  I'm on 50mg.
It's not something I wanted to do because I thought the HRT would sort it, and although helped hasn't alleviated it.  And I realised I can't do it on my own, sometimes we just need a little extra help.
I'm 48 and peri just for ref. and on Estrogel and have the coil.
The test will be when what would be my period comes (dont get them really with the coil) but I know when they are and that's when I hit rock bottom and have terrible teary episodes and can't pull myself out of the despair.
PMT is something I never suffered from so I know it's a combo of life sruff and peri making it worse.

Worth a chat with the doc anyway?
x

Hello, I've read through posts on the forum about morning anxiety so know others experience it. I've read on here advice about diet (e.g. eating a biscuit), supplements and lifestyle changes but would love to know whether any changes to medication dose helped or whether these episodes appear at certain times during the month for people. I think mine are a bit better when I have progesterone but I'll test that out next week!

As a bit of background:

I had it first in 2023 for a few months and then it subsided. I don't know if it improved as a result of increasing my oestrogen dose or if that was a coincidence. More recently, it returned and has been daily for a couple of weeks. It is horrific, from when I wake up 7-8ish and then subsides during the day. On waking, I have pins and needles in my feet which vanishes quickly then a wave of panic and dread. When I experienced it before, I was tested for nerve issues, diabetes, B12 - all fine.

The current episodes are coming with some episodes of me crying spontaneously during the day for no reason although I've got other life events going on too which might be contributing.

I'm 44. On estradot 100, utrogestan 200. I recently started trying testosterone gel again at the lowest dose. My SHBG has always been high when tested.
My results last week were:

Oestrogen - 730
Testosterone 1.69 (only just slightly above the reference range)
SHBG - >200
FAI - couldn't be calculated
Prolactin - mildly raised but endo said it was fine
Thyroid- all fine

These results are similar to my 2023 results when I was having the same issues.


Thanks
Logged

Mariab

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Re: Morning anxiety - GAHH! - solutions?
« Reply #2 on: September 01, 2025, 05:19:05 AM »

Lavender girl
You and I are in actually the same situation..same age, same hrt combo, and ssri but mine is citalopram..I've just been through a 5 week blip , upped citalopram..and now thankfully other way back to normal what ever that is anymore...
Morning anxiety sucks!!!!
But it does go away...I found by making sure my diet is good with probiotics helps...happy tummy happy mind...I read loads on mind to gut axis which is a huge help along with walks etc... :)
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Lavender Girl

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Re: Morning anxiety - GAHH! - solutions?
« Reply #3 on: September 01, 2025, 06:11:22 PM »

hey Maria,
How much are you on do you mind me asking?
What happened in the 5 week blip? just hit you again?

It's awful.. I try not to sit with my thoughts for too long, walk the dog get myself going.  I work a few days a week from home the other 3 in the workplace, I'm definitely worse on WFH days.
Never thought I'd feel unsafe or so sad in my own sanctuary!  :(
The Sertraline is definitely taking the edge off.  I had constant lump in the throat, sick in my stomach and chest pains, just unbearable, and could not stop crying.
I'm trying to get the physical sorted so the head can get a bit clearer.. I hope!
That's a good shout, been reading about gut microbiome too.
Walking in nature has always been my therapy in peace, but at the moment it's too much thinking time ya know?

Are you doing much better now? x

Lavender girl
You and I are in actually the same situation..same age, same hrt combo, and ssri but mine is citalopram..I've just been through a 5 week blip , upped citalopram..and now thankfully other way back to normal what ever that is anymore...
Morning anxiety sucks!!!!
But it does go away...I found by making sure my diet is good with probiotics helps...happy tummy happy mind...I read loads on mind to gut axis which is a huge help along with walks etc... :)
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Mariab

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  • Posts: 192
Re: Morning anxiety - GAHH! - solutions?
« Reply #4 on: September 01, 2025, 06:48:44 PM »

Hi..
I started on 10mg and over the last 2 years I have worked my way up...I am now on 40mg which is the max for citalopram...
The 5 week blip, was no appetite, dry wrenching, doom feeling, early waking, negative thoughts...almost felt like I did to start with..however I have come out ok..
I just carry on with life , going out etc which is very hard isn't it..I felt unsafe in my own house also, infact everywhere but the more you sit at home, gardening, reading a book, watching your favourite programme over again...your mind realises that there is no danger and it fade away, sometimes quickly and other times a long while..just remember it doesn't last....and the tools you use will become second nature... :)
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