10 nutritional deficiencies that may cause depression Do you ever wonder where you positive emotions went? If your optimistic outlook on life has soured, then you should know that – beyond mental approaches – nutrition plays an integral role in maintaining your moods. There are many nutritional deficiencies that may lead to feelings of melancholy. You might want to consider asking your healthcare practitioner if you’re lacking in any of the important nutrients below. If your healthcare practitioner is not available to considering nutritional deficiencies as a reason behind depression, then you might consider firing your health care practitioner. Correcting a poor diet plan and adding the proper supplements should be primary objectives for just about any doctor with correct education and integrity.Simonds, M.D., Virend K. Somers, M.D., Ph.D., Faiez Zannad, M.D., Ph.D., and Helmut Teschler, M.D.: Adaptive Servo-Ventilation for Central Sleep Apnea in Systolic Center Failure Sleep-disordered breathing is certainly common in patients who’ve heart failure with minimal ejection fraction, with reported prevalence rates of 50 to 75 percent.1 Obstructive sleep apnea takes place more in sufferers with heart failing than in the general population often.2 The prevalence of central sleep apnea increases in parallel with increasing severity of heart failure1 and worsening cardiac dysfunction.3 There are a variety of mechanisms where central sleep apnea could be detrimental to cardiac function, including increased sympathetic nervous system activity and intermittent hypoxemia.4-6 Central sleep apnea can be an independent risk marker for poor death and prognosis in individuals with heart failure.4,7,8 In the Canadian Continuous Positive Airway Pressure for Patients with Central Sleep Apnea and Cardiovascular Failure study, patients with heart failure and central sleep apnea were randomly assigned to receive continuous positive airway pressure or simply no CPAP.9 The trial was halted prematurely and didn’t show a beneficial aftereffect of CPAP on morbidity or mortality.10 Adaptive servo-ventilation is a noninvasive ventilatory therapy that effectively alleviates central sleep apnea by delivering servo-controlled inspiratory pressure support along with expiratory positive airway pressure.11,12 The Treatment of Sleep-Disordered Breathing with Predominant Central Sleep Apnea by Adaptive Servo Ventilation in Individuals with Heart Failure trial investigated the consequences of adding adaptive servo-ventilation to guideline-based medical treatment on survival and cardiovascular outcomes in individuals who had heart failure with minimal ejection fraction and predominantly central sleep apnea.