A few of the above, but none is severe. Those close are aware something is wrong. A beacon for the depressed, SAM-e is either already in or coming to a nearby drug or discount store. You can prescribe it for yourself and avoid what many folks call the stigma of getting professional help. It is sold over the counter and is not regulated by the government.
Product labels can make no overt health claims to treat anything.
SAM-e is not an herb like St. John's wort. Extensive research in Europe shows that it can be effective for a laundry list of complaints, such as liver and joint problems. In Italy, doctors commonly prescribe SAM-e as an antidepressant. Such a positive pedigree brought SAM-e immediate attention when it went on sale for a hefty price here this spring. An upbeat profile of SAM-e in Newsweek in May set off a flurry of requests for the product.