Greatest Dietary supplements for Seasonal Despair (2026) – Zac Johnson




Seasonal depression, also known as seasonal affective disorder (SAD), affects millions of people during fall and winter when reduced sunlight disrupts serotonin production, melatonin balance, and circadian rhythms. While light therapy and counseling remain frontline treatments, certain supplements have shown promise in supporting mood, energy, and emotional well-being during the darker months. Key nutrients for SAD include vitamin D, saffron extract, SAM-e, omega-3 fatty acids, St. John’s Wort, and 5-HTP — all of which target the neurochemical pathways most affected by seasonal changes.

5-HTP

Quick Comparison

1. Effective Nutra Saffron Gummies – Best Overall


Effective Nutra Saffron Gummies for Adults 88.5mg – Mood Support & Stress Relief with GABA, Passion Flower – 5-in-1 Formula – Sugar-Free, Vegan, Non-GMO, Made in USA – 90 Count (45-Day Supply)

  • #1 ULTIMATE SAFFRON GUMMY: Not a fan of swallowing large capsules? Our sugar free saffron gummies taste good & go down easy. 90 Gummies in a bottle for the best value out there!*
  • GET ALL THE BENEFITS: Our saffron supplement is packed with a 5-in-1 blend that may promote positive mood and attitude, digestion, physical fitness, increase in energy and focus, stress relief, heart health and brain function.*
  • SUPPORTS HEALTHY MOOD: Saffron extract has a long history of traditional use for supporting a healthy mood and promoting emotional balance. A great way to maintain a positive attitude and mood all day long!*
  • HEALTHY & DELICIOUS: Yes, we did it! At Effective Nutra we want to provide a healthy and enjoyable experience. Our saffron gummies are naturally berry flavored. With no artificial colors or flavors, you can be sure you’re getting the most nourishing health gummies out there!*
  • EFFECTIVE NUTRA’S SEAL OF EXCELLENCE: QUALITY YOU CAN TRUST: Our supplements are Vegan, Gluten-Free, Non-GMO, Third Party Tested, GMP Certified and proudly Made in USA with Globally Sourced Ingredients. That’s the Effective Nutra seal of excellence!*

This sugar-free gummy combines clinically studied saffron extract with vitamin D2 and passion flower, targeting multiple SAD pathways in one convenient supplement.

Effective Nutra delivers saffron at 88.5mg per serving — the dosage shown in clinical research to support serotonin activity and positive mood. The addition of vitamin D2 addresses the sunlight deficiency that drives seasonal depression, while passion flower provides calming support for the anxiety that often accompanies winter mood changes. Each bottle contains 60 gummies for a full month’s supply, and the sugar-free formula makes daily compliance easy.

  • Pros:
  • Clinically studied saffron dosage (88.5mg) combined with vitamin D
  • Sugar-free gummy format with great taste and easy compliance
  • Multi-target approach addressing both serotonin and vitamin D pathways
  • Cons:
  • Contains vitamin D2 rather than the more bioavailable D3 form
  • Premium price point compared to single-ingredient options

Best for: Anyone seeking a convenient, research-backed supplement that addresses multiple seasonal depression factors in one formula

2. Bioactive SAM-e 750mg – Most Potent Mood Support


Bioactive SAM-e 750mg – High Strength SAM-e Supplement with Biologically Active S,S Form for Liver and Mood Support – Vegan Non-GMO Preservative Free – Made in The US (30 Capsules)

  • Precision Dosage: Take one capsule daily of our 750mg SAMe supplements designed to provide enhanced comfort physically and emotionally as this nutrient offers both mood and brain support
  • Active Form: We formulated our SAM e supplement 750mg with s-adensosyl l-methionine disulfate tosylate which offers enhanced bioavailability so you get more of the SAM-E benefits out of each dose
  • The Clear Difference: At Clear Formulas we believe transparency and trust are essential which is why our product is made in a cGMP American facility according to strict regulatory guidelines
  • Made for All in Mind: We stand by our name and our formula is made without many common allergens and additives including dairy, gluten, salt, soy, wheat or artificial preservatives
  • The Choice is Clear: We believe health doesn’t have to be hard – We make it simple with carefully designed supplements to support your needs. Whatever your age and lifestyle we’ve got you covered

High-strength SAM-e in the biologically active S,S form delivers one of the most researched natural compounds for mood support and neurotransmitter production.

S-adenosyl-L-methionine (SAM-e) is a major methyl donor in the brain that supports the synthesis of serotonin, dopamine, and norepinephrine — the three neurotransmitters most disrupted during seasonal depression. This 750mg dose uses the biologically active S,S form for superior absorption and efficacy. SAM-e has been studied extensively for mood support, with research suggesting it may be as effective as certain conventional approaches for mild to moderate depressive symptoms. The enteric-coated tablets protect the active compound from stomach acid degradation.

  • Pros:
  • 750mg high-strength dose in the preferred S,S bioactive form
  • Supports serotonin, dopamine, and norepinephrine production simultaneously
  • Enteric coating protects potency through digestion
  • Cons:
  • Must be taken on an empty stomach for best absorption
  • Higher cost per serving than many mood supplements

Best for: Those seeking a high-potency, research-backed compound for significant mood support during winter months

3. Luma Nutrition Saffron Extract – Best Saffron Capsule


Luma Nutrition Saffron Extract Capsules – Premium Saffron Supplements – 88.50 mg Pure Saffron Pills – Mood Support – Eye Support – Made in The USA – 60 Capsules

  • Potent & Effective – Elevate Health Naturally: Unleash the power of our natural saffron extract, a top-tier supplement for improved macular eye health, mood enhancer, brain support and energy support. Elevate your wellness journey with proven efficacy.
  • Many Health Benefits: Our optimized saffron powder is used by many as an effective eye supplement for both men and women. It may also help support overall metabolic function for healthy weight management.
  • Mood Boosting Marvel – Elevate Positivity: Transform your mood with Luma Nutrition saffron pills, a renowned mood support supplement. Embrace a natural mood boosting that promotes serotonin and positive energy support without the added sugar of Saffron gummies.
  • Easy 1-Month Supply: Create a solid daily routine with Luma’s 30-day supply of premium saffron supplements for kids and adults. Makes the perfect monthly subscription! Always stay in stock and save money at the same time!
  • USA-Made Excellence – Veteran Owned: Trust Luma Nutrition’s saffron capsules, crafted in GMP certified US facilities. We’re family-owned, committed to quality, and here to support your well-being journey.

Pure saffron extract at the clinically studied 88.5mg dose, delivering targeted serotonin support in a simple capsule format.

Luma Nutrition provides a straightforward saffron supplement standardized to the precise 88.5mg dosage used in clinical trials demonstrating mood improvement. Saffron works by modulating serotonin reuptake in the brain, making more of this “feel-good” neurotransmitter available — a mechanism particularly relevant for seasonal depression where serotonin production drops with reduced sunlight. The capsule format allows for easy combination with a separate vitamin D supplement for a comprehensive SAD protocol.

  • Pros:
  • Exact clinically studied dosage (88.5mg pure saffron extract)
  • Clean formula without unnecessary fillers
  • Easy to stack with vitamin D and omega-3 supplements
  • Cons:
  • Single-ingredient formula requires additional supplements for full SAD support
  • Capsules may not appeal to those who prefer gummies

Best for: Anyone who wants a targeted, clinically dosed saffron supplement they can combine with their existing vitamin stack

4. Nature Made Vitamin D3 5000 IU – Best Vitamin D for SAD

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Nature Made Vitamin D3 5000 IU (125 mcg) Softgels, Extra Strength Vitamin D Supplement for Bone and Immune Health Support, 180 Count, 180 Day Supply

  • Immune, muscle, teeth and bone health support supplement: contains one 180 count bottle of Nature Made Extra Strength Vitamin D3 5000 IU (125 mcg) Softgels for a 180-day supply
  • Nature Made Vitamin D 5000 IU softgels help improve calcium absorption, support bone health, teeth health, muscle health, and provide immune support
  • This high dose Vitamin D 3 product is for those with higher Vitamin D needs and/or deficiency, as determined by a healthcare professional (1)
  • Adults, take one Vitamin D3 Nature Made softgel daily with water and a meal
  • Sourced from high-quality ingredients, this Nature Made Vit D3 supplement is gluten free and has no color added and no artificial flavors

USP-verified vitamin D3 at the dosage most studied for seasonal mood support, from the #1 pharmacist-recommended supplement brand.

Vitamin D deficiency is one of the primary drivers of seasonal depression, and research has shown that supplementing with 5,000 IU daily during winter months can help alleviate SAD symptoms. Nature Made delivers this dose in the body’s preferred D3 (cholecalciferol) form, with each softgel providing 125mcg. The USP verification means independent testing confirms the supplement contains exactly what the label claims — a crucial consideration for efficacy. The 180-count bottle provides a full six-month supply to cover the entire fall-winter SAD season.

  • Pros:
  • USP verified for purity, potency, and label accuracy
  • 5,000 IU dose shown in studies to support winter mood
  • Excellent value with 180-day supply
  • Cons:
  • Softgel contains gelatin (not suitable for vegans)
  • Does not include vitamin K2 for optimal calcium metabolism

Best for: Anyone with confirmed or suspected vitamin D deficiency looking for a trusted, affordable supplement for seasonal mood support

5. Genius Joy – Best Multi-Ingredient Formula


Genius Joy, Nootropic Mood Enhancer Supplement – Support Cognitive Health, Enhance Mood & Neural Function with Brain Boosting L-Theanine, Panax Ginseng & SAM-e – Organic, Non-GMO, & Gluten-Free

  • Amp Up the Joy in Your Life*: Genius Joy by the Genius Brand is a natural mood-boosting supplement formulated with high-quality ingredients including SAMe, Panax Ginseng, and L-Theanine. Genius Joy is non-GMO, organic, gluten free, and made in the USA. Serving size 4 vegetarian capsules, 25 servings per container.
  • Enhance Mood & Neural Function*: Genius Joy’s hand-picked blend of nootropics, adaptogens, and natural energy boosters promote a natural sense of well-being. SAMe has been shown to support and enhance mood and neural function, and 5-HTP increases serotonin levels
  • Support Cognitive Health: L-Theanine, N-Acetyl-L-Tyrosine, and Rhodiola support calm, alertness, and mental focus. Red Panax Ginseng may support focus, concentration, memory, and energy.*

A comprehensive nootropic mood formula combining SAM-e, saffron extract, rhodiola rosea, and B vitamins for broad-spectrum seasonal depression support.

Genius Joy takes a kitchen-sink approach to mood support, combining multiple evidence-based ingredients into a single supplement. SAM-e provides direct neurotransmitter support, saffron modulates serotonin activity, rhodiola rosea reduces cortisol and stress response, and B vitamins (B6, B12, folate) fuel the methylation cycle essential for producing mood-regulating brain chemicals. This multi-pathway approach is particularly valuable for seasonal depression, which involves disruptions across several neurochemical systems. For those who prefer a simpler supplementation routine, Genius Joy consolidates several individual products into one. For additional mood support options, a dedicated mood formula may complement this well.

  • Pros:
  • Combines SAM-e, saffron, rhodiola, and B vitamins in one formula
  • Addresses stress, energy, and mood through multiple pathways
  • Eliminates the need for several separate supplements
  • Cons:
  • Individual ingredient dosages may be lower than standalone products
  • Larger capsule size requires taking multiple per serving

Best for: Those who want a comprehensive mood and energy formula without juggling multiple bottles

6. Nordic Naturals Ultimate Omega – Best Omega-3 for Mood

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Nordic Naturals Ultimate Omega, Lemon Flavor – 180 Soft Gels – 1280 mg Omega-3 – High-Potency Fish Oil with EPA & DHA – Promotes Brain & Heart Health – Non-GMO – 90 Servings

  • WHY OMEGA-3S – Research shows that the essential fatty acids EPA & DHA in fish oil support heart, brain, eye & immune health. Omega-3s may also help support a healthy mood.
  • DOCTOR-RECOMMENDED FORMULA – Nordic Naturals Ultimate Omega features high concentration omega-3 fish oil in soft gels. This formula meets the daily recommended dose suggested by the American Heart Association to support a healthy heart.
  • BETTER ABSORPTION, BETTER TASTE, NO FISHY BURPS – All of our omega-3 fish oil concentrates are in the triglyceride molecular form (the form naturally found in fish) for optimal absorption. Ultimate Omega has a great lemon taste.
  • PURITY GUARANTEED – Every batch of Nordic Naturals fish oil is crafted from fresh, wild-caught, omega-rich fish. We are committed to using only non-GMO, gluten- & dairy-free ingredients with no artificial colors, flavors, or preservatives.
  • ETHICAL INNOVATION – Nordic Naturals is proud to be at the forefront of sustainable & ethical practices in the natural products industry. Through science & innovation, we are committed to delivering safe, effective nutrients to support foundational wellness.

High-potency omega-3 fish oil delivering 1,280mg combined EPA and DHA per serving in triglyceride form for superior absorption and brain health support.

Omega-3 fatty acids — particularly EPA — have been linked to reduced depressive symptoms in multiple clinical trials. EPA modulates inflammatory pathways in the brain that contribute to mood disorders, while DHA maintains the structural integrity of brain cell membranes needed for proper serotonin signaling. Nordic Naturals Ultimate Omega provides 650mg EPA and 450mg DHA per two-softgel serving, all in the triglyceride form that research shows is up to 70% better absorbed than the ethyl ester form used by many competitors. Third-party tested and Friend of the Sea certified, this is consistently rated as the top fish oil by dietitians and healthcare professionals.

  • Pros:
  • 1,280mg omega-3 in highly absorbable triglyceride form
  • Third-party tested with certificates of analysis publicly available
  • Lemon flavor eliminates fishy burps and aftertaste
  • Cons:
  • Premium price compared to budget fish oil options
  • Requires two softgels per serving

Best for: Anyone wanting the highest-quality omega-3 supplement for brain health and mood support during seasonal changes

7. NutraBlast St. John’s Wort – Best Herbal Option


St John’s Wort Capsules – Powerful & Potent Saint John’s Wort Extract & Whole Herb Complex Standardized to 900mcg Hypericin for Balancing Daily Mood Support – Vegan Non-GMO & Lab Verified (120 Caps)

  • Turn To St. John’s Wort: For centuries, people have turned to St. John’s Wort (commonly misspelled wart) for all the benefits it can provide. Now we know it contains a natural active chemical called Hypericin – and Healths Harmony’s high-potency formula provides 900mcg of Hypericin in every serving.
  • Quality And Quantity: We keep servings simple with one capsule per serving and 120 capsules per bottle. There’s no nasty tincture to taste and no gritty pills, just potent extract standardized to 0.3% Hypericin for optimal support.
  • Manufactured To Immaculate Standards: We manufacture these non-GMO powder capsules in a GMP-certified facility right here in the USA using globally sourced ingredients. Our precision formulation means you can be sure that what’s listed on the bottle is what you actually get – every single time – nothing but pure St. John’s Wort and something to hold the capsule together.
  • Order Today: Try a full bottle of our St. John’s Wort and see for yourself the difference this natural mood helper can make to your day; click add to cart today!

Standardized St. John’s Wort extract combining whole herb and potent extract for balanced serotonin, dopamine, and norepinephrine support.

St. John’s Wort (Hypericum perforatum) is one of the most extensively studied herbal remedies for mild to moderate depression, with a mechanism that influences serotonin, dopamine, and norepinephrine availability. This formula uses both whole herb and standardized extract (0.3% hypericin) for a full-spectrum approach. St. John’s Wort has shown particular promise for seasonal depression in European clinical trials, where it is commonly prescribed. The capsule delivers a potent dose that aligns with the amounts used in research demonstrating mood benefits.

  • Pros:
  • Combines whole herb and standardized extract for full-spectrum benefits
  • One of the most researched herbal remedies for mild depression
  • Affordable price point for long-term seasonal use
  • Cons:
  • Can interact with many medications including antidepressants, birth control, and blood thinners
  • May cause photosensitivity in some individuals

Best for: Those seeking a well-researched herbal alternative who are not taking medications that interact with St. John’s Wort

8. SAM-e 400mg – Best Value SAM-e


SAM-E Supplement 400mg | Easy Absorption S-Adenosyl-L-Methionine SAM-e 400mg for Bone and Mood Support Supplement | Made in The USA Non-GMO and Gluten Free (90 Day Supply)

  • What’s Inside – SAM-e – short for S-adenosylmethionine – is a naturally occurring compound involved in many essential processes particularly among major brain transmitters
  • One Supplement Many Benefits – Our high potency SAM e supplement offers a variety of benefits ranging to promoting a better mood
  • Made with Love – We make it our mission to provide accessible supplements to all which is why our SAM-e is made without artificial flavors and colors, preservatives, corn, dairy, sodium, or soy
  • Premium Quality Solid Support – NasaBeahava is committed to making the highest quality supplements affordable for all consumers
  • Want More Supplements – We’re proud to present a wide range of premium quality supplements including CoQ10, Phytoceramides, Resveratrol, Pterostilbene and more Just visit the NasaBeahava Store

Easy-absorption SAM-e at the standard 400mg clinical dose, offering a more affordable entry point into one of the most effective natural mood compounds.

For those who want the proven benefits of SAM-e without the higher cost of premium formulations, this 400mg dose delivers the standard amount used in many clinical studies. SAM-e participates in over 100 biochemical reactions in the body, with its role as a methyl donor being particularly critical for producing mood-regulating neurotransmitters. The 400mg dose is appropriate for most people beginning SAM-e supplementation, with the option to increase if needed. The easy-absorption formulation helps overcome SAM-e’s well-known bioavailability challenges.

  • Pros:
  • Standard clinical dose at an accessible price point
  • Easy-absorption formulation for improved bioavailability
  • Well-suited as a starting dose with room to increase
  • Cons:
  • Lower dose may be insufficient for those needing stronger support
  • SAM-e supplements require careful storage away from heat and moisture

Best for: First-time SAM-e users looking for an affordable, clinically dosed option for seasonal mood support

9. NatureWise Vitamin D3 5000 IU – Best Budget Vitamin D

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A full year’s supply of high-potency vitamin D3 in organic olive oil for enhanced absorption at one of the best values on the market.

NatureWise packages 360 mini softgels of 5,000 IU vitamin D3, providing a complete 12-month supply at a fraction of the cost of premium brands. The D3 is suspended in organic extra virgin olive oil, which enhances fat-soluble vitamin absorption. The mini softgel format is easy to swallow, and the non-GMO, gluten-free formula meets clean supplement standards. For anyone dealing with seasonal depression, maintaining consistent vitamin D levels throughout fall and winter is essential — and having a year’s supply eliminates the risk of running out mid-season.

  • Pros:
  • 360-count bottle covers an entire year of supplementation
  • Organic olive oil base supports fat-soluble vitamin absorption
  • Mini softgels are easy to swallow
  • Cons:
  • Not USP verified like Nature Made
  • Olive oil base adds a slight flavor

Best for: Budget-conscious buyers who want a full year of vitamin D3 without sacrificing quality

10. SAM-e 500mg – Best Mid-Range SAM-e


SAM-E Supplement 500mg | Easy Absorption S-Adenosyl-L-Methionine SAM-e 500mg for Bone and Mood Support Supplement | Made in The USA Non-GMO and Gluten Free (90 Day Supply)

  • What’s Inside – SAM-e – short for S-adenosylmethionine – is a naturally occurring compound involved in many essential processes particularly among major brain transmitters
  • One Supplement Many Benefits – Our high potency SAM e supplement offers a variety of benefits promoting a better mood
  • Made with Love – We make it our mission to provide accessible supplements to all which is why our SAM-e is made without artificial flavors and colors, preservatives, corn, dairy, sodium, or soy
  • Premium Quality Solid Support – NasaBeahava is committed to making the highest quality supplements affordable for all consumers
  • Want More Supplements – We’re proud to present a wide range of premium quality supplements including CoQ10, Phytoceramides, Resveratrol, Pterostilbene and more Just visit the NasaBeahava Store

A 500mg SAM-e dose that splits the difference between entry-level and high-potency formulations for flexible mood support.

This 500mg SAM-e supplement offers a middle ground for those who find 400mg insufficient but don’t need the full 750mg dose. SAM-e remains one of the most extensively studied natural compounds for depression and mood support, with research supporting its role in boosting serotonin and dopamine synthesis. The easy-absorption formula uses enteric coating technology to protect the active compound through the digestive process, ensuring more SAM-e reaches the bloodstream where it can cross the blood-brain barrier and support neurotransmitter production.

  • Pros:
  • 500mg dose offers stronger support than standard 400mg products
  • Enteric-coated for stomach protection and improved absorption
  • Good stepping stone between starter and high-potency SAM-e doses
  • Cons:
  • Slightly more expensive per serving than 400mg version
  • Should not be combined with prescription antidepressants without medical guidance

Best for: Those who have tried 400mg SAM-e and want increased potency without jumping to the highest dose

How to Choose the Best Supplements for Seasonal Depression

The most effective supplement strategy for seasonal depression addresses multiple pathways. Vitamin D is foundational — blood levels below 30 ng/mL are associated with increased depression risk, and a 5,000 IU daily dose during fall and winter is commonly recommended to restore adequate levels. Have your levels tested if possible, as some people need higher doses. Look for vitamin D3 (cholecalciferol) over D2, as it raises blood levels more effectively and maintains them longer.

Saffron extract has emerged as one of the most promising natural mood supplements, with clinical trials using 88.5mg daily showing meaningful improvements in mood scores. Look for supplements standardized to specific safranal and crocin content, the active compounds responsible for serotonin modulation. SAM-e is another strong option, with decades of research supporting doses between 400-1,600mg daily for mood support. Start at 400mg and increase gradually if needed, always taking on an empty stomach for optimal absorption.

Omega-3 fatty acids — particularly EPA at doses of 1,000mg or higher — have shown antidepressant effects in clinical trials. Choose triglyceride-form fish oil over ethyl ester for better absorption, and look for third-party testing certifications like IFOS or USP. St. John’s Wort is well-studied but carries significant drug interaction risks, so it should only be used after confirming it won’t conflict with existing medications.

For certifications, prioritize USP or NSF verification for vitamins, third-party testing for herbal extracts, and GMP manufacturing for all supplements. Capsules and softgels generally offer better bioavailability than gummies for most ingredients, though gummy formats can improve compliance for those who dislike swallowing pills.

Frequently Asked Questions

What causes seasonal depression and how can supplements help?

Seasonal depression results from reduced sunlight exposure during fall and winter, which disrupts serotonin production, melatonin balance, and circadian rhythms. Supplements address these disruptions directly — vitamin D replaces what the body cannot produce without sunlight, saffron and SAM-e support serotonin synthesis and availability, and omega-3 fatty acids reduce neuroinflammation that contributes to depressive symptoms. While supplements can support mood, they work best as part of a broader approach that includes light therapy, physical activity, and professional support when needed.

How much vitamin D should I take for seasonal depression?

Research suggests 5,000 IU (125mcg) of vitamin D3 daily during winter months may help alleviate SAD symptoms, though individual needs vary based on baseline levels, body weight, skin tone, and geographic location. Blood levels between 40-60 ng/mL are generally considered optimal for mood support. Those with confirmed deficiency may need higher doses initially, typically 10,000 IU daily for 8-12 weeks under medical supervision, before dropping to a maintenance dose.

Can I take SAM-e and St. John’s Wort together?

Taking SAM-e and St. John’s Wort simultaneously is generally not recommended, as both increase serotonin levels and combining them may raise the risk of serotonin syndrome — a potentially serious condition caused by excessive serotonin activity. Choose one or the other based on your needs. SAM-e tends to work faster and has stronger clinical evidence, while St. John’s Wort is more affordable and has a long history of traditional use in Europe.

How long do seasonal depression supplements take to work?

Onset time varies by supplement. SAM-e may produce noticeable mood improvements within 1-2 weeks. Saffron extract typically requires 2-4 weeks of consistent use. Vitamin D levels take 6-8 weeks to reach optimal ranges, though some people report improvements in energy and mood within 2-3 weeks. Omega-3 fatty acids generally require 8-12 weeks of consistent supplementation before significant mood benefits become apparent. St. John’s Wort usually takes 4-6 weeks to reach full effectiveness.

Are there side effects from seasonal depression supplements?

Most supplements in this guide have favorable safety profiles at recommended doses. SAM-e may cause mild digestive upset, anxiety, or insomnia in some people — taking it in the morning and starting at a lower dose can minimize these effects. St. John’s Wort can cause photosensitivity and interacts with numerous medications. Vitamin D at 5,000 IU is safe for most adults but can cause toxicity at very high doses over extended periods. Omega-3 fish oil may cause fishy burps or mild digestive discomfort, and high doses can thin blood. Saffron is well-tolerated at 88.5mg daily with minimal reported side effects.

Can I take these supplements with antidepressant medication?

Vitamin D and omega-3 fatty acids are generally safe to take alongside antidepressants. However, SAM-e, St. John’s Wort, and 5-HTP should not be combined with SSRIs, SNRIs, or MAOIs without medical supervision due to the risk of serotonin syndrome. St. John’s Wort is particularly problematic as it also affects how the liver metabolizes many medications, potentially reducing their effectiveness. Always consult a healthcare provider before adding mood supplements to an existing antidepressant regimen.

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