“…For example, micronutrients act as cofactors in neurotransmitter synthesis and metabolism, where they can be rate-limiting factors (Ames et al, 2002). There are at least seven randomised controlled trials (RCTs) of B-Complex and combined mineral/vitamin formulations in which improvements in depression, anxiety and stress have been demonstrated (Carroll et al, 2000;Harris et al, 2011;Kennedy et al, 2010;Lewis et al, 2013;Long and Benton, 2013a;Rucklidge et al, 2012;Schlebusch et al, 2000) although not all trials using broadspectrum micronutrients have shown benefit for changing mood and anxiety (Cockle et al, 2000;Haskell et al, 2008Haskell et al, , 2010. However, all the negative trials were conducted on people who had no presenting psychological/psychiatric challenge.…”