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I was started on 75 mg Effexor and then increased to 150 mg. I felt much better overall. Anxiety was about gone, I could think through my thoughts. However, I was not happy with the sexual dysfunction I experienced on the 150 mg dose. My doctor lowered my dose back to 75 mg and the sexual dysfunction resolved and my generalized anxiety disorder is within tolerable limits. I recently added Vitamin D and B12 to my daily regimen with my Effexor 75 mg ER dose and noticed a huge lifting of the mental fog that I had known for so long. This combination has been keeping my thoughts from racing, my hope from tanking and my perspective in a good and positive place. It works for me.