Hello, I'm really excited about starting TSM. My question is whether I should start as soon as I get a prescription -- which will be two weeks before a much-anticipated vacation abroad -- or wait until after my holiday. I am concerned that starting out on the meds could make me feel flat or reduce my ability to enjoy the sightseeing, food and adventures. I would also be in circumstances where we'd drink wine at lunch (not the norm for me) and every single night, so no break in the Nal for positive reinforcement like I'd have at home.

Is is smarter just to wait and start after I get home? Thanks in advance for your thoughts!

If you want to wait to start out, I can't think of any particular problem with that. Generally, it's best to start with a reduced dose when you'll have the next day or two off, just in case you have side effects that are inconvenient.

Thank you, Joe!

You're welcome! Let us know how your TSM launch goes!