FT,
I did notice weight loss, for I was drinking a lot of calories (over 1200 a day).
You should not stay on the nal. if you are not going to drink; however, if you cannot trust yourself go a head and take the nal. But, once that hour is up and the you decide not to drink, there is no harm done just a waste of a pill.
The purpose of an alcohol free day (AF day) is to be off the nal. and to help reenforce those good endorphins without the nal blocking them. So, if you are not drinking and not taking nal plan things that make you feel good (cuddle a baby, make love, eat good food, exercise...). This will help your brain to realize there are better things to look forward to beside drinking. It may take more than a day for the nal to clear your system, and that is why they advise a planned 3 AF days (if you can manage them), but one day is better than none.
forwardthinking wrote:
and if so, is there a long term affect to that?
I have not found anything on the internet about long term use, but this was on wikipedia:
There has been some controversy regarding the use of opioid-receptor antagonists, such as naltrexone, in the long-term management of opioid dependence due to the effect of these agents in sensitizing the opioid receptors. That is, after therapy, the opioid receptors continue to have increased sensitivity for a period during which the patient is at increased risk of opioid overdose.[citation needed] This effect reinforces the necessity of monitoring of therapy and provision of patient support measures by medical practitioners.
https://en.wikipedia.org/wiki/NaltrexoneAs you see there is a citation needed, so it is questionable.
The purpose of TSM is to eventually drink within healthy limits, which may (or may not) mean daily drinking. As you progress in this process you may feel it isn't worth the calories or hassle in drinking, for your brain has changed its relationship with alcohol and you are able to live without it.
I will continue to see if there has been any reports of long term usage with nal.
Happy holidays,
Jaba