Hi everyone,

I am on TSM for 3 weeks now and have not really experienced a proper 'honeymoon' effect. I understnd that people who experience this are most likely to benefit from Nal. Would I benefit from increasing to 100mg? I admit I have very slightly reduced my wine intake but I am drinking beer without any lack of craving. Mind you, wine has caused me to suffer gastritis in recent months so this could be why I am slightly turned off it as opposed to the effect of Nal? Don't want to sound negative but have to be honest with me frustrations.

Cheers!

Just my opinion, but, no. 50 mg was the therapeutic dose on which the studies were done. I'd at least try the defined protocol first before changing it up. To me that would mean 4-6 months at 50.

I'm not a doctor but: I'd stick with 50 for a few more months like plainvanilla said. If you DO decide to up the dosage after a while, why not go to 75mg not 100? Eskapa told me it might benefit to go up to 75 after a few months, said he had just talked to sinclair about this as well. he said more is not necessarily better, but he had seen some folks do well with 75 after having been on 50 for a while. I just upped to 75 after 10 weeks.

I wouldn't worry about the honeymoon effect. As far as I've know, neither Eskapa nor Sinclair said anything about a correlation between honeymoon effect and success. I could be proven wrong though. anyone? although there may be a correlation among the 20 or so cured folks on this board, that's a small number in relation to the thousands who partook in the scientific studies

Three weeks is far to early to notice any meaningful result. Very few of us had any prmeaningful progress by then. Don't overthink it. Just take your nal an hour before you drink. Patience is key.

Galoot,

Not everyone experiences the honeymoon effect. Those that do experience it in the first week or so of starting. After that, the craving to drink spikes back up to where it was pre-TSM.

Don't worry about it. Put your sights on a date 5-6 months out, then just keep taking your NAL. The hardest part about this treatment method is just staying patient. You really don't start to feel cured until you drop down in the teens as far as units/week. Before that, you are still dealing with hangovers, intoxication,etc; even if you are making big gains.

Q

thanks guys, I gotta be patient so I will keep with the program. I suppose it is easy to get frustrated as we all want a quick response to treatment. Christ, this is so hard