Hello everyone. I am new to TSM and am really hoping that this works. I've been a daily drinker for over 15 years now. On weekends I binge pretty heavily and am now starting to see physical problems, such as hypertension and GI issues.

Along with wanting to get healthier, I am just tired of my life revolving around booze. I feel like I could partake in so many other positive things if I wasn't 1) worried about my opportunities for drinking alcohol for the day or 2) drinking said alcohol for the day or 3) recovering from yesterday's imbibing.

I used to read books and haven't done so in years. Also, it would be nice to talk about the game at work without having to check espn.com for highlights cause you can't remember what you just watched the night before. And keeping all of that extra cash that goes to beer would be nice too. Basically I am just tired and getting too old for this ****.

I got my prescription and I am on day 3. So far I have already screwed up. Did not realize that the first two times were only supposed to be at 25 mg and just did 50. I don't think that's a big deal though.

So far this pill is pretty interesting. Day 1 I had 5 beers. Now we are talking good beer. High alcohol content micro brews. Normally I would have about 8 to 10 but the pill stopped me at 5. And honestly, I kept opening them more out of habit than the curse. What also surprised me is how long it took me to drink each beer. For the first beer I was testing out a new pair of headphones and was having problems with the Bluetooth when it dawned on me that I had barely touched the beer. Normally that would have been a two and a half beer exercise.

Day 2 I had 3 beers while cooking Sunday dinner. Sunday dinner is usually an opportunity for me to get righteously fucked up before The Walking Dead. But again, popping open number three was more out of habit than uncontrollable compulsion.

Day 3, which is today was just 2. And this was supposed to be an AF day, which I am capable of. But my wife had started a new position at the hospitable and wanted me to have a beer with cause of the stressful first day. I normally have 3 drinks to her 1 so I figured that 2 is progress.

That's me so far in a nutshell. I do have some questions about TSM and


The 1 hour thing. I understand why one must wait an hour before drinking. But does it matter how long it takes to drink after that? If the cocktails don't hit the table till the 2nd or 3rd hour mark is it still ok? If not, what must one do?

What about all day events? I have a few festivals and also a cancer crawl that my wife and I attend every year. Traditionally these are binges for my circle of friendss. Can I do Nal and attend or is it best to avoid these altogether going forward?

Final question for now. I've been to a few AA meetings and decided that it wasn't for me. However that does not mean that I have given up on therapy. Has anyone combined TSM with therapy whether group or individual? How did it go?

That is all for now.

Hey Trevor,

After the hour you're covered for the day. if you delay drinking for several hours after taking the Nal you're still covered.

All day events are fine but you'll probably discover that you won't drink as much or enjoy it as much when the "euphoria" of drinking is absent.

Yes, some of us combine forms of therapy with TSM, but the clinical studies indicate that therapy is not necessary for TSM to work. You probably will not find AA to be receptive to TSM.

Guapo a while back recommended the organization Moderation Management, and I read up on their forums and attend MM meetings and find them to be helpful. Unfortunately there asre not aa lot of F2F MM meetings nationwide.

Hey Trevor

With TSM you take 50mg from day one, the 25mg dose is only a recommendation to reduce and combat initial side effects - so there is no screw up, you have taken nal as it is meant to be taken. You've not had side effects and you have given yourself two extra days at full dose which is a good thing.

Regards all day drinking, I used to top up with another 25mg nal 4-6 hours after the first 50mg dose. I might have been wasting the medication, but I wanted to be sure. I do however know that adding more dose won't make any difference to the amount you drink.