Robert -
Quite a few people using TSM get to a plateau and find that they get the control they want in a 6-8 month period. Some take longer, like Maggie1929 and things change for them in at about a year in, give or take. If you're using Naltrexone and not Selincro, try breaking the pill in half and taking both halves (assuming you're taking 50mg). Are you a daily drinker?
How are you doing wrt AF days? Do you have a copy of Dr. Eskapa's book? You can also schedule a free Skype session with
Joanna@Cthreeeurope.com, she's a certified TSM alcohol abuse counselor, people really get a lot out of her input.
Congratulations on knocking your intake down! How many are you drinking per session now? Hang tight, the Nal will help you get to where you want to be.