Thanks Illuminae and PacMan! As for not being worried when the units go up, that is new for me. I have spent plenty of time here, obsessing about the ups and downs. I think I am finally calming down and taking the great advice I got here all along: Just take Nal an hour before drinking, do what comes naturally, and don't sweat the rest too much. It seems that patience and being kind to ourselves is key.
Interestingly, I am heading into what may be my 4th AF evening in a row after coming home. A few times today, I have asked myself if I feel like having some wine, this being the weekend and all. So far, the answer is no. It just doesn't sound good. PacMan ... maybe you are right, perhaps some major extinction happened while I was on vacation and hitting those high numbers!
HoustonTexans, I have not experienced any differences in workouts ... I would say any lack of motivation comes from hangovers.

The times I have hated myself the most in the last many years is being in a yoga class with a world class hangover. I would see myself in the mirror and see such a contradiction, a big lie. How could I aspire to be this healthy, enlightened person, while poisoning myself on a daily basis?!? So TSM has actually helped there. With more more AF days coming lately, I am working out without a hangover and feeling really good. Who knows, maybe there is some lack of endorphin reinforcement, but I am not worried about that. The more AF days, the less Nal, and the more opportunities to reinforce good behaviors in the long term. I don't think that means we need to avoid those good behaviors now!
I had the same question early on. I am fortunate to have a TSM friendly doctor who has successfully treated several people. I asked her about exercise, etc., and she said "you should absolutely do those things, as much as you like!" Her opinion was that the risk of extinguishing those behaviors was low, and exercise can only be good for your health and well being. Again, if you happened to extinguish something you like now, later when you are taking Nal less often and those receptors are super sensitive, you can "re-addict" yourself to those healthy behaviors again. Plus, when you do the math, if Nal is in your system for about 10 hours, by the time you work out the next day it will likely be gone anyway. Good luck to you!
YG
