Hi all, New member as you can obviously guess. I want to try TSM.

A brief history , I just turned 37 and was a social drinker, maybe 1-2 beers 3-4 times a week. However due to a very stressful job and just life in general over the last 5 years I have gone up to about 50 units of beer each week, and that can go right up to 70 units if there are work related functions. My liver function has decreased considerably, but was told if I stop drinking now I would have no permanent damage. On top of this each time I have a work function I drink way in excess and make a fool of myself and put others in an uncomfortable situation (I am second in charge at a reasonable big company and no one really is game to tell me if I make them feel uncomfortable). I also have blackouts. And I should mention that just plain love to drink.

Well , I have come to the point where I am sick of waking up the next morning and wondering what I did the previous night, after numerous atempts to cull my drinking into moderation I am still a failure. Although I have significantly been able to control my drinking at company outings, every now and again I let slip and go beyond the no return barrier (That one where you don't know that you are still downing drinks like there is no tomorrow)

So, after many hours looking for ways to stop this destructive behavior I came across TSM. 2. Problems I face which I wanted to get some help for.
No. 1. I live in Japan and there is no naltrexone here. Can I get it sent to me from overseas?
No. 2. I have a high Liver enzyme count and I read that naltrexone should not be taken if this is the case.

Thanks for your help and I just hope that TSM will work for me.

Dave,
Welcome. I've heard stories of Japanese workers after work -- how they love to drink beer after beer. That's really interesting. I would love to go there some day. Based on your brief story, I would say there's a great chance that the Sinclair method would work for you (mainly because you seem to be a high functioning, motivated individual with a high endorphin drive when drinking -- that's what makes you get that crazy drive when you start -- you just want more and more and more and more!!!).

Regarding the obtaining of Naltrexone, I suppose you've thought about getting it via the Japanese health care system. If you want to keep anonymous, I don't see why www.alldaychemist.com wouldn't ship there, but I could be wrong. Regarding your liver, if you're going to go without a doctor, that will be a judgment call you have to make. Clearly, you're drinking at liver-toxic levels and, if you're as successful with Naltrexone as some people have been, you're liver will appreciate the exchange you make between one measly pill and all those beers (I, for example, have now drank about 30 less drinks for every pill that I've taken). At 50mg, Naltrexone is only mildly stressful on the liver. The liver problems in studies come from about 400-500mg a day. So, personally, I wouldn't think twice about your liver when it comes to trying the Sinclair Method. If you're lucky, you should be able to know pretty quickly if it will work or not. I knew within two pills that Naltrexone was going to knock my drinking problem on its butt. So, go for it and let us know what happens. If you're #2 at a company in Japan, surely you will succeed in this, too.

Hi Barry,

Thanks for the support.

You are absolutely correct when you say this 'mainly because you seem to be a high functioning, motivated individual with a high endorphin drive when drinking -- that's what makes you get that crazy drive when you start -- you just want more and more and more and more!!!'

I just can't stop and everything gets crazy. My liver enzymes are about 3 times the recommended levels, so are not super high, but still high enough to be concerned. My father in law is a Doctor, but I don't intend on talking to him about this. I can't get this drug here in Japan and there is very little support for alcohol related problems.

I really hope this works, b/c I have tried abstinence and due to company commitments it is next to impossible to not have a drink at them.

I don't see how you can't get the drug in Japan. It's a pretty commonplace drug.

Also, if you feel like reading a crazy story, read Andy_M 's tale of TSM (you can look him up under "Members"). He did some wild stuff on business trips and got fired for racking up thousands at strip clubs on the company card (and even had a stripper call his wife -- it's very entertaining). He also thought he "had to" drink at company gatherings, but found out that simply wasn't true. Nobody ever "has to" drink (even in Japan, I assume) -- besides being able to trick others into thinking you're drinking (like Batman), you should have enough gravitas that you can tell people, "I'm not drinking tonight." It's not like you're in high school anymore. You are the boss, after all. Maybe you can start a trend.

Are these Japanese co-workers you drink with or Westerners?

I'd hazard a guess that Japanese customs might be pretty strict regarding importing certain drugs from online companies.

Email a few of the Online companies to find out if they ship to you.

Regarding your liver. If TSM works for you from the off. I'd say it would be more beneficial to you health if you were drinking less and taking 50mg of Naltrexone than just carrying on drinking in excess amounts.

My tests have always been good but before I started TSM my drinking was getting out of control and I could feel the pain in my liver area. Once my units started going down things started to get better.

Thanks Flyer. It seems http://www.alldaychemist.com will ship to Japan, so I just ordered some.

Just curious, what does 'drinking somewhat under control' mean? Do you still have binges? Or was that not your drinking style?

I sometimes have binges where I can drink in excess of 30 units in one sitting. Also, what do you guys do when you have drinking starting in the morning? We have golf days and drinking starts at breakfast and I drink all day long and then there is usually a place we meet up after golf and drink more. Can you take the nal twice in the day? And how long does the nal's effects last?

@Barry, my colleges are all Japanese.

Yes, if drinking all day, you will take two Nals. Obviously, the second one will be when you're already under the influence, but for some people it tends to kill the buzz and keep you from drinking even more. Each pill is about $1.50, so it's no biggy. I've heard to take them about 8 hours apart for all day drinking sessions.

Thanks for the info.

Has anyone got any info on Naltima 50 mg from Libia? I can get this here in Japan after an extensive search on the net.

From day one I noticed TSM working. It almost cut my units in half over night. I used to binge for days on end and when not doing that I'd usually have about 6-8 beers a night. As the last few years have went on my AF days became more infrequent.

I put "drinking somewhat under control" in my sig as I've been having a few ups and downs lately which I'm gonna post about but in general, I gained control pretty much right after starting TSM. I've always said I'm shooting for abstinence though. I've no intention of wanting a drink here and there. I always drank to get drunk. 1 or 2 beers makes me feel like ****.

Regarding taking 2 Nal. If I started at say 1pm, I'd take an other at around 6pm if I was still at it.

Thanks for the explanation Flyer.

Just a question out of curiosity, I usually have 3-4 AF days each week and the bulk of my 50-70 units are on the weekend. I don't have that much trouble not drinking through the week, although on stressful days I will drink during the week. Is there anyone else like this doing TSM?