Hello Everyone,
Well, week (18) was rather disappointing, considering a a pretty big spike in both units and cravings. Bummer, but I'm trying to follow my own advice and not just look at the numbers. I came off a week of CRAZY drinking, but it was the big "summer solstice celebration" - a cultural thing with my husband's family and friends. Lots of drinking going on for even the 'normal folks', and the excitement of this annual event practiced for years - I think that explains the increased cravings.
I'm now convinced the heavy drinkers will have a longer (and perhaps bumpier) road to follow. If the test subjects weren't even at 40 units a week, it's like I'm a different species!

It makes sense to me that so many years and different experiences with drinking will take more time to extinguish. However, I must admit that I've had doubts all along about the 50mg dosage working for everyone. While I've seen progress, I wonder if it would have been sooner or more pronounced at a higher dose? I'm usually not sensitive to meds at all, and it often takes 3 ibuprofen when I'm really in pain. Dr. Eskapa even stated that it's possible a higher dose might be required fo some, but there was ne evidence of that in the studies. As it is, I pop an additional 25mg after about 8 hours on days where the drinking will last at least 12 hours - (just my paranoia, I'm not suggesting anyone else should do this). I tried at the beginning of TSM to get my psych to prescribe more (he still doesn't know I'm doing TSM), but he refused after looking it up and confirming that 50mg was the standard effective amount. I had even found some evidence/article that indicated some might require more (100mg I think?), but I didn't keep that link (

), and he didn't want to hear about it anyhow. I like the guy a lot, but it often doesn't go over well to challenge these 'highly educated' people, especially when we find stuff on-line to support our opinions.
Whatever - I'm pretty sure my psych would be hesitant to prescribe a higher dose even if he knew I was doing TSM, since I am getting some results. I finally got the nerve to tell my therapist I was doing TSM, but it was at the end of our last session, so we didn't get very far. She said she'd research it before my appointment next week. She's pretty open, and even understands the AA route isn't for me. So, we'll see. She promised not to share anything with my psych (part of the same facility/program), and might even suggest I tell him, or at least ask if he's heard of it, etc. - even if just to further/update his education. He doesn't seem to get judgemental when I admit I've still been drinking now and then.....who knows? I just don't want to jeopardize getting my Nal, especially when it's covered by insurance.
Wow - sorry this is so long! I've gotta get going anyhow, so the torture is over for you!

CHEERS!
