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I don't think you're a loser at all, Meggie. This doesn't have anything to do with "wanting it". It seems like Nal isn't helping you find the reduction you want and you may well be one of the 20%. That's not to say it won't eventually, but I have no idea what the timeline for you would be.
From what I understand, some become addicted to alcohol via GABA pathways rather than opioid pathways. IF this is true for you, then Naltrexone isn't likely to do you much good. I would suggest you get ahold of an addiction psychiatrist that knows neurochemistry and knows how to match you up with the right medication for your circumstance. Dr. Kloda might be one such person, but it seems you might need to make a pilgrimage to NYC for at least the initial visit. The fact that you've been on TSM for so long without it making much of a dent in your drinking will be important diagnostic information for the doctor. That you associate drinking with a place will probably be important info too (I recall you saying you don't drink or don't drink as much when you're out).
If you don't get on the phone, does it make any difference in how much you drink?
Beyond that, I know some have had luck with Kudzu, so that might be worth a shot since it's an over the counter herb.
Well, talk to me and tell me what you think about this. One way or the other, you'll get this under your thumb, Meggie. Of that, I'm sure.
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