Need documents and proofs of PAS

[PAS]

Please provide whatever documentation you think might be able to convince doctors that PAS is real.

Nothing we are doing currently is working, we need input from learned minds. So help me and post anything that will help him help us.

 

[tanedout]

I would certainly point them towards Risk.org

RxISK Prize: Sexual problems after antidepressants, finasteride & isotretinoin | RxISK

And really just these communities - I don't think there are really any official studies on the persistent side effects of the isotretinoin, but there seems to be increasing awareness of PSSD and PFS, so if the doctor has heard of them then you're off to a good start.

 

[MNK99]

Showing studies and having candid discussions with a therapist (PhD) and a Psychiatrist (M.D.) can help you get Letters of Accommodation and also Personal Letters.

In case that helps you, it's one thing that saved me post SSRI/SNRI and for other hard to prove conditions. Just in case that helps you... it won't cure anything but it will make explaining your situation easier to schools and some work and other specialists, if that's an issue.

You need to be persuasive and assertive to deal with medical professionals.
If you're shy and timid on serious matters like this, it won't help you at all.
This is why I keep the 1-2 doctors I actually like, especially while in school.

 

[Yura]

Why you wasting your energy with doctors? You want prescription on some drug which will be more damaging than helpful?

 

[PAS]

What other choice do I have bro? Literally all of my thoughts each second are how I fucked my life and my parents' and my sister's lives, I know I won't be able to hold on much longer if I stay in this state. I know this is a wasteful move but this is all I have.

 

[Yura]

What other choice do I have bro? Literally all of my thoughts each second are how I fucked my life and my parents' and my sister's lives, I know I won't be able to hold on much longer if I stay in this state. I know this is a wasteful move but this is all I have.

So you are fucked up by accutane which is prescribed by doctors and now you want another drug from doctors? Really? You need to fix your biochemistry, balance your minerals, make sure that digestion is working. Doctoors will not help with this. They are not interested in healing people. They are interested in making money. Like in case of accutane instead of change in diet, digestion, mineral/hormon balance.. Btw I was also using accutane. What people thing about "post accutane syndrome" ? what symtomps?

 

[MNK99]

" Doctors will not help with this. They are not interested in healing people. They are interested in making money. Like in case of accutane instead of change in diet, digestion, mineral/hormone balance.. Btw I was also using accutane."

I don't know if you know this, but nearly everyone is interested in making money.
I agree doctors don't know jack about most these issues, but the simple explanation that they're making money,
doesn't always make sense, esp in socialized healthcare. Some doctors are good, for post-drug disorders, mostly not. Good docs still can serve a purpose. and I know plenty of people jacked up from homeopathy, chiropractic care, and a bunch of other bs too (not here, on HS, but tens of millions worldwide). Plenty of doctors in socialized health care make near-zero dollars per patient seen/prescription (depending on the country and how insurance works) . If you think doctors are rich, you should look into medical sales, insurance, and pharma.

Don't get me wrong, I'm pissed off too about health care people, probably more than 99.99% of people could ever understand or experience.

In fact, I trust the doctors I pay money to, more than the single-payer-insurance ones, especially in mental health issues. Self-incentive actually helps people do a good job (not always of course). I had surgery, it cost a lot... If I went to some free doctor (not actually possible for this issue), I'd bet they'd fuck it up.

 

[PAS]

@Yura I am not going to take any prescription from the doc because I am pretty sure hes not gonna give one. Hes gonna ask me for testo levels after which hes gonna say im fine. What I am interested is in convincing him that PAS exists and then somehow getting him interested in researching about it, not even actual research, even googling and reading documents is fine.

I know this is a very long shot and I am practically 100 percent sure its not gonna work out, but as I said, I don't have any other moves left. I would like to start the stomach acid protocol but my dietary conditions are bad I wont be able to follow a regimen, and even then no PAS sufferer has reported getting better due to that protocol so thats a bummer too.

what symtomps?

I really wish it isn't this bad for anybody else but my condition is really bad. Story is :-
In 2010 when I was 15, I took isotretinoin starting from 20 mg and going onto 40 mg for 5 months. The course was supposed to be for 6 months. I stopped at 5 months because :-
1. I had extreme back pain. I wasn't able to lie down. It hurt that much. The pain was in the bones.
2. I couldn't run for even FIVE meters. My knees felt like they would break. The pain again was in the bones.
3. There were other side effects but these are the 2 major ones.

Luckily that time I did not get PAS.
My acne did not go away even after 5 months of iso. I tried other chemicals like tretinoin for 5 years to no avail. Let it be noted that I started applying minoxidil in 2013 and had a major depression episode the same year which went on till 2015 . I also want to clarify that I had absolutely no PAS like symptoms like loss of libido, anhedonia or ED during the depression.I have never smoked a single cigarette or drank even 100 ml alcohol, neither before PAS hit and not even now.

In 2015 when I was 20, I took iso again for the following reasons:-
1. Nothing was working for acne. And the acne was bad, I was getting scarring and my face used to hurt. My nose was ( and still is ) covered with thousands of small blackheads.
2. My derma said that I wouldnt get the same symptoms now since I had grown up now and my bones wont be growing like that time.
3. My friend had done a course of iso from this same derma without any repercussions in 2017. Normally I wouldn't feel this to be a strong point, but he really really bad acne and it just disappeared from him like some magic filter had been applied to his face. Coupled with the fact that the derma told me I that I wouldn't have those side effects now, I took iso again (20 mg only ) in 2015 July.

This time PAS hit me. With all the sides. HARD. It was not gradual. During the course ( I don't remember the date ), I woke up and felt something to be different. Let me quote my feeling from that time, " I feel like a switch has been turned off ". My thumb started clicking. I thought my bones were getting affected again, but I ll endure this for some time, maybe it wont be as bad as that the previous time. Of course I didnt know that time what exactly had happened. Over the next few days, all the side effects became apparent and/or developed. These are the side effects and have had no improvement since 2015 :-

1. Absolutely no libido. Thinking about sex feels unnatural.

2.100% anhedonia. I have not felt any emotions other than terror, guilt and sadness for so long that I have LITERALLY forgotten how happiness, love, nostalgia, music and the other 1000000 combinations of hormones in different proportions which produce emotions feel like.

3.No morning wood since PAS.I had morning wood every single day since 12 or 13.

4.I had ED for 2.5 years. It was so bad that it wouldn't get erect even with manual stimulation, even when it did it would be when I am lying and it would be floppy. I had literally 0 erections while standing or even kneeling or even sitting for 2.5 years. Since the last one or two months things have gotten better that I can have erections (still not 100 % hard) while lying but I haven't tested any other position. This situation most probably improved due to exercising. Prior to PAS, I used to have spontaneous erections and they had to be SO HARD that it hurt the penile base. I used to feel like my penis wanted to take off like a rocket. Going back to spontaneous erections, I used to get erections JUST BY YAWNING, not exaggerating. It was very troublesome that time to be honest.

5.I have lost all sensation in my glans. Its desensitized to the point that I don't really know if I have an erection until I visually confirm it. Prior to PAS it was so sensitive that I had never in my 20 years of life slept on my stomach, because it was too stimulating for the penis to the point of pain. I couldn't keep my penis in the shower because it hurt. After PAS, there's no feeling left in the glans. Related to this, I had similar desensitization on the anus ( I am straight so I have never done anything there but I still remember that there used to be similar pleasurable feeling there like the glans).

6. An example of my prior libido would be that when I was 18 and in my college hostel, I once sleepwalked 100 meters to the urinal and then jerked off there, ALL WHILE SLEEPING! After jerking off I woke up and realized wtf I had just done lol. Prior to PAS, my record for abstaining from releasing was only 4 days, the usual being 1 day. And I really tried to abstain because releasing really worsened my acne and I used to feel cheap.

7. Erections take really long to form, this is related to libido and ED in the sense that since I am not excited, the brain doesnt really send a signal to the penis to get hard. Prior to PAS, I just needed to think about breasts for about 7 seconds to have an erection.

8. This is actual physical proof of PAS damage. I had the fastest growing beard I have ever seen in my life, I used to look an ISIS guy in a single month without shaving, 0 exaggeration and now my beard has slowed down to normal human rate or even slightly slower.

9. Reiterating the anhedonia part just to confirm that I havent had an orgasm for 3 years.

10.No pre-ejaculate ever since PAS hit. None, nada.

11. My thumb clicks, yes this very strange to understand. Imagine the clicking of fingers that we by pressing on them, but the thumb does it on its own without needing to be pressed. It clicks if I just move it. Only the right thumb does this. And yes this started when I was taking isotretinoin, not before.

12. I used to feel SUPER sleepy immediately after ejaculating. I don't even feel sleepy after ejaculating now.

13. I used to have a body scent, not sweat. It was pleasant. This disappeared as soon as PAS hit. The scent used to peak immediately after ejaculating.

14. I used to look good. I could have gotten modelling jobs.I got hit on/ proposed to 8 times before I was 18 (Let me show off now since this is never gonna happen now haha). Now I am almost bald at 23. Both the hair from my hairline and top has disappeared.

15. IDK how it is for others, but when I used to be aroused, I literally could not think of anything else. I would lose track of everything else, I used to think this was the case for everybody else until my friend told me he used to do homework while watching porn and I was dumbfounded that time, thinking of him like a god of patience. After getting PAS I understood what it means to be simply less horny.

16. I haven't had dreams since PAS. I am almost sure that I have not had REM sleep since that time. The dreams that I have now are fleeting, very epheremal ( think of the dreams that happen during light sleep) and occur max twice a week. And sleep now is like half waking, I can constantly hear environmental noises. If I wake up in the middle of sleep, I donot feel as groggy or sleepy as I or any normal person should. I have not had a single lucid dream since PAS. Prior to PAS, lucid dreams happened frequently, almost once every two days.

17. In 2016 July, I got my testosterone levels checked. I was 21 and I had 370 ng/dl serum levels ( ref 241 -827 for men of all ages) . These are what 80 year old men have. Reading the above lines should give you an idea about my sex drive before PAS. TSH -- 7.17 uIU/ml (ref 035 - 5.5).

18.In July 2017 , I got my blood checked again. I had done some exercising during July. FSH 1.38 mIU/mL (1.4 - 18.10). LH 3.51 mIU/mL (1.5 - 9.3). Prolactin 9.66 (2.1 - 17.7). Calcium 8.3 ( 8.5 - 10.6). Testosterone 535 ng/dL. Even though testo increased by 170 ng/dL, I only had SLIGHT improvements in ED and nothing else.
I got my testo done again on October 15 and it was 561 . No difference in actual health.

I have written mostly about sexual problems and only one line about the other mental effects like anhedonia, but believe me thats just as bad. The ability to not feel happy, not feel good at all is heartbreaking.

The terror of waking up everyday and realizing that things aren't getting better and I have already lost the best years of my life. Making my mother cry every time I talk to her is heartrending.I haven't even told my father because he is finally finding happiness in life and when I tell this to him, he will break.

 

[Yura]

I assumed that your digestion was not the best when you had the acne before accutane? I also regret accutane use. Unfortunately at that time I had no idea that the diet can play a huge role. When your health/digestion is compromised you will have undigested proteins in the bloodstream which will cause inflammation and acne is typical symptom of inflammation.. When I switched to bodybuilding diet. Which is basically clean diet without gluten, dairy, junk food. Just meat, eggs, rice, potatoes etc.. I had zero acne and my skin was the best when I was cutting fat and I was on high whey protein/egg whites instead of meat. I had skin like a model lol.. So it was due to zero undigested proteins in the blood stream. I was eating only very easy to digest foods for protein.. If I had some gluten heavy meal or casein like cottage cheese. I would have crazy cystic acne.. It is all from bad health-digestion.. Gbolduev and his recommendation for electrolyte protocol + easy to digest proteins and also good amount of betaine HCL or hydrochloric acid with each meal is the best method to restore digestion=health.. Doctors will not help with this. The best thing that you can do is hair analysis and balance your body. What you should do right now is to go gluten/dairy(good quality whey protein is ok, casein is the problem not whey) and also no junk food, no sugars, fried oils etc.. Rice, potatoes, vegetables, meat, eggs.. and most importantly betaine or hydrochloric acid. So your stomach will be acidic and you can digest foods.. There is a good test if you have enough stomach acid. Take small tsp of baking soda in 2dcl of water first thing in the morning. If you have enough stomach acid you will have a nice and strong burp. That means bicarbona reacted with your stomach acid and gas is escaping from your mouth like burp. If you have only very weak burp like couple minutes or even 10-20 minuts after. That means you have low stomach acid and YOU CAN'T DIGEST ANYTHING.. This is the begining of all health issues. You will see the change when you will supplementing with hydrochloric acid before and after meals..

 

[Goose12]

@Yura I am not going to take any prescription from the doc because I am pretty sure hes not gonna give one. Hes gonna ask me for testo levels after which hes gonna say im fine. What I am interested is in convincing him that PAS exists and then somehow getting him interested in researching about it, not even actual research, even googling and reading documents is fine.

I know this is a very long shot and I am practically 100 percent sure its not gonna work out, but as I said, I don't have any other moves left. I would like to start the stomach acid protocol but my dietary conditions are bad I wont be able to follow a regimen, and even then no PAS sufferer has reported getting better due to that protocol so thats a bummer too.



I really wish it isn't this bad for anybody else but my condition is really bad. Story is :-
In 2010 when I was 15, I took isotretinoin starting from 20 mg and going onto 40 mg for 5 months. The course was supposed to be for 6 months. I stopped at 5 months because :-
1. I had extreme back pain. I wasn't able to lie down. It hurt that much. The pain was in the bones.
2. I couldn't run for even FIVE meters. My knees felt like they would break. The pain again was in the bones.
3. There were other side effects but these are the 2 major ones.

Luckily that time I did not get PAS.
My acne did not go away even after 5 months of iso. I tried other chemicals like tretinoin for 5 years to no avail. Let it be noted that I started applying minoxidil in 2013 and had a major depression episode the same year which went on till 2015 . I also want to clarify that I had absolutely no PAS like symptoms like loss of libido, anhedonia or ED during the depression.I have never smoked a single cigarette or drank even 100 ml alcohol, neither before PAS hit and not even now.

In 2015 when I was 20, I took iso again for the following reasons:-
1. Nothing was working for acne. And the acne was bad, I was getting scarring and my face used to hurt. My nose was ( and still is ) covered with thousands of small blackheads.
2. My derma said that I wouldnt get the same symptoms now since I had grown up now and my bones wont be growing like that time.
3. My friend had done a course of iso from this same derma without any repercussions in 2017. Normally I wouldn't feel this to be a strong point, but he really really bad acne and it just disappeared from him like some magic filter had been applied to his face. Coupled with the fact that the derma told me I that I wouldn't have those side effects now, I took iso again (20 mg only ) in 2015 July.

This time PAS hit me. With all the sides. HARD. It was not gradual. During the course ( I don't remember the date ), I woke up and felt something to be different. Let me quote my feeling from that time, " I feel like a switch has been turned off ". My thumb started clicking. I thought my bones were getting affected again, but I ll endure this for some time, maybe it wont be as bad as that the previous time. Of course I didnt know that time what exactly had happened. Over the next few days, all the side effects became apparent and/or developed. These are the side effects and have had no improvement since 2015 :-

1. Absolutely no libido. Thinking about sex feels unnatural.

2.100% anhedonia. I have not felt any emotions other than terror, guilt and sadness for so long that I have LITERALLY forgotten how happiness, love, nostalgia, music and the other 1000000 combinations of hormones in different proportions which produce emotions feel like.

3.No morning wood since PAS.I had morning wood every single day since 12 or 13.

4.I had ED for 2.5 years. It was so bad that it wouldn't get erect even with manual stimulation, even when it did it would be when I am lying and it would be floppy. I had literally 0 erections while standing or even kneeling or even sitting for 2.5 years. Since the last one or two months things have gotten better that I can have erections (still not 100 % hard) while lying but I haven't tested any other position. This situation most probably improved due to exercising. Prior to PAS, I used to have spontaneous erections and they had to be SO HARD that it hurt the penile base. I used to feel like my penis wanted to take off like a rocket. Going back to spontaneous erections, I used to get erections JUST BY YAWNING, not exaggerating. It was very troublesome that time to be honest.

5.I have lost all sensation in my glans. Its desensitized to the point that I don't really know if I have an erection until I visually confirm it. Prior to PAS it was so sensitive that I had never in my 20 years of life slept on my stomach, because it was too stimulating for the penis to the point of pain. I couldn't keep my penis in the shower because it hurt. After PAS, there's no feeling left in the glans. Related to this, I had similar desensitization on the anus ( I am straight so I have never done anything there but I still remember that there used to be similar pleasurable feeling there like the glans).

6. An example of my prior libido would be that when I was 18 and in my college hostel, I once sleepwalked 100 meters to the urinal and then jerked off there, ALL WHILE SLEEPING! After jerking off I woke up and realized wtf I had just done lol. Prior to PAS, my record for abstaining from releasing was only 4 days, the usual being 1 day. And I really tried to abstain because releasing really worsened my acne and I used to feel cheap.

7. Erections take really long to form, this is related to libido and ED in the sense that since I am not excited, the brain doesnt really send a signal to the penis to get hard. Prior to PAS, I just needed to think about breasts for about 7 seconds to have an erection.

8. This is actual physical proof of PAS damage. I had the fastest growing beard I have ever seen in my life, I used to look an ISIS guy in a single month without shaving, 0 exaggeration and now my beard has slowed down to normal human rate or even slightly slower.

9. Reiterating the anhedonia part just to confirm that I havent had an orgasm for 3 years.

10.No pre-ejaculate ever since PAS hit. None, nada.

11. My thumb clicks, yes this very strange to understand. Imagine the clicking of fingers that we by pressing on them, but the thumb does it on its own without needing to be pressed. It clicks if I just move it. Only the right thumb does this. And yes this started when I was taking isotretinoin, not before.

12. I used to feel SUPER sleepy immediately after ejaculating. I don't even feel sleepy after ejaculating now.

13. I used to have a body scent, not sweat. It was pleasant. This disappeared as soon as PAS hit. The scent used to peak immediately after ejaculating.

14. I used to look good. I could have gotten modelling jobs.I got hit on/ proposed to 8 times before I was 18 (Let me show off now since this is never gonna happen now haha). Now I am almost bald at 23. Both the hair from my hairline and top has disappeared.

15. IDK how it is for others, but when I used to be aroused, I literally could not think of anything else. I would lose track of everything else, I used to think this was the case for everybody else until my friend told me he used to do homework while watching porn and I was dumbfounded that time, thinking of him like a god of patience. After getting PAS I understood what it means to be simply less horny.

16. I haven't had dreams since PAS. I am almost sure that I have not had REM sleep since that time. The dreams that I have now are fleeting, very epheremal ( think of the dreams that happen during light sleep) and occur max twice a week. And sleep now is like half waking, I can constantly hear environmental noises. If I wake up in the middle of sleep, I donot feel as groggy or sleepy as I or any normal person should. I have not had a single lucid dream since PAS. Prior to PAS, lucid dreams happened frequently, almost once every two days.

17. In 2016 July, I got my testosterone levels checked. I was 21 and I had 370 ng/dl serum levels ( ref 241 -827 for men of all ages) . These are what 80 year old men have. Reading the above lines should give you an idea about my sex drive before PAS. TSH -- 7.17 uIU/ml (ref 035 - 5.5).

18.In July 2017 , I got my blood checked again. I had done some exercising during July. FSH 1.38 mIU/mL (1.4 - 18.10). LH 3.51 mIU/mL (1.5 - 9.3). Prolactin 9.66 (2.1 - 17.7). Calcium 8.3 ( 8.5 - 10.6). Testosterone 535 ng/dL. Even though testo increased by 170 ng/dL, I only had SLIGHT improvements in ED and nothing else.
I got my testo done again on October 15 and it was 561 . No difference in actual health.

I have written mostly about sexual problems and only one line about the other mental effects like anhedonia, but believe me thats just as bad. The ability to not feel happy, not feel good at all is heartbreaking.

The terror of waking up everyday and realizing that things aren't getting better and I have already lost the best years of my life. Making my mother cry every time I talk to her is heartrending.I haven't even told my father because he is finally finding happiness in life and when I tell this to him, he will break.

I know how you feel. I could perform like a porn star or better, before this. Luckily I am past the mental sides completely but I was in your position.

What protocol are you currently on?

50mg if ru for 3 days us the best thing have tried for mental sides. The next best thing was a month long r andro cycle and after the snap back an immediate decrease in anxiety. L dopa was nice for temporary relief.

 

[PAS]

@Yura yeah bro I have read about the stomach acid low levels. I also did the baking soda test and 2 out 3 days my burp did not even come. I want to start the balancing but I am not able because of lack of trustworthy hair tests here and also I havent been able to get hcl betaine.
This is my next step though, correcting stomach acid levels.

@Goose12 I have tried RU 2 times. First cycle was 50 mg 4 days, nothing happened.
2nd cycle for 3 days I took 100 mg and the then I spread a 100 mg pill over many days. Minimal improvements, I still recommend PAS guys to try RU as there was improvement, even though it was minimal.

As for the appointment, nothing came out of it. The doc was interested in hearing my story, did not interrupt me but he knew nothing about PAS PFS or pssd so he told me tp give him some time, thats it.

 

[Yura]

@Yura yeah bro I have read about the stomach acid low levels. I also did the baking soda test and 2 out 3 days my burp did not even come. I want to start the balancing but I am not able because of lack of trustworthy hair tests here and also I havent been able to get hcl betaine.
This is my next step though, correcting stomach acid levels.

I am sure that you can find hydrochloric acid in some shop. It doesn't need to be pharmacy or even food grade quality! You don't need hair test to know that you have low stomach acid. You need to start soon as possible..

 

[Niles]

@YuraI would like to start the stomach acid protocol but my dietary conditions are bad I wont be able to follow a regimen, and even then no PAS sufferer has reported getting better due to that protocol so thats a bummer too..

For what it's worth, @Orion is PAS and he's had some success with the electrolyte/HCl protocol. What do you mean by your dietary conditions being bad? Do you mean you have a bad diet, or you have bad digestion?

Diet is #1 in any of the conditions you'll see on this forum. Your body can only work with what you're giving it, so you need to get on chronometer and start hitting all of your RDI's. If your digestion is bad, add HCl (betaine or diluted HCl solution), electrolytes, enzymes. It'll be a slow process, but if you can stick to it for 2 weeks you should start to see enough improvement to keep going. I know it's hard to make such drastic lifestyle change when in a state of anhedonia, but it will get much easier if you power through for just a couple of weeks. I also find that meditating on gratitude/optimism can be an enormous help when in a state of anhedonia, in terms of getting your mind to hop off the hamster wheel of hopelessness. I like to write down one thing that I have accomplished in recovery that I am grateful for and one concrete goal in recovery that I've yet to achieve, then meditate on your gratitude for what you've accomplished and your optimism for what you've yet to accomplish.

Also, read "The Power of Habit". If you can develop new positive habits, you better yourself from the outside-in, via the environmental changes you create, but also from the inside-out, as your brain starts literally changing. The reason you hear so much about the power of "positive thinking", "optimism", "gratitude", etc., is because these things all help to create this positive feedback loop. It's not new-agey bullshit, even though it's often presented that way.

 

[Yura]

I always wondered how some people are eating shity diet and are still healthy. I think that it is because they have good digestion(their health was never compromised with some drugs/chemicals/high amount of stress, some genetic defect etc..) so they can use a lot nutrients from the food. On the other hand like me. I burned so much money on good food, expensive supplements and I get worse and worse and worse. Because my very first step in digestion was not working.. I was eating bile products, ezymes, everything what you can imagine. Well if you have high pH in the stomach and you can't break down food you are fucked.. Hydrochloric acid is catalyst for pepsin production in the stomach and than also for liver function/bile production and pancreatic enzymes production.. So don't waste the money on expensive supplements, enzymes etc.. You need the base. Which is hydrochloric acid in the stomach and with the diet. Buy cheap and nutrient dense and easy to digest foods like rice, potatoes, eggs, some vegetables..

 

[MNK99]

"I always wondered how some people are eating shity diet and are still healthy. "
-great genetics and no problems.

 

[Orion]

For what it's worth, @Orion is PAS and he's had some success with the electrolyte/HCl protocol.

@Lost protocol is definitely helping. I did not have major sexual or mental sides from PAS, but I now have much better morning wood, blood flow and sensitivity. I just never knew things could get better in the libido department, since I never really had issues.

PAS for me was ever declining skin health, more and more acne and just horrible looking skin on face and body, that has healed immensely too. I also did lots of short and long fasts, with proper refeed along with the protocol.

 

[PAS]

I took online consultation from a very accomplished endocrinologist doctor Ambrish Mithal. I sent a mail describing every symptom and every possible information I could provide in detail.

In response, I was told that this situation had nothing to do with endocrinology and I should consult a dermatologist. If he had continued reading my mail after the first line he probably would have realized I am not asking for skin beauty tips.

 

[MNK99]

Endos and derms aren't the brightest at all in general. (I respect surgeons mostly and not prescription-trigger-happy types).
I'd get into med school or similar (better) no problem if they didn't misdiagnose, and for other issues.

It's hard, but way harder in CDA than in the States. In UK or India I could pay my way in, no problem.
I'm just saying that don't listen to them in general. I know smart and accurate and responsible docs, and idiots alike.

Lots from the West pay there way in to get credentials in Aus, UK, India, Europe, etc. I'm sure your doctor did not.
I would never trust just one doctor's word with a serious health issue, and for these illnesses, probably none.
Sorry for what you're going through man.

 

[bruschi11]

I took online consultation from a very accomplished endocrinologist doctor Ambrish Mithal. I sent a mail describing every symptom and every possible information I could provide in detail.

In response, I was told that this situation had nothing to do with endocrinology and I should consult a dermatologist. If he had continued reading my mail after the first line he probably would have realized I am not asking for skin beauty tips.

Man, reading your story above made me hurt for you. I’m really sorry about what you are going through and what you have endured.

Coming from where I was a year ago today and for that “7 months of hell” I endured, there is no doubt in my mind that you can get better. The human body can do some amazing things it really can.

Now what you can do to get better and what action it will take? I don’t know, but I have ideas. Have you had ARL or TEI done?

It definitely appears you are sick beyond PAS and the PAS probably is allowing said illness take over and keep you from getting better.

I’m going to be writing soon about some ideas I have for those that are stuck in a situation like yours where supplemenTs, balancing, medications may not be enough.

Hang in there. Don’t give up hope.

 

[MNK99]

Honestly, I don't like thinking about it... but I took Accutane, SSRI/SNRI's, and Fin (all very short times and at different ages).
And because of that and neuropsyche issues anyways, I think fasting is great. Should have fasted rather than take accutane. But even in post-drug disorders
(of all 3 types), I THINK extended water fasting can help. I have a pretty bad dual diagnosis, and fasting helps. Trained fasted my last like 20 workouts or so.

So if it helps in optimal health with my issues, and it helped in PFS... I'm sure it would have helped me solve PSSD earlier. And if I had serious severe post accutane issues (I did have terrible anxiety, sometimes depression, and digestion issues --- but who knows if it was Accutane caused. It could have been anxiety and stress and Effexor a couple yrs later certainly didn't help). I'm trying to say it helps now, it helped pre finasteride, and basically all of my 20's (no breakfast, and fasted training). Obviously it can be a bit extreme and isn't for everyone. If I knew what I know now, I'd never have touched any. In fact I knew not to touch fin, but other things were destroying my hair... and yeah vanity made me do some stupid things in my day. Not just vanity, but it is a piece of me (hair).