SHARE YOUR STORY

flynn

Administrator
Staff member
Feb 28, 2018
72
64
18
#1
Started a course of (Ro)accutane when I was around 14 years old for moderate acne (Really didn't need to be prescribed it), can't recall the exact dosage but it was around 40-60mg for approximately 6 months I believe.

I have been suffering from persistent sexual dysfunction (loss of libido, loss of arousal/interest, loss of pleasure during sex and anorgasmia, loss of sensitivity) ever since (almost 11 years now). It almost certainly stunted my growth as I am the same height as when I started - around 5'6 (the same height as my mother which is very unusual for a male with a tall father). I now also have premature hair loss/balding and experience fairly regular bouts of depression and anxiety which go on and off depending on several factors (never experienced this before treatment). The sexual dysfunction and difficulties it poses obviously make a person far more prone to these sorts of conditions.

It's hard to tell because of how young I was when I took (Ro)accutane but I'm pretty sure its affected my personality (less expressive, caring and emotive). I'm also pretty sure I have anhedonia (struggle to get pleasure from things, clearly linked to sexual dysfunction aspects such as anorgasmia etc.), lack of drive/motivation. Memory and cognition may also be suffering but its hard to tell how linked these are to (Ro)accutane use.

Most of the symptoms have changed over time, I have had times when I've been very happy, fun, expressive like my old self but in honesty, this has usually coincided with drug use (particularly psychedelics) and being in very fun environments with close friends. Despite this, the sexual dysfunction has been an almost constant over the years with little noticeable improvement.

Despite having PAS, I still managed to do well academically, scoring very well in A-levels and managed to get a degree from a red brick university. I have also still managed to cultivate a great group of friends despite my shortcomings. So don't give up hope. However girlfriends and relationships have been and remain problematic.

Amazingly, it took me around 9 years to connect my symptoms with (Ro)accutane use. I expect there are far more PAS sufferers out there than we can imagine who are quietly suffering.

I hope to one day see a treatment/cure for this, I won't be satisfied with simply raising awareness and changing the labelling (though this is also very important). To me, this drug has robbed me of so much already and I'm aware it will likely continue to do so. I'm willing to do ample amounts of self-experimentation and if I ever manage to make or get hold of a significant amount of money, you can bet I will put the majority of it into fixing this. I refuse to simply accept this as my reality long term (I don't envision myself putting up with this for another 10 years). Up to this point, the community has lacked organisation but most importantly funding. The only way things will change is if we can garner sufficient funds to start a study and fund a treatment as is happening for PFS sufferers. Even if developing a cure is out of scope temporarily, a study may reveal that the cause is related to another condition such as PFS which would enable both communities to pull together to find a cure/fix.

I would bet there are as many people out there if not more, suffering from PAS than PFS given the prevalence of prescriptions. If the PFS community can fund studies, so can the PAS community. If anyone has any suggestions of how a non-profit fund trusted fund such as the RxISK prize could be set up which is dedicated to studying PAS, please let me know.
 
Likes: tanedout

tom.math

New member
Mar 10, 2018
12
5
3
#2
got off tane about 4 months ago. feel real bad and not get better. dont care about sex anymore. feel weak. hope this changes in a soon!!!!!
i dont know much so hope people can help me here. this drug needs to be banned! :mad::mad:
 
Likes: Lost

Lost

New member
Mar 10, 2018
18
13
3
#3
Fuck man flynn, you got pas at 14. I took it when I was 15 but that time I didnt get PAS. it was only when i took it again at 20 that i got pas
 
Likes: flynn

Flo

New member
Mar 24, 2018
3
4
3
#4
Same here! I took Accutane when I was about 18 with no side effects. The second time, I was 24, I got massive side effects. It's been 2 years that I am living with brain fog, numbness feelings on my entire body and some other sides. Do we have any members with this numbness feelings, too? Because it seems as if this side effect is not very common.
 

Lost

New member
Mar 10, 2018
18
13
3
#5
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.
 
Mar 10, 2018
33
32
18
#6
@Lost yeah I can relate to a lot of that. My sides have got a lot worse in the last 18 months (almost 8 years with PAS now) and I'm hitting it hard with diet and trying to rebalance gut flora. I think that is the main cause of my worsened issues, and clearly gut health is a big factor in this whole mess (and could even essentially be the root cause).

What's your current plan of action, I see you have tried RU, are you looking at possibly fin or progesterone cycling?
 
Likes: flynn

flynn

Administrator
Staff member
Feb 28, 2018
72
64
18
#7
Same here! I took Accutane when I was about 18 with no side effects. The second time, I was 24, I got massive side effects. It's been 2 years that I am living with brain fog, numbness feelings on my entire body and some other sides. Do we have any members with this numbness feelings, too? Because it seems as if this side effect is not very common.
Yeah numbness of feelings seems to be fairly common, as its closely linked to anhedonia/depersonalisation etc.

I can often find myself feeling very flat emotionally, I know most people probably find this. But for me it doesn't seem normal or usual. Though I have found that my mood can become much better and I can experience a greatly improved mood/mindset, more feeling and expressiveness. So these things can be improved. The only problem is that, it still doesn't fix the sexual sides. These seem to be fairly constant.
 

Flo

New member
Mar 24, 2018
3
4
3
#8
Yeah numbness of feelings seems to be fairly common, as its closely linked to anhedonia/depersonalisation etc.

I can often find myself feeling very flat emotionally, I know most people probably find this. But for me it doesn't seem normal or usual. Though I have found that my mood can become much better and I can experience a greatly improved mood/mindset, more feeling and expressiveness. So these things can be improved. The only problem is that, it still doesn't fix the sexual sides. These seem to be fairly constant.
Sorry for my English. But I didn't mean anhedonia, it's a sensory loss that I am struggling with.
 
Likes: flynn

Catto

New member
Mar 28, 2018
9
6
3
#10
P.S. - This should be a separate subtopic group for introductions so we can establish a greater sense of how many people we got. This long thread prolly aint too neat.

Hello everybody. I'm still not entirely sure I've been damaged, or the extent of my damage but I did take accutane for 4 months, medium dose.

I don't remember anything from those 4 months. It's like I'm waking up from a coma. Im 17, and I gotta figure this shit out.

Anyways, I don't feel the same anymore.. Recently Ive had Low libido, ED... And I've just not been as happy. I never get "'random boners" anymore.
Hopefully this is all in my head, cause of school n other shit in my life, and I'm not actually damaged.

I'm stressed cause I got a life to make, man. I gotta find someone who loves me and I gotta figure this shit out within the next 5 years.
Anyways, I'm gonna be updating everybody and looking, documenting all the findings into my own lil doc. Once I organize it all it'll have a shit load of links and tips and all that jazz, even if I recover I'll try to help y'all. I've already tried to spread the words on forumns, to scare people away from this poison!

My sources:
My mess of research and documentation of healing - Got all the links, tidbits, words of mouth, research and personal documentation of myself on there.
This place

That other board - one we prolly came from

https://www.acne.org/messageboard/topic/295030-repairing-the-long-term-damage-from-accutane/


Proof and testomonies of lives ruined - great for linking people to promote awareness of the suffering.

https://rxisk.org/accutane-30-years-of-trading-our-sex-lives-for-clear-skin/

In case ya didn't' check out my doc:
---
But I will be trying the following:

March 28/18 - April 4/18
  • Cut Out Vitamin D supplementation? - Heard its toxic.
  • Cut Out Omega 3 fish oil supplementation - Said to lower libido to those who were on accutane?
  • Cut Out Vitamin A from my diet
  • Run a bunch.

March 28/18 - June 20/ 2018 -
  • Cut out porn for the next 12 weeks (NO RELAPSES) , if I get results then forever (Maybe i'm just desensitized)

Then if that does not work
  • Try Saint Johns Wart
  • Try methionine with b vitamins B12 b6 folate, biotin
  • Try and see how I do with actual sex
  • Try detoxifying my Liver (Maybe through Calcium D-Glucarate)
  • Acetyl L Carnitine

Back up plans
  • Try a small dose of alcohol and see how it affects me (Temporary 6hr cure or something I heard on here?)
  • Try Viagra during sex to boost hardness, maybe I'll just have to be dependent on it?
  • Try some sort of libido enhancing drug.
  • Try Finasteride
  • Re-think life N junk.
 
Last edited:
Likes: flynn
Mar 10, 2018
33
32
18
#11
But I will be trying the following:

March 28/18 - April 4/18
  • Cut Out Vitamin D supplementation? - Heard its toxic.
  • Cut Out Omega 3 fish oil supplementation - Said to lower libido to those who were on accutane?
  • Cut Out Vitamin A from my diet
  • Run a bunch.

March 28/18 - June 20/ 2018 -
  • Cut out porn for the next 12 weeks (NO RELAPSES) , if I get results then forever (Maybe i'm just desensitized)

Then if that does not work
  • Try Saint Johns Wart
  • Try methionine with b vitamins B12 b6 folate, biotin
  • Try and see how I do with actual sex
  • Try detoxifying my Liver (Maybe through Calcium D-Glucarate)
  • Acetyl L Carnitine

Back up plans
  • Try a small dose of alcohol and see how it affects me (Temporary 6hr cure or something I heard on here?)
  • Try Viagra during sex to boost hardness, maybe I'll just have to be dependent on it?
  • Try some sort of libido enhancing drug.
  • Try Finasteride
  • Re-think life N junk.
Good to have a plan and some stuff to try! My experience of the things you mention;

Vitamin D is one of the sups I continue to take and I notice the benefits, and I notice if I stop taking. I would suggest a decent olive oil derived one though, I use biophix 10,000iu every 2 or 3 days. I've tried others which have no real noticeable affect.

Fish oil I also take daily, loads of benefits, I don't buy into this avoiding vitamin A, but maybe it's still worth trying, I've read others have had issues with it, but I never have.

No fap is also certainly worth doing. Someone on acne.org reckoned they recovered their libido after no fap and some sups, but I did about 8 months and didn't get any benefits at all.

Someone got benefits from St Johns Wort I read, but I've tried various brands and noticed nothing.

Methionine does help sleep, and is supposed to be good for liver detox, but it's basically a hormone and isn't recommended to take long term. Vitamin B12 is good for me in methy B12, but get really fatigued from cobalamin form of B12, have take naps constantly after only 2,3 days of using it. Careful with methylfolate if you have the MTHFR defect, gives me quite bad chest tightness, not sure why but I've read others having the same issue. Tried multiple brands and same effect.

Calcium d-glucate seems to improve libido slightly, but nothing to make it worth taking longer term for me. TUDCA is good for liver detox and I keep coming back to that one, but some brands of it are pretty bad. UDCA doesnt seem quite as effective. Ox Bile sourced ok, but sometimes gives you stomach upset.

Find l-fumarate a better form of carnitine, seems to boost mental clarity a bit and I take some each morning.

Some people have mentioned feeling better after a big night out drinking, but I never really noticed that and I used to go out drinking all the time in the first years post accutane.

Viagra, cialis etc - they all definitely work very well (would recommend only taking a fraction of a capsule, especially with viagra) but they do nothing for libido or sensitivity which is the main problem.
 

Sickboy19

New member
Apr 14, 2018
2
1
1
#12
I took accutane at 18 for mild resistant acne
Then took it at 19
I had to stop mid way because
High liver enzymes
Cholesterol
Triglycerides
I also gained a lot of weight shortly during second course after I quit smoking
And was on lexapro

I ended up having tons of symptoms
That are still here at 29

1.severe dry scalp no clue nothing works
2.hair comes out some pieces not that bad
3.eyebrows lashes fall out easily
4.dark swollen eye bags
5.dry dry eyes mucus crusted stuck shut worse waking feels like no water is in my head
6.dry nose waking up crusty green dry
7.rashy dry flaky no oil on face Seb Derm Rosacea like
8.facial flushing from anxiety exercise masturbation heat
9.cold hands and feet get blue pale but it’s not raynaurds not numb and not tips
It’s the tops of hands look mottled
10.sleep issues it takes forever to sleep due to dryness and racing mind and I wake up every 2 hours told sleep apnea yet I’m under weight and adenoids small and machine will dry me more and I don’t sleep on my back
11.excess urination especially at night
12.heart pounds just walking to bathroom
13.urticaria itchy and pink easily
14.no morning erections unless urinating
This was worse as I get random ones again sometimes 1-2x day maybe
Sex I can get it up if I’m comfy and not anxious over skinny body and skin eyes
And she’s slutty
15.hands lock up carrying groceries sometimes


Anxiety
OCD
Depression all because of this or least ocd and depression and 50% anxiety

Nothing works my skin looks so rashy flushed and dermatitis
My eyes look 80
Huge pores t zone some lines
I’m told I look young but I think I aged a lot stress lack of sleep
And dry no oil

I can’t wear glasses eyes too dry
Can’t get bag surgery because dry eyes
Can’t take meds cause dry
Can’t take antihistamines dry

Sure I missed some others

I’ve cut out eggs dairy meat wheat gluten for months
Then added meats and eggs I felt too dizzy and sick prob anemic

Wheat gluten dairy avoided for year and then went on ice cream pizza binge

Maybe wasn’t as hot and flushed
But skin eyes dryness same

I’m so sick of being sleep deprived
Anxious
And having dry eyes nose skin
Rashes and eye bags
Being too thin because of fear of foods worsening me
Cold hands feet and urinating all day

I drink probably 1-4 if that bottles of water
I use to drink 8
I sometimes get afraid to drink as I feel I just urinate more than I put in

Idk what to do I’m so annoyed though

I want to feel fluids in eyes nose and skin and scalp

My mouth is not dry lips get dry sometimes but inside not

I’ve had thyroiditis and meds made me lose too much weight
Now I’m told I’m cured
Yet still same stmptoms

Total t was low normal
T levels we’re over 850 high
High estrogen
Speckled Ana
Igg4 elevated

Immune docs said could be sjorgens but the lip negative
Blood negative
Eye test showed no tears

Then they said endo issues
Endo said could be
Pheocromocytoma
Carcinoid
Thyroid
Diabetes inspiduous

Yet never respond

I take probiotic
Fish oil 2x
Black currant 2x
B complex mthfr I have mutated gene 1-2x
Vitamin c 1x
Vitamin d 2500 iu
Was taking 5000 and still had 37 level low normal

Not sure if I’m absorbing anytbing

I eat 2800 calories sometimes 3100
130-140g protein some days
150-170g fat all from avocado nuts olive oil hemp seeds and some meats lean
230-320g carbs all from veggies gluten free rice and pasta no wheat
No bread

No clue I’m missing more blood results I’m sure
 
Likes: flynn

Sickboy19

New member
Apr 14, 2018
2
1
1
#13
Also t
I took accutane at 18 for mild resistant acne
Then took it at 19
I had to stop mid way because
High liver enzymes
Cholesterol
Triglycerides
I also gained a lot of weight shortly during second course after I quit smoking
And was on lexapro

I ended up having tons of symptoms
That are still here at 29

1.severe dry scalp no clue nothing works
2.hair comes out some pieces not that bad
3.eyebrows lashes fall out easily
4.dark swollen eye bags
5.dry dry eyes mucus crusted stuck shut worse waking feels like no water is in my head
6.dry nose waking up crusty green dry
7.rashy dry flaky no oil on face Seb Derm Rosacea like
8.facial flushing from anxiety exercise masturbation heat
9.cold hands and feet get blue pale but it’s not raynaurds not numb and not tips
It’s the tops of hands look mottled
10.sleep issues it takes forever to sleep due to dryness and racing mind and I wake up every 2 hours told sleep apnea yet I’m under weight and adenoids small and machine will dry me more and I don’t sleep on my back
11.excess urination especially at night
12.heart pounds just walking to bathroom
13.urticaria itchy and pink easily
14.no morning erections unless urinating
This was worse as I get random ones again sometimes 1-2x day maybe
Sex I can get it up if I’m comfy and not anxious over skinny body and skin eyes
And she’s slutty
15.hands lock up carrying groceries sometimes


Anxiety
OCD
Depression all because of this or least ocd and depression and 50% anxiety

Nothing works my skin looks so rashy flushed and dermatitis
My eyes look 80
Huge pores t zone some lines
I’m told I look young but I think I aged a lot stress lack of sleep
And dry no oil

I can’t wear glasses eyes too dry
Can’t get bag surgery because dry eyes
Can’t take meds cause dry
Can’t take antihistamines dry

Sure I missed some others

I’ve cut out eggs dairy meat wheat gluten for months
Then added meats and eggs I felt too dizzy and sick prob anemic

Wheat gluten dairy avoided for year and then went on ice cream pizza binge

Maybe wasn’t as hot and flushed
But skin eyes dryness same

I’m so sick of being sleep deprived
Anxious
And having dry eyes nose skin
Rashes and eye bags
Being too thin because of fear of foods worsening me
Cold hands feet and urinating all day

I drink probably 1-4 if that bottles of water
I use to drink 8
I sometimes get afraid to drink as I feel I just urinate more than I put in

Idk what to do I’m so annoyed though

I want to feel fluids in eyes nose and skin and scalp

My mouth is not dry lips get dry sometimes but inside not

I’ve had thyroiditis and meds made me lose too much weight
Now I’m told I’m cured
Yet still same stmptoms

Total t was low normal
T levels we’re over 850 high
High estrogen
Speckled Ana
Igg4 elevated

Immune docs said could be sjorgens but the lip negative
Blood negative
Eye test showed no tears

Then they said endo issues
Endo said could be
Pheocromocytoma
Carcinoid
Thyroid
Diabetes inspiduous

Yet never respond

I take probiotic
Fish oil 2x
Black currant 2x
B complex mthfr I have mutated gene 1-2x
Vitamin c 1x
Vitamin d 2500 iu
Was taking 5000 and still had 37 level low normal

Not sure if I’m absorbing anytbing

I eat 2800 calories sometimes 3100
130-140g protein some days
150-170g fat all from avocado nuts olive oil hemp seeds and some meats lean
230-320g carbs all from veggies gluten free rice and pasta no wheat
No bread

No clue I’m missing more blood results I’m sure

Also take magensium glycinate 2-3x day