Pharmaceutical intervention to lower inhibition

[TallDarkAndHandsome]

Hey guys,

I'm dealing with what I call "social PTSD" or "abused dog syndrome" from being ugly and a late bloomer during my teenage years along with being non-nt. I didn’t ascend until I was 20, and while I look good now and get solid attention from women, my self-esteem is still pretty low due to how I was treated growing up.

A bit of background: I was on SSRIs (specifically Prozac/fluoxetine) for almost a decade to manage OCD and anxiety from when I was a kid, but I stopped recently because of sexual side effects. While most of my issues are gone, I still struggle with self-esteem and some social anxiety especially talking to women. I also have ADHD which I manage with Vyvanse as needed. Additionally, I have a slightly addictive personality, so I’m trying to be cautious about which medications I consider. I'm only considering these pharmaceutical interventions as a tool, I'm still implementing CBT with exposure therapy atm, but would appreciate some assistance.

Right now, I’m looking into pharmaceutical options to help with my self-esteem and social PTSD, but I want to avoid anything that could mess with my sexual function or lead to bad/extreme dependency. Here's what I’m considering:

1. SNRIs (Effexor, Cymbalta): Might be better than SSRIs when it comes to sexual side effects, but are they addictive or difficult to come off of?
2. Bupropion (Wellbutrin): I’ve read it has fewer sexual side effects and might even boost motivation. Could this be a good option for someone with anxiety, or is there a risk it could increase it?
3. Beta-Blockers (Propranolol): I know these help with the physical symptoms of anxiety in social situations. Can they help with the mental side of things too, or are they just a band-aid for performance anxiety? I have naturally low blood pressure and heart rate, (Around 100/50 and under 60 RHR without stimulants) is this a problem?
4. Pregabalin and Baclofen: I’ve heard these can be effective for social anxiety and inhibition but don’t want to risk getting dependent. Anyone with experience on use of these?

Any advice or experiences with these meds? I’m open to suggestions, especially from anyone who’s had a similar situation. I just want to feel more confident socially and rebuild my self-esteem without screwing up my progress physically or mentally.

Drugs and supplements I take right now:
Vyvanse 40mg as needed, usually 4 days per week.
Magnesium bisglycinate: 400mg before bed
Zinc: 25mg daily
Boron: 3mg daily
Vit d3: 2000iu daily
Melatonin: 2-5mg before bed
Cialis: 5mg daily
Creatine: 5 grams daily

Will soon start:
Semaglutide: 0.25mg/weekly

My diet consists of 90% healthy whole foods with a good variety of healthy fats and proteins.


Tagging some users:

@NorwoodAscender @Alexanderr @Clavicular @NZb6Air @pneumocystosis @chrisN @CoreSchizo @ivan.kuk

​

 

[NorwoodAscender]

will give advice in a bit OP. in class, but looks like a good start from my skim

 

[NZb6Air]

Do you have enough oral volume/sleep apnea? why do you take Vyvanse etc

 

[TallDarkAndHandsome]

Do you have enough oral volume/sleep apnea? why do you take Vyvanse etc

I apparently don't have sleep apnea and if I do it's mild, but my airways are shitty. In my CT scan in the dolphin software when my maxfac was viewing the airways, it was red. I take Vyvanse to treat adhd.

 

[NZb6Air]

I apparently don't have sleep apnea and if I do it's mild, but my airways are shitty. In my CT scan in the dolphin software when my maxfac was viewing the airways, it was red.

Trimax

and then hop on transcrotal DIHEXA @9898 , wolverine stack and ghkcu

 

[TallDarkAndHandsome]

Trimax

and then hop on transcrotal DIHEXA @9898 , wolverine stack and ghkcu

Trimax is probably 2 years away because I'm starting decomp braces in a few weeks to reset the cope camo ortho I had as a teen

 

[NZb6Air]

Trimax is probably 2 years away because I'm starting decomp braces in a few weeks to reset the cope camo ortho I had as a teen

It's cope, it's surgery first now at any good surgeon

Chapter 3 : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10744503/

Ramieri etc are aware

 

[Clavicular]

Pregab + bac are your best bet, things like propranonal, memantine, etc are just other additions

I recommend 150 PG + 50 bac for going out.

 

[Fusionxz]

Hey guys,

I'm dealing with what I call "social PTSD" or "abused dog syndrome" from being ugly and a late bloomer during my teenage years along with being non-nt. I didn’t ascend until I was 20, and while I look good now and get solid attention from women, my self-esteem is still pretty low due to how I was treated growing up.

A bit of background: I was on SSRIs (specifically Prozac/fluoxetine) for almost a decade to manage OCD and anxiety from when I was a kid, but I stopped recently because of sexual side effects. While most of my issues are gone, I still struggle with self-esteem and some social anxiety especially talking to women. I also have ADHD which I manage with Vyvanse as needed. Additionally, I have a slightly addictive personality, so I’m trying to be cautious about which medications I consider. I'm only considering these pharmaceutical interventions as a tool, I'm still implementing CBT with exposure therapy atm, but would appreciate some assistance.

Right now, I’m looking into pharmaceutical options to help with my self-esteem and social PTSD, but I want to avoid anything that could mess with my sexual function or lead to bad/extreme dependency. Here's what I’m considering:

1. SNRIs (Effexor, Cymbalta): Might be better than SSRIs when it comes to sexual side effects, but are they addictive or difficult to come off of?
2. Bupropion (Wellbutrin): I’ve read it has fewer sexual side effects and might even boost motivation. Could this be a good option for someone with anxiety, or is there a risk it could increase it?
3. Beta-Blockers (Propranolol): I know these help with the physical symptoms of anxiety in social situations. Can they help with the mental side of things too, or are they just a band-aid for performance anxiety? I have naturally low blood pressure and heart rate, (Around 100/50 and under 60 RHR without stimulants) is this a problem?
4. Pregabalin and Baclofen: I’ve heard these can be effective for social anxiety and inhibition but don’t want to risk getting dependent. Anyone with experience on use of these?

Any advice or experiences with these meds? I’m open to suggestions, especially from anyone who’s had a similar situation. I just want to feel more confident socially and rebuild my self-esteem without screwing up my progress physically or mentally.

Drugs and supplements I take right now:
Vyvanse 40mg as needed, usually 4 days per week.
Magnesium bisglycinate: 400mg before bed
Zinc: 25mg daily
Boron: 3mg daily
Vit d3: 2000iu daily
Melatonin: 2-5mg before bed
Cialis: 5mg daily
Creatine: 5 grams daily

Will soon start:
Semaglutide: 0.25mg/weekly

My diet consists of 90% healthy whole foods with a good variety of healthy fats and proteins.


Tagging some users:

@NorwoodAscender @Alexanderr @Clavicular @NZb6Air @pneumocystosis @chrisN @CoreSchizo @ivan.kuk

​

use estrogen and soy

 

[TallDarkAndHandsome]

It's cope, it's surgery first now at any good surgeon

Chapter 3 : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10744503/

Ramieri etc are aware

Ramieri told me for the best result and advancement of mandible I need decomp

 

[NZb6Air]

Ramieri told me for the best result and advancement of mandible I need decomp

how bad was the teen ortho, are your teeth caved in ?

 

[TallDarkAndHandsome]

how bad was the teen ortho, are your teeth caved in ?

I have a reverse curve of spee and my lower teeth were pulled forward and upper pulled back with elastics.

Read this

A reason why many bimaxes go wrong

Bimax is a complex procedure and many factors will affect its success. But here's one often overlooked on .org: orthodontics. Have you ever wondered why in medical environments bimax is typically associated with orthodontics, while in .org most people get the surgery right away? Sure...

looksmax.org

 

[TallDarkAndHandsome]

Pregab + bac are your best bet, things like propranonal, memantine, etc are just other additions

I recommend 150 PG + 50 bac for going out.

I’m just worried about dependence and addiction since I already have a slightly addictive personality

 

[NZb6Air]

I have a reverse curve of spee and my lower teeth were pulled forward and upper pulled back with elastics.
View attachment 3184634
Read this

A reason why many bimaxes go wrong

Bimax is a complex procedure and many factors will affect its success. But here's one often overlooked on .org: orthodontics. Have you ever wondered why in medical environments bimax is typically associated with orthodontics, while in .org most people get the surgery right away? Sure...

looksmax.org

This thread you linked is wrong, surgery first is best on all cases, also assuming that Turkey is some shit hole which is jfl
some examples :

Surgery-First Orthognathic Approach to Correct Facial Asymmetry: Artificial Intelligence-Based Cephalometric Analysis - PubMed

Therapeutic, III.

pubmed.ncbi.nlm.nih.gov

Does the Surgery-First Approach Produce Better Outcomes in Orthognathic Surgery? A Systematic Review and Meta-Analysis - PubMed

SFA offers an efficient alternative to CTM with shorter total treatment duration, similar postoperative stability, and other surgical results but longer postoperative orthodontic time.

pubmed.ncbi.nlm.nih.gov

Including rotative ones -> https://pubmed.ncbi.nlm.nih.gov/37743044

most bimaxes are wrong because the planning is bad, it's not about surgery first


IDK how your case is to comment on it but if Ramieri said you need it then you do most likely

 

[Kroker]

I’m just worried about dependence and addiction since I already have a slightly addictive personality

I took Preg daily for about 2 years during college.

It's indeed addictive. Take Baclofen it's much more easier to quit.

I pretty much experimented all those drugs except for MAOIs.

Edit: what do you take Cialis for?

 

[NZb6Air]

what do you take Cialis for?

it's a vasodilator

 

[Kroker]

it's a vasodilator

Yeah ik, is it exclusively for dick or something else?

 

[TallDarkAndHandsome]

Yeah ik, is it exclusively for dick or something else?

I take it for multiple reasons. Tadalafil (Cialis) Improves Lean Mass, Increases Androgen Receptor Expression and Reduces E2 Levels in Men.
Additionally it counteracts the vasoconstriction from the vyvanse

Study:

Tadalafil improves lean mass and endothelial function in nonobese men with mild ED/LUTS: in vivo and in vitro characterization - PubMed

Daily tadalafil improved lean mass content in non-obese men probably via enhanced insulin secretion, estradiol reduction, and improvement of endothelial function in vivo. The in vitro increased myogenin and androgen receptor protein expression in skeletal muscle cells suggests a translational...

pubmed.ncbi.nlm.nih.gov

 

[Kroker]

I take it for multiple reasons. Tadalafil (Cialis) Improves Lean Mass, Increases Androgen Receptor Expression and Reduces E2 Levels in Men.
Additionally it counteracts the vasoconstriction from the vyvanse

Study:

Tadalafil improves lean mass and endothelial function in nonobese men with mild ED/LUTS: in vivo and in vitro characterization - PubMed

Daily tadalafil improved lean mass content in non-obese men probably via enhanced insulin secretion, estradiol reduction, and improvement of endothelial function in vivo. The in vitro increased myogenin and androgen receptor protein expression in skeletal muscle cells suggests a translational...

pubmed.ncbi.nlm.nih.gov

Yea I also used to supplement it cuz antidepressants caused mild ED.

That combined with Tribulus Terrestris made my erections diamond hard. I was truly astonished by the result merely taking it for a month.

 

[undefined64]

All you need is SSRI like Prozac and dopamine stuff like Wellbutrin, because ssris affect a bit dopamine and make you not anxious but not willing to do anything so Wellbutrin solve this issue

 

[undefined64]

All you need is SSRI like Prozac and dopamine stuff like Wellbutrin, because ssris affect a bit dopamine and make you not anxious but not willing to do anything so Wellbutrin solve this issue

Or effexor in highest dosages but it can hit with anxiety and ocd again so imo Fluoxetine + Bupropion

 

[9898]

Trimax

and then hop on transcrotal DIHEXA @9898 , wolverine stack and ghkcu

miring that the Dihexapill is growing

 

[NZb6Air]

miring that the Dihexapill is growing

i want to see your balls

 

[9898]

i want to see your balls

They're covered in DMSO residue

 

[longjohnmong]

ethanol

 

[iabsolvejordan]

ethanol

avoid this if u can

 

[average guy]

What are your thoughts on phenibut

 

[20/04/2008]

Hey guys,

I'm dealing with what I call "social PTSD" or "abused dog syndrome" from being ugly and a late bloomer during my teenage years along with being non-nt. I didn’t ascend until I was 20, and while I look good now and get solid attention from women, my self-esteem is still pretty low due to how I was treated growing up.

A bit of background: I was on SSRIs (specifically Prozac/fluoxetine) for almost a decade to manage OCD and anxiety from when I was a kid, but I stopped recently because of sexual side effects. While most of my issues are gone, I still struggle with self-esteem and some social anxiety especially talking to women. I also have ADHD which I manage with Vyvanse as needed. Additionally, I have a slightly addictive personality, so I’m trying to be cautious about which medications I consider. I'm only considering these pharmaceutical interventions as a tool, I'm still implementing CBT with exposure therapy atm, but would appreciate some assistance.

Right now, I’m looking into pharmaceutical options to help with my self-esteem and social PTSD, but I want to avoid anything that could mess with my sexual function or lead to bad/extreme dependency. Here's what I’m considering:

1. SNRIs (Effexor, Cymbalta): Might be better than SSRIs when it comes to sexual side effects, but are they addictive or difficult to come off of?
2. Bupropion (Wellbutrin): I’ve read it has fewer sexual side effects and might even boost motivation. Could this be a good option for someone with anxiety, or is there a risk it could increase it?
3. Beta-Blockers (Propranolol): I know these help with the physical symptoms of anxiety in social situations. Can they help with the mental side of things too, or are they just a band-aid for performance anxiety? I have naturally low blood pressure and heart rate, (Around 100/50 and under 60 RHR without stimulants) is this a problem?
4. Pregabalin and Baclofen: I’ve heard these can be effective for social anxiety and inhibition but don’t want to risk getting dependent. Anyone with experience on use of these?

Any advice or experiences with these meds? I’m open to suggestions, especially from anyone who’s had a similar situation. I just want to feel more confident socially and rebuild my self-esteem without screwing up my progress physically or mentally.

Drugs and supplements I take right now:
Vyvanse 40mg as needed, usually 4 days per week.
Magnesium bisglycinate: 400mg before bed
Zinc: 25mg daily
Boron: 3mg daily
Vit d3: 2000iu daily
Melatonin: 2-5mg before bed
Cialis: 5mg daily
Creatine: 5 grams daily

Will soon start:
Semaglutide: 0.25mg/weekly

My diet consists of 90% healthy whole foods with a good variety of healthy fats and proteins.


Tagging some users:

@NorwoodAscender @Alexanderr @Clavicular @NZb6Air @pneumocystosis @chrisN @CoreSchizo @ivan.kuk

​

pregbalin and propanolo are legit would reccomend adding neuro steroids or supplements that lower cortisol