Thank you very much for that detailed summary! It's a shame that so many people still refuse to believe that a severe PMO addiction can lead to physiological problems and imbalances in the endocrine system. I've even seen so many members of this forum say that the physical symptoms of PMO abuse are all in people's heads. I suffered these symptoms for many years, and I know that it most certainly wasn't all in my head. Before I knew it was PMO causing this, I just came to the conclusion that I had some kind of adrenal imbalance and/or insufficiency after Googling my symptoms, but I had no idea how to go about fixing it. Most doctors have zero interest in discussing such things, so that was a dead end. It wasn't until 2019 that it occurred to me that my intense PMO sessions might be contributing to or causing these adrenal problems. It made perfect sense to me that getting myself all revved up with such unnatural levels of stimulation for hours on end could be burning out my adrenal function. That's when I started Googling things like "porn addiction adrenal problems" and found this forum. Back in 2015, I was experiencing all kinds of vague and mysterious health ailments that doctors couldn't seem to figure out. I didn't even know about NoFap at this point, and I was completely ignorant of the fact that it was my addiction causing these problems. My testosterone levels were one of the first things that they tested, and the doctor told me that my levels were slightly higher than average for somebody in my age range. So of course they figured at that point that it wasn't a testosterone problem. I'm no endocrinologist, but it makes sense to me that if you have a lower androgen receptor density, then your overall levels of free T would probably be higher because it isn't being efficiently absorbed and utilized by the body. At that point, it's basically floating around in your bloodstream with nowhere to go and showing seemingly higher T levels. Do you think I'm on the right track with this line of thought? One thing they did notice was that my cortisol levels were a little higher than they should be, but they didn't investigate that or even try to offer an explanation as to why they might be higher than they should be. Once I discovered NoFap and quit PMO in June 2019, I noticed that my health problems were gradually disappearing one by one as the months went by. And now, a little over two years on NoFap with only a handful of relapses, most of the problems that I used to suffer are completely gone, and the few that remain have diminished considerably and are continuously improving. My voice is deeper, my body hair and facial hair are much more dense and coarse, I can gain muscle mass rapidly, and my face looks more masculine. Back when I was constantly fapping, I kind of had a round baby face with very little definition, but my jawline and cheekbones are more pronounced now. Even my demeanour has changed; I now find myself acting a lot more mature and stoic than I used to. Oh, and if anybody is wondering what my symptoms were, I'll copy and paste them here from another thread if you'd like to compare: Physical: Frequent nausea. Various digestive problems (some quite severe). Constant hunger pangs and stomach growling (even after recently eating a full meal). Inexplicable pains all over my body. Hot flashes and frequent sweating. Extreme insomnia and sleep disturbances. Rapid heartbeat that would never seem to slow down (even when relaxed and sedentary). Shallow breathing and occasional hyperventilating. Always low on energy, like I never felt rested or fully charged no matter how much sleep I got. A constant wired-out and on-edge feeling. "Tired but wired," as people with adrenal problems describe it. Very frequent urination (actually worsened during my initial withdrawal period, but 100% gone now). Tinnitus (and a weird itchy feeling inside my ears). Weak immune system and frequent infections. Occasional vertigo and dizziness. Vision problems. Mental: Frequent depression. Occasional anxiety and paranoia. Night terrors and nightmares. Occasional depersonalization and derealization. Emotional numbness. Anhedonia. Brain fog and generally feeling dipshitty all the time. Often feeling introverted and unsociable. Lack of creativity.