No way to be certain, but I'm relatively confident that long-term PMO addiction caused my HPA-D/adrenal fatigue/CFS. In 3 months I've had a couple short (ie PMO once, and just looked for a couple of minutes but no MO the other time) relapses, but have otherwise continually gotten less interested in PMO, have dramatically fewer cravings, and a stronger ability to deny cravings. The desire to MO to P has been completely gone for about 6 weeks, leaving only an occasional craving to simply view P. BUT....my physical symptoms have not improved. In fact, my hair is falling out faster and my skin appearing worse. No change in personality, confidence, etc. I know most of us here have some sort of physical symptoms, be it fatigue, poor skin, hair falling out, etc. Have some of you gone beyond the 60 or 90 days before you started to really see turnaround in your physical symptoms?