Seattle Stranger - thanks for sharing your difference of opinion.
Why is avoiding food such a terrible idea?
I am not telling the op to just starve for days/weeks.
I am suggesting a fast, simply to allow the intestines to rest.
This is common and safe advice given for many digestive ailments.
Often, doctors will recommend eating a VERY bland diet for a while...but they initially say 'no food' for a day or two. Sometimes they even disallow water, depending on the patient.
There are no amounts of 'vitamins' or 'nutrients' that can fix the situation quickly. Eating a high-protein, low carb diet CAN help restore serotonin levels faster, but again....it will not be quick. In the first few days, food may be a bad idea.
Taking 5-HTP has mixed results. Some people swear by it, others describe it as a
cause of major increases in anxiety. They try it and put it down.
The difference between the two groups may exist due to a disparity: some people simply have a drastic drop in serotonin levels. Others have damaged serotonin receptors and cannot process serotonin properly, anymore.
Smoking marijuana is a foolish suggestion, unless you belong to the first group.
There are MANY accounts of weed making symptoms MUCH worse. Many MDMA users that have experienced long-term recovery quit smoking
on their own. I can tell you that smoking weed, in any amount during the first month or two, was a BAD idea. There were at LEAST two panic attacks kicked off by smoking that were
unbearable.
I used to enjoy smoking marijuana in the 'afterglow' of E too!
It was always a great way to improve the day after....until the last time.
Suggesting weed to someone that may be experiencing an extreme reaction is NOT a good idea.
Some research has suggested that extremely high doses of cannabis DURING MDMA administration, may offer
some protection from neurotoxic damage. Much more effective than this: lowering body temperature and taking LARGE doses of Vitamin C.
Opiates are probably much safer than marijuana. They have their own little receptor sites in the dopamine network and it does not increase serotonin, like weed does. In a medical setting, they would not be used...benzos would be.
But, myself and others in recovery tend to agree that opiates are easily tolerated. Of course, taking too many or too often will still end up badly. Use sparingly...
Healthy food and sleep are good suggestions.
5-HTP may not be.
Marijuana is definitely not.
Sorry, but I felt the need to respond.
Bsiren:
You always give very simple, direct advice. Although you tend to be cautious about making strong statements, I have
never seen you give bad advice.
But I wanted to respond to you as well...
I understand why you think 'serotonin syndrome' is a risky topic.
Indeed, the OP did not give enough information to
definitively suggest such a violent reaction.
However, the statement - "It feels like my insides are being rolled up into a ball and ripped out." - is very strong. It warrants attention.
Did you know that serotonin syndrome is difficult to diagnose because the patient is often in an altered or agitated state? They sometimes struggle to speak. Notice how the OP could only write a very small post...
Did you know that one of the signs that a doctor will look for is 'increased bowel sounds' or 'intestinal cramping'?
It is one of the few ways to diagnose this extreme and confusing condition.
Also, a fever above 101.3 is considered to be a marker of
severe serotonin syndrome, and possibly life-threatening.
I definitely felt like my intestines were being destroyed, in fact it was my most pronounced symptom!
It felt like a bag of rocks was passing from my stomach all the way down my GI.
I also feared that liver failure was imminent. The amount of pain in my gut was like NOTHING I have ever felt before.

It took me FOUR weeks to be able to eat solid food again!
It is suggested that liver failure in some MDMA users may not be linked to direct liver toxicity. It is thought that it is caused by an immune response in the body, which destroys the liver.
The specific sequence of events is not well understood, in part because the digestive system is remarkably complex. Personally, I believe that the 'tearing up' feeling in the gut DOES warrant a higher level of concern for the OP.
The OP did not state how
severe this intestinal cramping is or whether it is combined with any other major symptoms. BUT, intestinal cramping and increased bowel sounds may indicate that a more severe reaction is occurring.
Because the OP offered so little description, I thought it necessary to give the strongest advice on handling the situation.
If the OP experiences pain in his/her gut, along with any other major symptoms - medical attention is highly recommended.
Remember, MDMA is not a
safe drug.
This is well understood.
There is a general attitude on Bluelight that somehow MDMA is pretty much 'safe'.
While this attitude is to be expected in many posts, it does
not belong in a post that involves pain in the gut. Intestinal failure and liver failure are possibilities. So is stroke or heart-attack. So is kidney failure and swelling around the brain. All of these events are possible - and IF serotonin syndrome is occurring they are more likely to happen.
I do not intend to accuse you of having this 'E is safe' attitude.
I know for a fact that you are not one of those people.
No disrespect intended....BUT I am concerned when a moderator tells me to stop acting like things are so serious - that my suggesting a problem could induce an unneeded panic attack...
Reactions to MDMA can be VERY dangerous, and intestinal pain is one of the more serious symptoms. Any user experiencing panic, fever, or 'gut pain' should take it
quite seriously. They should also follow my strong advice on lowering body temperature and sipping electrolytes. And maybe calling 911.
Serotonin Syndrome, or 'serotonin toxicity', is simply a sudden increase in brainstem serotonin activity. For some reason, the network that normally controls digestion begins injecting WAY too much serotonin into the brain!
In cases not related to MDMA, serotonin syndrome normally resolves on its own or with moderate management. However, WITH MDMA use, this syndrome can become
much more pronounced.
There is a belief that serotonin syndrome is simply an exaggeration of the toxicity
already taking place. Just because some MDMA users do not experience the 'sudden onset of tachycardia, chest pain, intestinal cramping...' does NOT mean they aren't experiencing a similar, slower process.
The idea that serotonin syndrome is somehow an altogether
separate condition may NOT be correct.
Sorry to rant, again.
I truly do not mean any disrespect towards you or to be overly argumentative.
Some would say that I am just a nay-sayer that got burned and now wants to
ruin it for everyone else.
I assure you, this is not the case.
I have educated myself quite thoroughly about MDMA and its risks/benefits prior to unleashing my rants upon Bluelight.
Although death and severe outcomes are rare, there is
plenty of data that suggests MDMA is not
safe.
People using MDMA, all of them, are making permanent alterations to the 'brain-gut' circuitry. The amount of change varies widely and often the functional consequences are minor. This does not change the fact that changes in a critical part of the nervous system are being induced. MDMA is by no means a
safe or harmless drug, regardless of the user.
I hope all of this reaches and helps someone...
Thanks for reading.