I’m 15 months off Invega Sustenna and my sexuality has finally come back 100% so that’s a positive. I had 17 shots, was on abilify mantana for six months before that and geodon and latuda after the 17 months of Invega so that’s a plus. I’ve also lost most of the injection weight I weigh 108lbs. Although my body hasn’t gone back to pre injection it looks different. The antipsychotics altered it. I still have neck fat and chin fat! And Invega Sustenna damaged my eyes I still can’t open my eyes wide and changed the look of my eyes. So there’s that. So Invega Sustenna does cause some permanent damage! I can workout but nothing like pre injections at all! I don’t do drugs or drink so I can’t comment on that. I still feel like I don’t measure up and am no where near as witty or smart as my pre antipsychotic self. I think antipsychotics cause permanent damage. Especially when you’ve been on a lot of them.