I was quite unsure if to post this here on in "how toxic is meph" thread, decided for this hoping I chose right.
I'd basically like to share my experience, and comment on a few hypotesis that have been made over time in different threads, please bear with me.
I used meph 3 times, first time it was crystally stuff from a super reputable vendor, insufflated 100mg, best high with an incredible rush, yet not the strongest, side effects were some gurning, dry mouth, everything as expected from the kind of substance, and next day mouth nevralgia that lasted couple of days (likely I was clenching all night).
Second time it was fluffy stuff from another vendor and was after 2 months; this was the strongest high but not the best, with no rush but a building up high which culprit was a moment I suddenly got covered by sweat from head to toe and felt outrageously high. I'm sure if it wasn't for the unbeatable sense of wellbeing and euphoria I'd had freaked out. Side effects were a super gurning to the point I couldn't finish even one sentence without chewing my jaws in the middle, dry mouth like never before, breathlessness. Amounts were 100mg insufflated, 150mg bombed, 30mg insufflated. Oddly enough after the first line the bomb didn't have any effect. after I got home at early morning my BP was quite normal like 140/70 but HR was 136. I got some light gurning and dry mouth the following day as well, and fatigue and breathlessness for up to a week.
Third time was crystally stuff but from again a different vendor, and a month after the second experience. Amounts were 100mg, then other 100mg, then 30mg all insufflated and well spaced. The high was nice but the lightest, gently rising; the gurning was stronger than the first but much less than the second and so the dry mouth, so still quite in a normal range. after the second line I noticed some palpitations, like I did strongly feel my heart pounding, even if it wasn't racing. No big after effects in the following days, but this weird heart "awareness" started showing up many times, in particular while tripping on a blotter which resulted in a bad trip

So when I got home from vacations and having this thing for a week long I went to a cardiologist to get checked. He's been very accurate, measured everything, made an echography of my heart, checked chambers, valves, etc. It was all damn right. I also have to add that everytime I used to get this palpitations I checked my values and both BP and HR were perfectly normal.
Also I noticed there were some particular times where the issue was more likely to show up like after lunch and when going to bed or waking up in the morning, and that for two times it was triggered and lasted few days after using some nasal decongestant (one based on ephedrine and the other on tramazoline). I also noticed that caffeine didn't result in anything, but didn't feel like to make experiments with other stronger stimulants cause I think that understanding is a good thing but trying to recover is better.
I went under a one month cycle with body building arginine on november (last meph intake has been in august) with no real improvements, and I'm undergoing a month with another pharmaceutic arginine supplement now that resulted in a very noticeable improvement: even tho these events were very slowly getting rarer month by month, I now am palpitantion free since I started and somehow feel my heart is "healtier". I know this is not scientific stuff, but I can't explain it any better.
Now I've been reading of many hypotesis, the 4-methylephedrine vasocostrictive issues, and recently the dermatomyositis one. I think that while probably both vasocostrictive metabolites and immune issues plays a role, it's more about a receptors upregulation of some sort. I have to add that I have autoimmune disease and got blood tested two weeks after the last experience with nothing out of ordinary concerning the immune system.
This heart issue I had really felt like my heart was hyperexcitable, and was reacting to things (meals, changing of standing/laying positions, small doses of vasocostrictors in the for of nasal decongestants) that usually don't make the difference. If I had to guess I'd point on 5-ht receptors, but I have no chemistry/biology knowledge, so I'm just guessing based on what I read here and on the web. Btw my buddy used my same amounts the same times but didn't experience any heart issue or anything other than than the transitory ones, and since I notice there's a big variance of side effects between different people, I'm led to think that the receptors upregulation hypotesis can work since everyone's receptors respond differently to different substances.
There's one last thought, a little OT but still: At beginning of 2009 people were all raving about how amazing meph is, only few morons who went on week binges reported purple knees, ect. Now There's plenty of people that get problems even with single doses, or a moderate use. I can't help but thinking that like it happens with everything the increased request for meph led to a decrease in quality in order to make more available, in spite of most thinking now the meph is better cause it's cristally, and some unknown impurities could be even more responsible than meph itself for most side effects and long lasting problems. But this is just IMHO.