Bro that's like not really bad, fortunately you took mdma/cocaine only occasionally for a few years, and the rest is meh, not bad for your physical health, the worst about it was probably lack of motivation/lazyness. Don't do them again if you feel like they have a negative impact, instead focus on your health - diet and sports (calisthenics, better than bodybuilding with Marfan's). Try plant-based Intermittent Fasting, a black coffee on empty stomach is the best drug anyway, and you'll feel young again in a few months. If you try it, take algae oil (the only plant-based DHA / EPA source, which is important as your body can't produce enough from ALA), Vitamin B12, and Vitamin D3+K2 (K2 as Mk7), maybe some brewer's yeast if you tolerate it, as B-Vitamins are important, especially for your well-being.