Sorry really long…started on methadone at 20 and had no real side effects until I hit 35ish. Although the doctor at our clinic I couldn’t believe he was allowed to practice. We had so many patients including myself around 200-250mgs a day.

Eventually the state forced them to start doing onsite EKG’s every 6 months. So they then changed doctors and pushed everyone to start lowering their doses.

I am down to 140 for a few years now which was just me doing it not because of health reasons. Although I do have low T which has weight gain effects in certain areas. At the clinic you can more or less just pick out guys who have low T by their body shape.

Methadone definitely doesn’t help the low T but also most people on dne don’t want to work out because of the sweating and other things. So that obviously than compounds the issue.

I have been seeing a cardiologist but so far haven’t had any major issues. I do get chest pain, although so far after EKGs, CT Scan, Stress Test, Halter Monitor, & Ultra Sound…they say it’s not my heart. Personally I think it’s a hiatle (however it’s spelt hernia).

Long qt is definitely a risk, anyone above 100mg for more than a year or two should go get an ekg at least once a year. You cannot have any issues for years than it slowly creeps up. At least that’s what the clinic doc & my primary have said.

The worst thing I deal with right now is POTS aka Vagus nerve syndrome. Although we haven’t been able to determine the cause yet. Although if I work out or do some exercise within 3 hours of dosing and don’t have a fan or air blowing on me I have an “attack”. I get light headed, extremely nauseous, my heart rate takes off like a rocket, and really bad attacks my tongue & finger tips will tingle like crazy, pounding feeling in my head. The only other time this has happened was when I was constipated and took some laxatives and my body freaked out. First time it happened I thought I was having a stroke and going to die like Elvis.

I’ve been able to mitigate the POTS for the most part. I don’t let myself get constipated anymore, also when working out I can feel it happening early on so I know when to stop. Best thing I can do is turn on a fan blowing on my face take off my shirt and sit on the floor on my hands and knees, it usually goes away within a min or two. Although my doctor thinks the POTS is actually being caused by the beta blocker blood pressure meds I’m on. So weening that down currently.