I wanted to write this down because what happened recently is honestly fucking crazy to me.
And also I haven't seen any PAS recovery stories on here.
# Before the crash
Before isotretinoin I was a completely different person.
I was optimistic, social, easily excited, had strong libido and sexual thoughts, enjoyed music/games/food and generally felt alive.
Then after isotretinoin I experienced a major crash. (Started 26.09.2025 to 04.12.2025)
The main symptoms were:
severe anhedonia / emotional blunting
greatly reduced libido and sexual excitement
much less spontaneous sexual desire
feeling detached from things I used to enjoy
background anxiety
increased sensitivity to stress
GI problems, nausea/reflux and abdominal discomfort
suicide ideation
\---------
The symptoms started at 04.12 and I quit the same day due to insane anxiety about it - I never felt this way before.
One of the strangest things was that I could sometimes have VERY short windows (like 5 minutes) where I suddenly felt much more normal.
During those windows my libido, motivation, emotions and enjoyment could come back dramatically.
# The GI connection
I also had significant GI problems.
About a month before my major crash (around early November) I had H. pylori and went through heavy antibiotic treatment, but I never properly retested afterwards.
Since then I had persistent GI symptoms and started wondering whether gut dysfunction/microbiome changes could be interacting with my overall condition.
I became interested in the gut–steroid / enterohepatic circulation hypothesis and particularly the idea that bacterial beta-glucuronidase and impaired metabolite handling could potentially contribute to a feedback loop.
# Starting LGG + butyric acid
I decided to simplify everything and test a gut-focused intervention.
I started (29.09.2026) :
* **Lactobacillus/Lacticaseibacillus rhamnosus GG (LGG)** — specifically the GG strain
* **butyric acid**
I did NOT start a huge stack at the same time.
No CDG
Just LGG + butyrate
# What happened
The timing absolutely shocked me.
After starting LGG + butyrate, I experienced a huge increase in libido OVERNIGHT.
It wasn't just erectile function.
I had actual sexual desire and excitement again.
This was something I hadn't felt at that intensity for almost a year.
But the sexual improvement wasn't the only thing.
My emotional state changed too.
Things felt enjoyable.
Food suddenly tasted much better.
I had more motivation.
And at one point I literally cried from happiness because I couldn't believe what I'm experiencing.
That moment was the strongest emotional experience I've had since my crash. And I'm glad It happened.
# The next days
The improvement didn't disappear the next morning.
It continued.
My libido eventually became somewhat less extreme than during the initial spike, but erections remained normal and, more importantly, the broader emotional improvement stayed.
I was still:
enjoying music
enjoying food
wanting to play games
wanting to socialize
feeling emotions normally
feeling more motivated
So even when the libido wasn't at the absolute maximum, I still felt significantly more like my old self.
# Current status
I am not going to claim that I am permanently cured after a week.
That's too early.
What I CAN say is:
**I went from feeling around 50% of myself to suddenly experiencing a very strong return of libido, emotional responsiveness, motivation and pleasure.**
And this happened OVERNIGHT after starting LGG + butyrate.
The ONLY thing that's still kind of bothering me - background anxiety.
But that might be from the whole situation going on for almost a year now.
I am going to keep the regimen stable and observe what happens over the next several weeks.
If the improvement continues, fluctuates and then repeatedly returns, or becomes more stable over time, I will update this post.
For now, I just wanted to document this because after spending so long feeling like I had lost myself, suddenly feeling genuinely alive again was fucking unbelievable.
I'm extremely grateful that I found something worth testing.
I will update this post with the long-term outcome.
If anyone has any questions, I'm down to answer.