Thank you for the article. I’m stuck in a negative feedback loop caused in no small part by Effexor. It’s making me feel ill, tired, and craving sugar. I did not have any luck with other meds with this now three year long episode that started when I went off paxil. Maybe I can shift back to paxil while going through therapy and getting back into a gym and diet routine. I do not know if I could endure another relapse. It was so very difficult and painful and I Don’t have a spouse to care for me while I recuperate. Now there’s a trigger! Feeling vulnerable. Scares the hell out of me. I will read that article tonight.