...However without poly drug use this damage doesnt seem to cause any big noticable problems in the long term as the studies i posted didnt find long term problems except in poly drug users.
The papers you posted were concerned only with behavioral and emotional results, not cognitive. And determining whether someone has sustained damage to their serotonin system (let alone other brain regions) via diagnosis of depression or anxiety seems pretty iffy, to me.
And on another note, I think drawing the conclusion that polydrug use causes more damage (based on this kind of data, and not known mechanisms) is premature. It seems equally plausible that in these small studies, the polydrug users were people who had pre-existing emotional problems which prompted them into such a usage pattern.
But your point about magnitude of the problem is a good one. Even if MDMA can be shown to cause definite, and even significant, structural damage to the brain, do these manifest in any relevant way? Would we notice (to pick an arbitrary figure) a 10% decrease in verbal memory capacity? 20%? Personally, the idea makes me very uncomfortable; but for someone who gets a lot out of this substance, it may be a worthwhile risk.
so does anyone have any supplement recommendations other than Ashwaghanda? This isn't really a thread on whether or not there is damage caused by MDMA or if so, to what extent. I mean, we really don't know the scale of the damage that is occurring.
Forgive me, but I think that's precisely what this thread is about. How can one make a cogent recommendation about repairing damage, without being clear about what kind of damage is to be repaired? Which isn't to say that any of the info here provides anything like certainty about either problem or treatment.
I did a little searching on the topic of axonal regeneration. Didn't find anything specifically helpful, but a lot of papers referred to neurotrophic growth factors. This leads me to believe that supplements which increase or mimic NGF and BDNF would create conditions conducive to repairing the kind of damage we're talking about (see my post #5 for a few examples; more can be found by searching the forum for NGF or neurogenesis). Seems reasonable, but efficacy in dealing with this problem is only conjecture.
I listed some supplements earlier in the forum that have theoretical efficaciousness...
I'm curious, can you tell me what your reasoning was regarding SJW, gotu kola, and bacopa? I haven't studied any of these extensively, and I'm not clear on how they might help repair this type of damage.
I'm still hoping Animal will pop in when he has a minute, and let us know what was on his mind with regard to pharmaceutical options—or what other mechanisms might conceivably help out.