Another hypothesis could be some metabolic disorder affecting neuropeptides. Hyperexpression of cholecystokinin or overactivation of cholecystokinin -A receptor, leading to both high endogenous opiate tolerance and hyperactivity of Orexin / Hypocretin (http://www.jneurosci...tent/25/32/7459). Hypocretin is another wakefulness modulator (low in narcolepsy for example) and central administration of orexin-A strongly promotes wakefulness, increases body temperature, locomotion and elicits a strong increase in energy expenditure (you mention body temperature issues and excitability strong enough to be unable to stand still). It's also linked to mood and social interaction (http://www.nature.co...ncomms2461.html), you mentioned sudden lift from anhedonia when talking to a friend and the connections to music. Cholecystokinin A also regulates the release of dopamine and beta-endorphin (http://www.ncbi.nlm....ermToSearch=886). This is again wild guessing I'm doing based on some connections I picked up but some very novel approach I'm pretty sure is needed. There are at least some cholecystokinin A antagonist drugs, and the herbs Gotu Kola and Neem have CCK modulative effects too. I'm thinking high CCK-blocking to see if any relief or effect, and perhaps then try an opiate if the tolerance would have reversed.
Has your appetite/satiety been affected or any gastrointestinal symptoms? Could give some indications about neuropeptide activity.
Neuropeptides are worth investigating in the sense that neurotransmitter modulation doesn't seem to work for my CA. Obviously not all NTs have been tried yet but I must prepare myself for none of them having effect on CA.
I have had significant problems with appetite and satiety for the past years, but I attribute them more to lifestyle and personality than to physical abnormalities. Can't be sure though. I have had issues such as feeling hungry excessively often and not being able to increase bodyweight by eating more, but indeed I feel these have mostly been due to the type of diet etc.
My gastrointestinal system on the other hand has expressed some dysfunction, such as excessive gas build up, slight occasional stomach pain, digestion issues, hypersensitivity to fiber. As I don't (yet) know almost anything about neuropeptides, could you clarify what symptoms are we looking for? I could then focus my thinking to specific issues to see if I indeed have some neuropeptide-linked dysfunction.
These gastrointestinal issues, just like my stimulatory and circadian issues, are nothing compared to CA, but they most certainly have puzzled me for a long time and therefore they do exist and are clearly noticeable.
Edited by Vieno, 22 June 2013 - 12:19 PM.