Log entry. Had another go with cascara for a week, EOD, after a 2 week break. No direct problems from using it, but recently I've continued to feel generally worse physically and mentally, drained and lethargic. Unsure if cascara was contributing, so I stopped again. When I was just about to restart it, I really enjoyed the smell and taste of it, less so at the end. Maybe craving it can guide use.
My overall symptoms are a little worrying, and am thinking about seeing a doctor again. What's going on currently, besides the stomach back and forths - general fatigue, listlessness, no appetite as usual, difficulties socializing, eyelid twitching, difficulties waking up, apparently continuing weight loss. Slight muscle soreness sometimes. Things can vary somewhat from one day to the next, but seem to revert back to this baseline.
Recently, I've been pondering whether my symptoms could possibly be something diabetes-like. Reading things like this makes it seem at least plausible. I guess a similar situation could result from a chronic B1 deficiency.