MITIGATE

Substance Use & Dependency

Alcohol, nicotine, and habitual stimulant use are often misread as personal failures — they're behavioral patterns with biological drivers.

OTC Foundation Stack

Crave Control

Reduces alcohol cravings at the source

Crave Control combines N-acetyl cysteine, L-glutamine, chromium picolinate, and a methylated B-complex to support the neurochemistry that drives cravings. Glutamine stabilizes blood sugar and dampens the urge cycle. NAC supports glutamate balance — central to addictive patterns. Methylated B's support dopamine and serotonin synthesis. Pairs with LDN for compounding effect.

Take the Free Assessment to Join →

Protégé access is free — the only way in is through the free assessment.

Free app access, free digital book, weekly Zooms with Dr. TJ.

Rx Protocol

Low-Dose Naltrexone (LDN)

Reduces alcohol cravings + off-label inflammation benefits

Low-dose naltrexone (typically 1–4.5 mg nightly) has decades of evidence supporting craving reduction in alcohol-use disorder, along with off-label benefits in autoimmune conditions, chronic inflammation, and chronic pain. Our telemedicine consult evaluates fit, prescribes if appropriate, and includes follow-up titration to your dose. Bundles cleanly with Crave Control.

Schedule Rx Consult →

Why this is harder than willpower

Alcohol and nicotine dependence are not character flaws. Both substances physically restructure the brain's reward circuitry — dopamine pathways, GABA and glutamate balance, opioid receptor sensitivity. With repeated use, the brain recalibrates its baseline so that normal life feels flat without the substance. That is not weakness; it is neurobiology. Approaching it like a motivation problem is why most willpower-only attempts fail within days.

For men, the long arc matters most. A decade of two-to-four drinks nightly doesn't just affect the liver — it progressively degrades hippocampal volume, disrupts growth hormone pulsatility, inflames the gut lining, and fractures sleep architecture in ways that compound every other health problem. The same decade of daily nicotine quietly accelerates cerebrovascular disease and systemic inflammation. These are slow, largely silent costs that show up clearly on a decade-level health trajectory.

Crucially, reduction is medically meaningful even when full cessation feels out of reach. Research consistently shows that cutting consumption in half — not to zero, but by 50% — over a sustained period preserves significant cognitive function, reduces cancer risk, and partially reverses cardiovascular damage. The goal is not perfection. The goal is a better trajectory. That framing makes this work sustainable.

Our approach

Honest Inventory

Structured self-assessment covering frequency, quantity, context, and function — no judgment, just data.

Upstream Root Causes

Most habitual use is a coping mechanism for stress, poor sleep, or social isolation. Address those first.

Replacement Protocol

Behavioral substitutions that meet the same need — relaxation, social bonding, stimulation — without the metabolic cost.

Referral Pathway

We maintain relationships with evidence-based addiction specialists and telehealth MAT providers for individuals who need more support.

We don't only sell solutions. Here are the proven free programs that have helped tens of millions reduce or eliminate alcohol — independent of My4MLife.

These resources have helped millions. Some require a clinician (Sinclair Method); most are free, peer-led, or self-guided. We list them because they work — not because we get a kickback.

Free supportive resources — alcohol

Self-directed & behavioral

SMART Recovery Secular · CBT-based

Cognitive behavioral approach to addiction recovery. Online and in-person meetings worldwide, no steps required.

Visit →
The Sinclair Method (TSM) Clinician-guided

Naltrexone taken before drinking triggers "pharmacological extinction" — gradually reducing the reward of alcohol over weeks. Requires a prescribing clinician. Evidence base is strong.

Visit →
Allen Carr's Easy Way to Stop Drinking Self-guided · Book

Cognitive reframing approach that dismantles the psychological dependency. Available at most public libraries at no cost.

Visit →
Quit Lit Reading List Self-guided · Books

Three evidence-informed books worth your time: This Naked Mind (Annie Grace), Drink? The New Science of Alcohol and Your Health (David Nutt), Sober Curious (Ruby Warrington). All available via library or purchase.

Recovery Dharma Mindfulness-based · Peer

Buddhist-informed peer recovery community. Free meetings in person and online. No religious requirement — emphasizes meditation and community.

Visit →
Refuge Recovery Mindfulness-based · Peer

Mindfulness-based recovery community. Free meetings, secular framework grounded in Buddhist principles of reducing suffering.

Visit →

12-Step (for those who want it)

AA — Alcoholics Anonymous Fellowship-based · Free

Free, peer-led fellowship meetings worldwide. Decades of documented effectiveness for individuals who resonate with the fellowship model.

Visit →
Al-Anon For family & friends

Support for family members and friends of someone struggling with alcohol — because the people around the drinker need support too.

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Apps & tools

Sunnyside Moderation · App

Habit-tracking app built for people who want to drink less, not necessarily quit. Goal-setting, tracking, and accountability nudges.

Visit →
Reframe Neuroscience · App

Neuroscience-backed habit-change app with daily check-ins, education modules, and a supportive peer community.

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I Am Sober Sobriety counter · Community

Sobriety counter, daily pledge, milestone milestones, and a peer community. Simple, low-friction, available on iOS and Android.

Visit →

Crisis & immediate support

SAMHSA National Helpline 24/7 · Free · Confidential

1-800-662-HELP (4357) — Free, confidential treatment referral and information service. Available 24 hours a day, 7 days a week, in English and Spanish. No insurance required.

Visit →
AUDIT Self-Screen Self-assessment · Free

The Alcohol Use Disorders Identification Test — 10 validated questions developed by the WHO. Gives you an objective score to bring to a clinician or use as a baseline.

Take the AUDIT →

Free supportive resources — smoking & vaping

truth Initiative Education · Tools

Research-backed quit resources, text-to-quit programs, and a focus on youth and young-adult cessation. Strong digital tools.

Visit →
CDC — How to Quit Smoking Government resource · Free

Step-by-step quit guide, tips for managing cravings, and links to local and national support programs. No cost.

Visit →
Nicotine Anonymous (NicA) 12-step · Peer · Free

Fellowship-based program specifically for nicotine dependency. Free meetings online and in person. Modeled on the AA framework.

Visit →
State Quit Lines Phone coaching · Free

1-800-QUIT-NOW (1-800-784-8669) — Free telephone coaching from trained quit specialists. Available in every US state. Call any time to connect with your state's program.

NRT — Nicotine Replacement Therapy OTC + Rx options

Patches, gum, lozenges, and inhalers are available OTC and have a solid evidence base. Prescription options (varenicline, bupropion) are stronger — discuss with a clinician. Combining NRT with behavioral support significantly increases success rates.

PRESCRIPTION OPTION

About Low-Dose Naltrexone (LDN) — A Specific Prescription Pathway

Naltrexone is an opioid receptor antagonist FDA-approved at 50 mg/day for alcohol use disorder since 1994. Low-dose naltrexone (typically 1.5–4.5 mg) is used off-label for a different mechanism — modulating the endorphin response — and is increasingly used for alcohol reduction protocols. It is compounded by licensed pharmacies in the U.S. and is not available off-the-shelf in this dosage range.

The Sinclair Method (TSM) uses naltrexone taken 1–2 hours before drinking. Over weeks to months, the brain's reward link to alcohol pharmacologically extinguishes: the drink no longer delivers its expected payoff, and the craving signal gradually weakens. Published studies report approximately 78% efficacy. Patients typically drink less over time without relying on willpower-based cessation or white-knuckling abstinence.

The My4MLife pathway: discuss LDN candidacy during your comprehensive 4M consult. Our contracted licensed telemedicine practice evaluates your history and current use, prescribes if clinically appropriate, and dispenses through our partner compounding pharmacy. The free programs listed above stay free — LDN is a prescription tool that pairs with them, not a replacement for the behavioral work.

LDN is a prescription medication. Candidacy is determined by a licensed clinician through our contracted telemedicine practice; not all patients are appropriate candidates. We do not sell or dispense medications directly — fulfillment is handled by the contracted partner pharmacy.

Schedule Your Comprehensive 4M Consult — discuss LDN candidacy →

How My4MLife supports your reduction journey

We won't replace these programs — but we can support the physiological piece while you work them. Recovery is not just behavioral; the body needs to heal alongside the habit change.

OTC SUPPORT

Physiological Support — No Rx Required

Working a free program (SMART Recovery, TSM, Allen Carr) and want physiological support to make the journey easier? These three formulas address the body-level damage alcohol does while you do the behavioral work.

NeuroBridge Methylated B-complex. Alcohol depletes B12 and folate — essential for neurotransmitter synthesis during early recovery.
SleepRestore Sleep architecture support during the first 30–90 days of cessation while the brain recalibrates.
Biome NS Ultra Gut healing. Alcohol degrades the intestinal lining; this formula supports repair of alcohol-driven inflammation.
Rx PATHWAY

Comprehensive 4M Consult + LDN Evaluation

Want to discuss LDN candidacy — the pharmacological extinction approach where naltrexone before drinking gradually reduces craving over weeks? The comprehensive 4M consult includes evaluation for Low-Dose Naltrexone via our compounding pharmacy partner: the Sinclair Method, formulated by a licensed compounding pharmacy, dispensed under clinician oversight by our contracted licensed telemedicine practice.

Schedule Comprehensive Consult →

Take the Solution Path

1

Free Assessment

Find out exactly where you stand across all 4M pillars — 5 minutes, 10 questions, no card. The only door into the Protégé program and the My4MLife app.

Take the Free Assessment
2

Comprehensive 4M Consult

One consult, full review — see if you're a candidate for weight loss medication (GLP-1s), peptides, testosterone optimization, prescription protocols, practitioner-grade supplements, and the rest of your personalized 4M plan.

  • Weight loss medication candidacy (GLP-1s)
  • Testosterone & full hormone optimization (TRT, thyroid, peptides)
  • Nootropic peptides & cognitive support
  • Practitioner-grade supplement protocol
  • Prescription protocols & lab review
Schedule Your Comprehensive 4M Consult

Become a Protégé — Free

Everything inside the program — included free once you take the assessment.

  • My4MLife app — daily 4M dashboard, action guide, adherence scorecard
  • Weekly Zooms with Dr. TJ and the cohort
  • The Cohort Workbook (PDF) and Begin with the End in Mind ebook
  • Cohort community
  • Personalized assessment results and care-coordinator pathway
Start the Free Assessment to Join →

"Begin with the end in mind."

— My4MLife

Medical Disclaimer: My4MLife provides access to telehealth services and prescription medications through licensed healthcare providers and pharmacies. Compounded medications are not FDA-approved. Individual results may vary. GLP-1 medications are prescription-only and require a physician evaluation. This website does not provide medical advice. Always consult with a qualified healthcare provider regarding your health. Testimonials reflect individual experiences and are not guarantees of results. Images may use models for privacy.