My Symptoms Returned After Improvement – What Changed?

It’s been a while since I’ve written anything, and I’m noticing more and more why that’s a problem. If I don’t write things down, I lose them. Not just details, but entire periods start to blur together. My memory isn’t great, and that makes it harder to understand what’s actually happening over time.

In my last post, I wrote that my legs were calm. And they really were. For a while, things felt different. More stable. It felt like I had finally found something that worked, something that gave me a bit of control back.

That period meant more to me than I realized at the time. It wasn’t just about physical relief, but about what it represented. A break from the constant tension, from the unpredictability, from the nights where sleep felt out of reach.

But somewhere around mid-November 2025, things started to shift again. After weeks without twitching, the restlessness returned. Slowly at first, and then more clearly.

When I look back at that period, there are a few things that changed. I started smoking again around mid-October. I reduced my Clomipramine from 30 mg to 25 mg. My B12 injection was later than usual. The weather got colder, which meant I was less active and spent less time outside. I also briefly used an H2 antihistamine, but stopped because of side effects.

None of these stand out as a clear cause. But together, they might have played a role.

That’s what makes it difficult. It’s not one thing you can point to. It’s a combination of small shifts, and somewhere along the way, something tipped the balance again.

What followed in November and December was heavy. Falling asleep became difficult, not just because of my leg, but because of a constant underlying restlessness in my body. When I lay in bed for too long, my left hip would start to ache, and not long after that, my leg would begin to react again.

In my last post, I wrote that my legs were calm. And they really were. For a while, things felt different. More stable. It gave me the sense that I might finally be moving in the right direction, that something I had been trying was actually working.

That period meant more to me than I realized at the time. It wasn’t just about physical relief, but about what it represented. A break from the constant tension, from the unpredictability, from the nights where sleep felt out of reach.

But somewhere around mid-November 2025, things started to shift again. Slowly at first, and then more clearly. The restlessness came back, followed by the familiar pattern of tension building up in the evening and disrupting my sleep.

What makes it difficult is not just that it returned, but that I don’t fully understand why. It creates a kind of uncertainty that’s hard to deal with. You start questioning everything again, going over the past weeks or months, trying to find the moment where things changed.

I’ve been doing that a lot lately. Looking back, trying to connect the dots. Not because I expect one simple answer, but because I’m trying to understand whether there is a pattern at all.