These symptoms occur within 30 minutes to 3 hours of feeling normal. The symptoms always occur in the same order - sleepiness first, then fatigue, then mental anguish. Intensity varies - sometimes with acne severity. Light and sound are intensified and seem oppressive. Sensory input is overwhelming.
Brain is incapable of multi-tasking.
I tend to be extremely irritable toward things that normally don't upset me. Climates above room temperature worsen all the symptoms and really make me miserable. During the 5-day acne phase, cravings for salt, vinegar, cheese, and alcohol increase dramatically, facial skin is highly sensitive, and skin on the back of neck is extremely itchy. Sometimes canker sores appear in mouth. I feel a notch above normal on the day before a crash.