How risky is ketamine bladder damage with moderate use?
I’m 26 and I’ve gone through a lot of different phases with substances over the years.
From 17 to 20 I smoked weed daily, around 3-4g a day. Then I met my girlfriend and just naturally stopped because it started feeling pointless and also made me paranoid.
After that I got into LSD for about a year, then got tired of it and stopped too.
Then came alcohol + MDMA. For around 2 years we were drinking and taking MDMA once or twice a week. Eventually the comedowns and overall effects stopped feeling worth it, so we quit.
After that we went through a cocaine phase, abused it for a while, but again — the side effects and overall cost/benefit just weren’t worth it.
Alcohol also doesn’t really work for me physically. It destroys my stomach/GI system and honestly the effect itself feels dirty and unpleasant.
Then I tried ketamine, and weirdly this is the first thing that actually feels “compatible” with me. We don’t use daily or binge for days. Usually me and my girlfriend share around 0.5g once every 1-2 weeks, mainly at music events or hanging out with friends instead of drinking alcohol.
What makes me feel conflicted is that it genuinely doesn’t seem to negatively affect my day-to-day life. I work around 240h/month, stay productive, sleep well, eat well, monitor my blood pressure and do bloodwork every few months. We’re also planning to have kids around 30 and fully leave the party lifestyle behind by then. Honestly even now we already go out much less because our priorities are changing naturally with age.
My main concern is ketamine bladder issues. Most horror stories I read seem to involve daily/heavy use, but I’m curious how risky our pattern realistically is long-term.
Has anyone here used in a similar moderate/recreational way for years without bladder problems? Or did symptoms eventually appear anyway?