Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else.

If it needs three other compounds to notice, you have not tested the first one. Not on KPV but the pattern is familiar.

I would stop trying to convey how bad it is and start saying what you want them to do.

The last ten percent of a taper takes as long as the first ninety. Nobody says so until you are in it.

Three questions kill most of the confidence in a thread like this: sample size, blinding, who paid.

Changing prescriber does not reset anything, and people discover that the hard way. How long have you been on a partial order?

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else.