Not an expert by any means so take this with a grain of salt. Just some thoughts.
The fact that you have found it helpful is good information to have. Different people have different issues so SAM-e won't work. If you do go to rx I would definitely try to use that information. Hopefully find a doctor that is familiar with Sam-e. It might be beneficial to find out the chemistry behind it. Well, I'm kind of a geek so that is what I would do
My opinion is to use the meds to help you help yourself. So are you doing other things to help yourself such as eating, exercise and taking care in general? Because an rx is only going to help so much too. Not trying to say you "aren't doing enough". You could be doing as much as you can. I don't know. Just food for thought.
I'm glad it is working for you overall.
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