Thanks for posting the guidelines. I tend to agree with Blitter. Even the booklet says that they take into account prior individual treatment response. I would imagine they want what's most effective for you. If you have a list of what's worked in the past and what has not, you don't need to worry about those steps.

I've started seeing a new pdoc and even she referred to things that are typical first steps, but that there was no point in doing x y or z because of what I'd already done. It was more important to get a handle on what had worked, rather than what they normal course of action is. I'm hoping that's the case for you.