I don't dictate what meds I can and can't take and I leave that for the pdoc. I didn't go to medical school. How I can tell the difference between a med change or work with my T is how I'm feeling. Lately, everything is good in my life, no complaints, financial issues, job issues...nothing I can think of. So I feel it is med related and that's why I'm always bothering my pdoc. When I work more with my T is if I am ruminating over some aspect of my life I need a little more help with.