Ever had your cortisol or adrenal function tested? Cortisol should spike to maximum level first thing in AM, helps get you moving.

I'd also look at sleep environment. Should be pitch black, and all devices should be kept far away, cell phone in airplane mode or off, Wifi turned off, even beside clocks and lamps are trouble. If you're getting hit with EMFs from electronics or being exposed to light all night, can completely crush your sleep.

Also, artificial light after sunset, especially that from screens, is a total health disaster and will ruin sleep.

I'd also wonder if all the meds are breaking down health.