I have no advice or guidence for anyone ...having said that .. I trust my pdoc .. he sees an issue with me that needs addressed ... we sometimes fight over the best drug or path ... but when all is said and done ... I know he has my best interest in mind ... I wonder everyday if I am or if I need this stuff ... but every T or Pdoc I have ever met all say the same thing .. sometimes in the first meeting ... so for now ... Tigger is 90% complient ... fading off into the distance ...