How often do you go back to your doc? I had to go back at least once a month for about a year. I was the biggest pain in their asses but I have two little people who depend on me so I didn't let them brush me off. This is your life make these people find the right combo for you. You have to start something for stress relief. I had to quit the position I was in because it was to stressful. Lifestyle changes along with the magic combo. Don't be afraid to be proactive and irritate the hell out of the docs.