Most doctors of all types don't know about, haven't been taught how to use & are discouraged to use some of the most effective medications, while big pharma scaremongers doctors against using them by exaggerating their dangers. Same goes with combining medications safely, which is not hard for Drs who understand how they function (as far as is possible) as well as the interactions between them in the brain and their detoxification processes. I lost my NP of 15yrs in 2022 and I still mourn the loss. He had no interest in promoting pharmaceuticals, he just used whatever was available to him with a smart & critical mind of his own. The meds that work best for me happen to be among the oldest around.