So discouraged

Know how you must be feeling. You obviously need to make some changes. The link @ander454 posted pretty much sums all the options up. It’s time to take positive action. The only way to see improvement is to make some changes. Think through where you are, meds/diet/lifestyle wise and then tighten the regime. @shazam saw a New doctor very recently and you may find the gist of her summary of his advice relevant to you.
Dr. Priesol’s (Boston) advice to me

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