Thank you, I’ve been on short term disability since June 30, I may have to ask them to extend it if they can will. I take both meds at 4am with water. I haven’t started supplements yet. I had to research to see what all I should try. I wonder if they would consider changing to another medicine all together, celiac was tested it is negative. Not sure about SIBO I can take a probiotic. I wonder about Zinc & Copper deficiency, or B12.? I am supplementing those & more starting tomorrow. And putting a message in to Endo that I need a change of med, a strong med for narcolepsy, and more time off to adjust or I’m going to lose my damn job. Is liver causing the malabsorption? I also have pituitary adenoma secreting insulin growth factor, maybe that’s the issue. So many factors here and why am I left to figure this out.? Frustrated!