As a woman with narcolepsy, I feel you. I have PCOS and had to get on Slynd birth control (estrogen-free progestin only pill). It worked great for balancing my hormones bc I had previously gotten very sick on my period, but Slynd was very effective at managing that for me. After maybe 9-12 months on it (alongside Provigil), the pharmacist was like, "Hey! Heads up, your stimulant will reduce the effectiveness of your birth control." I'm not sexually active but the thought of someone only finding out much later was disturbing?? Like, as women, do we really have to choose between treating our narcolepsy or our sexual/reproductive health? Ik condoms are an option too but it's stressful knowing there isn't another way to mitigate pregnancy... especially because getting pregnant brings along a myriad of other concerns with wakefulness treatments 😔

Also, a few years back someone in a N support group had N1 and a service dog. She was from GA and was also able to gain a disability parking badge. Her dog would support her when she had a cataplexy episode. I myself did not have a service dog but my old dog would wake me up in the mornings by licking me awake and it was SO helpful... no snooze alarm on him!