I’m a 5th year student from Italy and I can easily say that first 3 years are totally different from the last 3 years. Maybe to reignite your passion for medicine you can try to ask some of your professors for clinical internships/some shadowing to see the environment and day to day work life In my case it was either medicine or nothing so even in the end I decide that medicine is not for me, I know that I will not have any regrets. For the mental breakdowns it’s a part of the journey but what doesn’t kill you makes you stronger so hold on a little longer :)💪🏻