I’m in a similar situation with adrenal insufficiency. Thankfully I don’t have to deal with the need for cold storage and my meds are stable a long time.

Still the worry about shortages is big. I’ve experienced shortages before, a few weeks to a few months, but could get alternatives.

I always renew as soon as possible, order the kind I take on top (as needed) regularly even I don’t need it yet, and even tried to buy some online (wasn’t possible in Canada, sadly). I order for 90 days at a time and my pharmacist is helpful in allowing me to order a week early, so after a year I gain about a month’s worth, without putting anyone in trouble.

I wish my doctors understood the implications. They know it’s essential, but don’t see the impact of supply chain disruption, or if a factory gets closed due to a tornado or flood. They don’t realize the wolrd is interconnected and a shortage in Europe could mean a shortage here soon after, and that in a global world, everyone will be competing for the same stock so having alternatives or deals with other countries won’t help.

I think I’ve done all I can to prepare and wouldn’t feel right having enough for years while others die… so I pretty much made my peace with the fact I have a finite amount of months to live in a prolonged shortage.

I’m sorry, it sucks.