Damn. I think you've got it worse than I ever did.

I politely ask you to do two things, if you haven't already.

First is to have someone, something in your life that keeps you accountable. Self-reporting is unreliable. My most recent example: I was on bupropion last year. I literally felt no different with or without. But it was harming me. My only clue was my activity monitor. (Apple Watch FTW.)

Second, never accept "No" or "idk", tenaciously seek the answers you need. Someone, somewhere has some of the missing puzzle pieces you need. Doctors (et al) are not omniscient and if they've not seen cases like you before, they couldn't possibly have those answers.

Be well. I hope things get easier for you.