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you have  multiple long term medical conditions. like me.   im homeless so alls gone to h in ahandbasket but when i was in housing  i did a little project made things so much easier.   get a big 3 ring binder a hole punch and some tabsheets with pockets also some plain or lined paper.   keep all past med records of significance here. especailly to show past meds and changes. most should be punched and perm attached.   a pain diary make notes on what med combos worked  nad what did not. info on drug interactions you need to avoid could go in and/or professional articles to ask the md about could be put in there too.   on the soy - its also not reccomended if you a history of breast and certain other cancers.    vanilla enriched rice milk, raisin bran, extra raisins and throw in a combo of nuts. or sometimes ill throw trail mix on it  or sometimes ill splurge with a 1/2 teaspoon of sugar. ummm goood.    also have you monitored your depression against allergy/asthma flareups? or migraines.   ive learned on days before heavy migraine pain hits i often have emotional or nasuea or other symptoms first. soemtimes rthey resolve wihtoufull blown migrine sometimes not.   i also have a precursor that when i close my eyes i see light movement when i'm going to get a migraine.   i have more anxiety than depression like symptoms. i have talked to several people who were treated for anxiety with anti-depressants instead of anti-anxiety agents like buspar.    and that's something to discuss if that could be true for you.   good luck.