OP- you have a lust for life! All that you have done and continue to manage- keep on keeping on. Did you try the kratom? It is illegal in many states, and for good reason. There are several all natural products that kill people- opium comes to mind. If you can function with your current meds, why mess with the devil you don’t know?
For me- healthy and athletic for most of my life. Barely drank, less then 10% body fat. Brain aneurysm rupture at 35! Live smart, eat well- genetics still f with ya.. 50% survival, of that 50% will have brain damage..I asked doctor what do I do now, how do I not get back here,etc.. he said “Have a beer, relax.” Of course, terrible advice but some wisdom. Enjoy life or with all our efforts to prolong life, we forgot to live.