on a more positive note

i'm still tired but not quite as bone weary. i think maybe we can point at the effexor or topamax as i have reduced both. unfortunately the change in dose even down one step had triggered facial twitching that involves more of the muscles around my right eye than ever before. I'm hoping that it is the change in topamax and that simply upping that dose again fixes that and keeps the tiredness at bay. i've managed to survive without the porvigil because of the afternoon crash that i experience on it. it's nasty. even with a 2nd dose, the evening crash means i get no household chores done.

so in the end i think it will end up no effexor, no topamax, no provigil and upped lamictal and simply ride it out.

if i can get my energy back, maybe i can go back to working 2 jobs. Back then I was too busy to be too depressed. just keep moving; it's harder to hit a moving target.