You say you still rarely get restful sleep. Have you had any formal sleep studies? Lack of quality sleep can cause a lot of the problems you have experienced, s

You say you still rarely get restful sleep. Have you had any formal sleep studies? Lack of quality sleep can cause a lot of the problems you have experienced, so you might consider getting one done. Also, your doctor should know how to differentiate between obstructive sleep apnea, central sleep apnea, and any other issues you think may be contributing to your problem.