Common issue, and he is right, there are a limited amount of meds, a limited combination that one can take to help alleviate the issues. Best to figure out what works best for you and use it faithfully. Diet, sleep, exercises, over all health also play a role, but they too are limited. Our bodies also change over times so things can get better, they can also get worse. You are not alone in your suffering but most, will not understand how bad it can really be.