I can’t get over how weird our bodies are and the crazy stuff they do! The Tyrvaya was a weird one in general. The spray burns the heck out of your nasal passage and then you get a very metallic taste a few minutes later. Neither were unmanageable, had it worked and been affordable, but I think it falls in the $400+ range for me. And how long does it take for some of these medications to get a generic formula? I feel like at least a couple of them have been around for a bit.🤷‍♀️ I always have more questions than answers. Good luck to you! I hope you get some help from your various doctors and that everything is manageable for you!