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Seeing as you have all of the bases pretty well covered.....Have you checked into any supplements? There is a mineral supplement called EMP by True Hope that Discovery Health did a whole program on, you can watch it on Youtube I believe. My husband has been on it for several months and is doing quite well with it. I take SAMe and Chromium and do well with those two. St John's Wort didn't help me at all, I guess it depends on the person. I know all the B vitamins and Zinc are very important and calcium really helps with anxiety. You could have your blood drawn to make sure you are not deficient in anything or have abnormal blood sugar, thyroid, that kind of thing.
Best of Luck!
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