I do hope that they will be able to offer you an alternative to what you are using now to help manage the symptoms.
This is something I have struggled with for a long time, Also without any sure explanation as to why. It is deeply frustrating. I would suggest making a list to take with you to your appointment in August and also have a little think about whether you have added or changed anything to your diet, lifestyle, or medication that could be causing the increase in fatigue. I find making these lists long before the appointment date, makes it possible to think of all the things and make a comprehensive list.
I hope you are having an easier day today.
Warmly, Clair ( Team Member)