First there was a counter full of bottles
Before there was a bag with a label on it, there was a kitchen counter that looked like this one. Years of appointments, years of trying the next thing, and a shelf that kept getting more crowded while the symptoms sat roughly where they started. Nothing about that stretch is dramatic. It is just long, and anyone who has lived it recognises the counter immediately.
A shelf like this is not a routine. It is a list of things you are still hoping will work.