um, eighteen pills a day?? a) that would fuck up my throat, and b) I would give it up in the first month. I bet this fucker is counting on it, actually -- if his clients comply with treatment, they get a chance to say "I'm doing everything you said and I'm still not getting better," but if they *don't* then they still have to buy at least one round of pill bottles and they're likely to keep real quiet about any concerns they have.

There's no cure for the doctor who won't listen. To be scrupulously fair, I'm not sure there *is* a solution to your actual issues preventing exercise -- the 12/12 sleep cycle is brutal when it comes to stuff like this, and the amount of energy you can devote to exercise is accordingly quite minimal -- but if there is, it doesn't start with erecting a bunch of fake issues in front of them.