It's been a while since letting my personal thread disappear. I have spent the last 3 years toying with the beast, trying treatment options that were low risk, low impact. I had some success with lOSO and JOH in the beginning. Steroids and diuretics never seemed to help much. Antivirals did not help me at all. I have learned that this beast is progressive. For me, the flares and symptoms have increased in frequency and intensity. Last summer, I changed ENT's and had an MRI. The MRI showed nothing related to the Menieres but found something new I had to pursue in the form of a pituitary adenoma of 1.1cm. I headed down that bunny trail for 6 months putting my menieres on hold (best you can). This year, the beast has awoken with new vigor. I went from flares every 6 months to flares every 4 weeks or less. Told my current ENT it is time to slay the beast, regardless of the cost. I had a VNG a few days ago which indicated normal vestibular function. I meet with my ENT next Wednesday to pick the next option which he said will be surgical. At 61, I need to work a few more years if possible. With the current rate of decline, that won't be possible without total elimination of the vertigo. I have prepared myself to ask for a Laby. This is not an easy choice, but I do not see a better option. I guess I will learn more next week.