I'd also say increase your dose to two Clarissa the gel s fab and you can tweak it up and down to suit,and go and battle it out with gp there's no reason for them to withhold it say how flat you felt on patches and difficulty sticking with hot sweats etc,lie if you have to,if it's helping you then do what you have to do to stay well they have no bloody conscience about your well being when they're refusing it do they.Good luck xx