Master Chief , Sounds like you maybe need to talk to your Dr. and NMC medical about an alternative medication if possible. I just went through the medical waiver process in Jan/Feb and got things resolved fairly quickly, mainly by giving them over and above the information requested. It helped that I have a pretty good relationship with my Primary Care Physician who will go out of her way to write up the lengthy explanations NMC seems to be looking for. Good Luck! Maybe now you realize that if you ever got a negative reaction in dealing with us “civilian” mariners, it is because for a lot of us, much of our interaction with the USCG is via the REC’s and NMC.