Diagnosed with MAV. Not sure if Menieres.

Absolutely. TBH, that’s partly because Meniere’s-specific treatment isn’t very good.

MAV may be more self limiting (mine has improved tremendously) Yes you sound like you might respond to the MAV protocol, detailed here in the Support Wiki.

People don’t talk a lot about Secondary Hydrops, but two of my doctors (I got 4 opinions) suggested the same drugs as the doctors who suggested I had MAV.

This may be a lot to take in, but might explain some of the confusion you’ve been having.

The MAV protocol is worth trying to see if you respond to it - I did. I am now off meds. I tolerate the remaining symptoms which still fluctuate.

I can highly recommend Amitriptyline as a first try but discuss this with an oto-neurologist.