You have the option of telling him you respect his opinion but will stay on your current dose for the reasons you feel most deeply. Do what feels right to you.
I would have fought him on it yesterday but after the seizure I had last night, I am willing to go back on the full dose for a couple of days just to get sleep. I also think it's a good idea to clear the junk food/sugar/caffeine out of my system before I try reducing the meds again.
The doc was just in and it looks like the seizure I had last night was very clearly of the epileptiform sort so he is convinced I don't have P.N.E.S. Probably correct but it is possible to have both.
So, what has this really accomplished? Good question. What would have been interesting if we had enough time would be two separate tests, one with the Reese's and pancakes binge but no med change and another with only the med change. This test was a bunch of confounding variables tossed in at once not the least of which was the lack of sleep.
It sort of recreated the "perfect storm" that started my seizures off in college but it doesn't really answer the question of do I really still need the meds now or am I just having seizures because I'm a junkie having withdrawals?
The doc and I had a talk about my two meds and which side effect belong to which. He said that the bone density issue is much more common with phenobarbitol but that the weight gain issue is strongly linked to the valproate. Those were the two I was most concerned with.
For me, weight gain seems to have a downward spiral effect of more lbs, less exercise and more sitting around, leading to more lbs. I am more likely to do the weight bearing exercises I need to keep my bones strong if I'm not feeling fat and sluggish.
So we've decided to step back off the VpA first. He is recommending a schedule of 1 pill cut (out of four) once a month, so that is pretty cautious.