u/Cautious-Emphasis-33

Title pretty much says it all but during the summer or unseasonably warm days, my bathroom will get absolutely putrid odors flooding in. My first thought was "they should check the wax ring seal" which obviously never happened. Rather, a maintenance guy that used to work at my complex put caulk around my toilet (it wasn't originally) and that helped a little bit. After the caulking, I started to notice some of the smells emanate in the hallways and ironically enough, they still didn't do shit. Anyways, it's starting to warm up again and I just had some guys in to do routine water damage checks and air filter replacements. I figured kill two birds with one stone. I briefly explained the issue and the "remedy" and also told him that I think my toilet wax ring needs to be checked/replaced. Dude walks into my bathroom, waits a few seconds, and then says "so where's the wax ring". This fucking floored me but I still kept it together while explaining that when it's hot outside, things get stinkier. It's in the 50's today, OFC IT DOESN'T SMELL RN. To top it off, he said he's the one that put in my bathroom floor and that none of the toilets are caulked and they aren't supposed to be. I guess a grocer that's studying public health knows more about toilets than a hired maintenance man. I also have rust flakes in my water and their solution was "use an aerator" which still ain't enough.

I just want to vent over the ridiculousness of trying to get Xifaxan with my insurance. Back in December (yeah 5 months ago), my GI guessed SIBO and tried me on Flagyl which I didn't tolerate (trying it again atm) and then Augmentin. Anyways, we've tried getting Xifaxan a few times, and insurance keeps slapping new requirements on the list. I did demand SIBO testing after Augmentin bc I also have elevated calprotectin markers (GI is guessing sibo related) and I didn't want to be on something I didn't need. Anyways, I tested positive for SIBO in the beginning of March. After a month of medical negligence, I finally got the prescription for Xifaxan sent to insurance only for them to come back stating "we need proof that lactose intolerance has been ruled out, despite a positive SIBO result" like what the hell is that??? You can't be lactose intolerant and have SIBO to get the gold standard med for the condition? Both are also breath tests that test the same fucking gasses and I know for sure I would show a false positive. The way I see it, my insurance has made an ANTIBIOTIC inaccessible. Goodrx prices around me average 2.5-3k. Ik this is a rinse and repeat story but jfc, the US healthcare system is so broken.
I know there are alternatives to antibiotics, I'm not necessarily looking for those, but if you want to make suggestions please provide legitimate scientific research.

Starting off, i'm a transgender guy (he/him), I have a uterus and ovaries- no gender affirming bottom surgeries. Since I first got my period around 12, they have always been extremely light flows, painful, and last about 10 days. Per usual, my pain was never listened to and has only worsened with age. This could be many things, and I can't ignore the possibility of hormone interference. I've been on testosterone since November 2020, I also have a nexplanon implant. I haven't had a true period in years, just spotting if I screw up my testosterone injection day (weekly injections) but I continue to get awful cramps. They aren't constant and I can't predict when i'll get them. They range from normal to groan-yelling curled in a ball, sweating in bed. I recently had a transvaginal ultrasound that came back unremarkable, so now I have to decide what to do. I won't stop testosterone, my cramps pre-date my transition, but it could exacerbate the pain. I don't know. What would you do and what would be driving factors in your decisions? I need some stories and feedback