Fwiw, these things helped me a lot. I don't even need eye drops anymore unless I am wearing daily-disposable contact lenses.

* Punctal cauterization

* Vitamin A: 10K IU, taken on five or six days per week (most important supplement for dry eyes) (This takes three weeks to work. Do not confuse with beta carotene.)

* Taurine: 1g bid

* Lutein: 20 mg (naturally derived only, not synthetic)

* Vitamin D3: 5K IU, taken on six days per week

* Fish oil: 2g bid (triglyceride ester version) (provides 1.4g omega-3s in all)

* Generic cyclosporin A eye drops (burns at first for a few months, but then works)

Since you mentioned pressure, get your eye pressure checked annually by a professional, as should everyone. You can also confirm that your eye prescription is correct, although various optometrists are idiots and give a wrong prescription, so be careful. As for your blood pressure, you can use an upper-arm Omron BP monitor to measure it at home.

Note that preservative-containing eye drops can irritate the eye in the long term. Benzalkonium chloride is the worst such offender. Preservative-free lubricant drops exist.

I had a chat with chatgpt again, and it seems like it's more to do with my sleep than eyes, somehow my circadian is not properly adjusting to my wake timings. Coz the same pressure improves dramatically around 8pm everyday. I probably should get some sleep measurement device.

Might also be time to have a chat with a doctor.

I don't think you should give medical advice over the internet to strangers.

It's fine, they just mentioned what worked for them and a pretty normal advice to check eye pressure.

Hilarious that you list all the supplements before the generic Restasis/Cequa, which is indicated for KCS.

Add oral hyaluronic acid as as essential and badic supplement for dry eyes. Dissolve it in your mouth or you will just defecate a little hyaluronic acid egg.