Best to you in upcoming tx. you are doing lots of things right, please preload
with an antidepressant to save grief, and
please don't wait too much longer, 47 mil is a great concern and one would think you would be anxious to treat at that number.
Have you considered preloading Alinia? It may be far less expensive in Mexico, being it is an antiparacytical it is in wider use in warmer climes.