GNOME w/ a custom CSS stylesheet on top of the Colloid theme. My dotfiles are on GitHub but you'll have to dig around yourself...
Screenshot
the skirt is from hot topic, and i wrote the discord client myself!
note: i had to reupload this pic because lemmy bugged out and didnt actually upload any image :<
sublingual + high level might just be the timing: you did your test during a peak. sublingual peaks can fall rather fast, though. i would recommend patches or injection for monotherapy.