Finally got a response from FAA on medical. After 13 months got back a letter of denial. Ironically I was going to an HIMS AME appointment to get started on what I would need to do for substance abuse in case the FAA wanted . Trying to second guess them. The first 2 denial response letters had a list of additional information they wanted. Sent that information in to them . This time the AME called the FAA and basically I need to start over again. Ask for reconsider and wait for them to respond. I t seams they want you to quit trying.
Denial or deferral?
If you already had a denial letter the first time I don't think you'd have gotten letters 2 & 3. If it's a another deferral you're still in the game.