I'm feeling really lost right now and would appreciate honest advice from people who have been in a similar situation.

I took the MCAT for the third time on 9/12 and scored a 498. What makes this so frustrating is that I was scoring 510+ on my practice full-lengths, including multiple exams in the 517 range. I felt like I had put in the work and was capable of doing well, but every time I take the actual exam, I end up scoring below 500. I genuinely don't understand how there's such a huge discrepancy, and it's hard not to question my abilities after spending years working toward this goal.

I'm now debating whether taking the MCAT a fourth time is worth it. I'm exhausted by this process, and I'm scared that I'll put myself through months of studying again only to get the same result. I'm also worried about how medical schools would view four attempts without meaningful improvement.

I've started considering PA school as well.…