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I had to choose "Say nothing and leave" instead of "Ask Mrs. Smythe how to stabilize a person". Otherwise you don't get the "Answer honestly" selection.
At the end of "True Ending" I got a choice about a tree, I don't remember which one I chose but that unlocked the last achievement (the one for unlocking the entire gallery). You may want to save here in case you pick the wrong one and don't want to redo the playthrough (although, if you optimized Caretaker and True Ending, you'll already have a save at the choice right before that one).
Last but not least, I didn't need to complete the "Saving the Lab Partner" path to get all achievements
Yandaquel makes Lizzie less violent, but Nihlazine makes her more rational - you'll note she's more subdued in the scenes influenced by that drug. This period gives her some perspective when she goes off the medicine that leads to her making better decisions.
I don't get how the Nihlazine is the drug that gets the better endings. If anything, I would think that making her more focused would make her more insane. I would have kept trying to give her Yandaquel and never gotten the true ending.