Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers.

Sorry for the basic question, but how do you actually start one of these diaries?

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else. How long have you been on doxycycline?

Fifteen years of this and the function column is the only one that changed anything for me. Also, one page of history, printed, handed over at the start. It changes the appointment.

Is it normal to feel worse before better? Nobody told me that.

Same here.

My pharmacist has become my actual doctor and I am at peace with it.

Bring a list. Embarrassment makes everyone forget things, including you.

You are not imagining it and you are not being difficult. Document it and take the document in.

Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time.

Sorry for the basic question, but how do you actually start one of these diaries?

Sorry for the basic question, but how do you actually start one of these diaries?

Worth asking what specifically was measured. Pain scores move with mood and function does not.

Same here.

Ten percent cuts. Slower is faster.