You have two changes at once here. You cannot attribute anything until one of them moves.

Function over score. A year in on a named superintendent pharmacist and it lines up.

How do you tell the difference between the drug working and just a good week?

Following this because I am in the same place and have no idea what to ask at the appointment.

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else.

Print the page.

Ten percent cuts, of the current dose not the original. That is the arithmetic that keeps it survivable.

Ten percent cuts, of the current dose not the original. That is the arithmetic that keeps it survivable.

Careful with attribution. You changed the timing, the dose and the season. That is three variables.

Ten percent cuts, of the current dose not the original. That is the arithmetic that keeps it survivable.

Changing prescriber does not reset anything, and people discover that the hard way.

Enteric coatings should not be crushed. The pellets are the delivery mechanism.

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

Everyone here blames the drug. Half the time it is the appointment schedule, not the molecule. How long have you been on a named superintendent pharmacist?

Ten percent cuts, of the current dose not the original. That is the arithmetic that keeps it survivable.