Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write.

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

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

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

Interdose restlessness is distinct from the original symptom and worth naming separately.

Ten percent cuts. Slower is faster. Currently on a symptom diary myself.

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

Personal experience, labelled as such, is exactly right here. Nobody is prescribing.

Same here.

Not on a symptom diary but the pattern is familiar.

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

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

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

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

The pain score conversation is thirty seconds of my life I will never get back, every time. Three weeks in on a symptom diary and it lines up.

Reference ranges differ between labs, so comparing two reports is close to meaningless.