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

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

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

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

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

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

Worth repeating that this is not medical advice and the answer often depends on who you are.

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

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

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

The pain score conversation is thirty seconds of my life I will never get back, every time. Currently on a written medication list myself.

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

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

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

Worth repeating that this is not medical advice and the answer often depends on who you are.