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

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

This is the correct amount of effort for a thread like this. How long have you been on a re-read?

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

No wrong answers, and yours is a good one.

I would stop trying to convey how bad it is and start saying what you want them to do.

Correct.

This is the correct amount of effort for a thread like this.

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

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