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

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

Worth asking what specifically was measured. Pain scores move with mood and function does not. Not on a telehealth crackdown but the pattern is familiar.

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

It gets smaller. Not easy, smaller. That distinction kept me going. Not on a telehealth crackdown but the pattern is familiar.

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

Small wins count. Walking to the mailbox is a data point.