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

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

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

My pharmacist has become my actual doctor and I am at peace with it. Same for me with a second opinion, unfortunately.

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

The pain score conversation is thirty seconds of my life I will never get back, every time.

Everyone here blames the drug. Half the time it is the appointment schedule, not the molecule.

Following this because I am in the same place and have no idea what to ask at the appointment. Three weeks in on a second opinion and it lines up.

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

Bring a list. Embarrassment makes everyone forget things, including you. Same for me with a second opinion, unfortunately.

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