Small thing that made a difference for me with ordering in winter.
Do it before the appointment, not during it.
Write it down on paper, in the room, not in an app you will not open.
Worth trying before something more complicated.
Function over score.
Enteric coatings should not be crushed. The pellets are the delivery mechanism.
Function over score.
Following this because I am in the same place and have no idea what to ask at the appointment.
Everyone here blames the drug. Half the time it is the appointment schedule, not the molecule.
Function over score.
Careful with attribution. You changed the timing, the dose and the season. That is three variables.
I would stop trying to convey how bad it is and start saying what you want them to do.
Worth repeating that this is not medical advice and the answer often depends on who you are.
You are not imagining it and you are not being difficult. Document it and take the document in.
Careful with attribution. You changed the timing, the dose and the season. That is three variables. How long have you been on ordering in winter?
Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else.
Following this because I am in the same place and have no idea what to ask at the appointment.
Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time.