Interdose restlessness is distinct from the original symptom and worth naming separately.

Ten percent cuts. Slower is faster.

Same here.

Tolerance was my main issue with contacting the pharmacy too.

Same here.

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

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

Reference ranges differ between labs, so comparing two reports is close to meaningless. Not on contacting the pharmacy but the pattern is familiar.

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

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

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

Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time.

Ten percent cuts. Slower is faster.

You are not imagining it and you are not being difficult. Document it and take the document in.