Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time. How long have you been on a second opinion?

Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write. Same for me with a second opinion, unfortunately.

Ten percent cuts. Slower is faster.

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

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

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

My pharmacist has become my actual doctor and I am at peace with it.

Is it normal to feel worse before better? Nobody told me that. Currently on a second opinion myself.

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

Bring a list. Embarrassment makes everyone forget things, including you. Not on a second opinion but the pattern is familiar.