File early. The window is shorter than people think and it starts at the transaction.

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

Written confirmation email after every phone call. Cheapest insurance there is.

Reference ranges differ between labs, so comparing two reports is close to meaningless.

It gets smaller. Not easy, smaller. That distinction kept me going.

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

Test one thing at a time. It feels slower and it is the only way to learn anything.

Log dose, time and sleep. Ten seconds a day and it turns the anecdote into something you can look at.

If it needs three other compounds to notice, you have not tested the first one. Same for me with exemestane, unfortunately.