Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write.

Filing early beats arguing later. And ask for the reference number, always.

How long before you can reasonably say something is or is not doing anything?

Underdosing and tolerance are indistinguishable from the inside, and everyone picks the flattering explanation.

Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write.