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

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

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

Log dose, time and sleep. Ten seconds a day and it turns the anecdote into something you can look at. A year in on KPV and it lines up.