I would stop trying to convey how bad it is and start saying what you want them to do. Five years in on a formulary change and it lines up.

The published rule and the enforcement pattern are different documents. Only one of them affects you.

If it needs three other compounds to notice, you have not tested the first one. Not on folate but the pattern is familiar.

Three questions kill most of the confidence in a thread like this: sample size, blinding, who paid.

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else.

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

Same here.

Is it normal to feel worse before better? Nobody told me that.

The last ten percent of a taper takes as long as the first ninety. Nobody says so until you are in it.