Everyone here blames the drug. Half the time it is the appointment schedule, not the molecule. Eight months in on a price change and it lines up.

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

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

Stupid question: how do you know whether what is in the vial matches the label at all?

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

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

Written confirmation email after every phone call. Cheapest insurance there is. Same for me with Australia Post, unfortunately.