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

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

Same here.

I would stop trying to convey how bad it is and start saying what you want them to do.

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

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

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

Read the methods section. It is the only part that says whether the conclusion is allowed to exist.