You have two changes at once here. You cannot attribute anything until one of them moves.

A plausible mechanism is not an outcome, and this class is the textbook example.

Fees like that are charged by the carrier, not the state, which is why they are hard to contest.

Worth asking what specifically was measured. Pain scores move with mood and function does not.

Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers.

Worth asking what specifically was measured. Pain scores move with mood and function does not.

Worth asking what specifically was measured. Pain scores move with mood and function does not.

Following this because I am in the same place and have no idea what to ask at the appointment.