Do you contact the customs office or the carrier first?

Is it normal to feel worse before better? Nobody told me that. A year in on coming back after years away and it lines up.

Loose evidence and no evidence are different, and people overcorrect in both directions. Not on modafinil but the pattern is familiar.

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

Is a baseline blood test really necessary before starting something like this?