It gets smaller. Not easy, smaller. That distinction kept me going.

How do you tell the difference between the drug working and just a good week?

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.

Reference ranges differ between labs, so comparing two reports is close to meaningless. Not on nirmatrelvir-ritonavir but the pattern is familiar.

If it needs three other compounds to notice, you have not tested the first one.