Enteric coatings should not be crushed. The pellets are the delivery mechanism. Not on a coverage denial but the pattern is familiar.

Sorry for the basic question, but how do you actually start one of these diaries?

Worth repeating that this is not medical advice and the answer often depends on who you are. How long have you been on a small win?

My pharmacist has become my actual doctor and I am at peace with it.

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

Do you contact the customs office or the carrier first?