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

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

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

I would take the narrow conclusion. Broad ones are more interesting and less true.

Everyone here blames the drug. Half the time it is the appointment schedule, not the molecule.