Enteric coatings should not be crushed. The pellets are the delivery mechanism.

The pain score conversation is thirty seconds of my life I will never get back, every time.

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.

Baseline first. Without a baseline the after picture is decoration. Currently on hCG myself.