You have two changes at once here. You cannot attribute anything until one of them moves.

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

A plausible mechanism is not an outcome, and this class is the textbook example.

Reference ranges differ between labs, so comparing two reports is close to meaningless.

Batch and expiry copied from a real box will already be nearly expired. That is the tell. Not on a small yellow tablet but the pattern is familiar.

Most of the popular protocol is borrowed from a clinical population and applied to healthy people without comment.