“Registered with” is doing an enormous amount of work in that sentence.

File early. Three years in on Portugal and it lines up.

A certificate of analysis answers one question and gets quoted as though it answers four.

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

A privacy service registered three months ago on a domain claiming twenty years of trading is a contradiction.

Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers.

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

A certificate of analysis answers one question and gets quoted as though it answers four.

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

Worth asking what specifically was measured. Pain scores move with mood and function does not. How long have you been on a pharmacist call?