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

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

Domain age is one of the few signals that is expensive to fake and free to check.

Worth asking what specifically was measured. Pain scores move with mood and function does not. Currently on a billing error myself.

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

What is the first thing you would read if you were starting from zero?