Is a baseline blood test really necessary before starting something like this?

How do you tell the difference between the drug working and just a good week? Not on hydromorphone but the pattern is familiar.

Do you contact the customs office or the carrier first?

Is a baseline blood test really necessary before starting something like this?

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

Is it normal to feel worse before better? Nobody told me that.