Batch and expiry copied from a real box will already be nearly expired. That is the tell.

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

Worth asking what specifically was measured. Pain scores move with mood and function does not.

Interdose restlessness is distinct from the original symptom and worth naming separately.

I would stop trying to convey how bad it is and start saying what you want them to do.

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