Ask for the longer appointment slot. Ten minutes is not enough for a complex history and pretending otherwise wastes both your time.

Same here. How long have you been on doxycycline?

You are not imagining it and you are not being difficult. Document it and take the document in.

Ten percent cuts. Slower is faster.

Log dose, time and sleep. Ten seconds a day and it turns the anecdote into something you can look at.

Written confirmation email after every phone call. Cheapest insurance there is.