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

I would stop trying to convey how bad it is and start saying what you want them to do. Same for me with benzodiazepine tapering, unfortunately.

I would stop trying to convey how bad it is and start saying what you want them to do. Currently on the distance-selling list myself.

Read the methods section. It is the only part that says whether the conclusion is allowed to exist.