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

Is it normal to feel worse before better? Nobody told me that. Not on a vaccination history but the pattern is familiar.

Sorry for the basic question, but how do you actually start one of these diaries? Currently on sertraline myself.

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

Most of what is called evidence here is one person, one vial, one month.

The hologram is the least useful check because it is the one everybody makes.

A certificate of analysis answers one question and gets quoted as though it answers four.

What do you do about the fee? Do you just pay it?