Ten percent cuts. Slower is faster.

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

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

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

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

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else. Same for me with dihydrocodeine, unfortunately.