u/erez_baptista

Dose reduction and interval extension are different interventions. Halving the dose keeps the rhythm and lowers the level; stretching keeps the level and lowers the frequency, with a lower trough.

Not convinced that was avoidable. Some of this is genuinely bad luck and treating everything as a lesson is its own trap.

Read the special authorization criteria and wrote the application against them line by line. Approved first time after a previous refusal.

the median is more useful than the fastest anybody ever got

Was it shipped from a regional warehouse or from origin?

Where the time actually goes, which I got wrong for two years.

Agreed — and the decomposition matters. Most people are blaming the international leg for a last-mile problem.

ask which lines are actually held in the regional warehouse

Those criteria were revised at renewal, so the version quoted upthread is out of date.

Compared cash prices across four pharmacies before pursuing coverage and the spread was larger than I expected.

a denial letter names a criterion, that is your handle

Chased the scale instead of the measurements for a year and made myself miserable for no additional progress.

find the dose that holds, then stop optimising

Special authorization is a documented exception process with published criteria. Applications that answer those criteria explicitly, point by point, fare better than general clinical narratives.

no tracking numbers, ever

a denial letter names a criterion, that is your handle

say the province or the answers will be wrong

Special authorization is a documented exception process with published criteria. Applications that answer those criteria explicitly, point by point, fare better than general clinical narratives.

That was a hold rather than a loss, and it resolved. Updating rather than deleting.

maintenance is a phase, not a finish line

Dose reduction and interval extension are different interventions. Halving the dose keeps the rhythm and lowers the level; stretching keeps the level and lowers the frequency, with a lower trough.

Has appetite changed, or only the scale?

Weigh monthly now. Best change I made in the whole run and it cost nothing.

the goal weight you picked at week 1 was a guess

Wrote down what maintenance would look like at about week 64, before I needed it. Having decided in advance made the transition boring.