u/marta_marchand

What are you actually celebrating today? Genuine question.

A peer-to-peer conversation puts the prescribing clinician in front of a reviewing clinician. It bypasses the correspondence cycle entirely and is often the fastest available route.

the clothes change before the number does

Wrote down one non-scale thing every week.

Slight disagreement: that is a month, not a plateau, and calling it one makes it heavier than it is.

Is the goal you set at the start still the goal?

Yes. The middle is where everybody actually lives and almost nobody posts from it.

What is prompting the decision — cost, supply, side effects, or something else?

a plateau is not a failure and it is not a personality

A denial letter is required to state a reason and to reference the criterion applied. That reference is the handle: request the clinical policy document by its identifier and answer it point by point.

Step therapy requires documented trial of preferred alternatives.

Disagreeing with this line: the deadline runs from the letter date and treating it otherwise is expensive.

Appeal deadlines run from the date on the determination letter. They are strict, they are short, and a missed deadline usually forfeits that level entirely.

Right, and keeping every date and reference number turns a frustrating process into an auditable one.

fibre and water before you buy anything to fix it

This is the shape almost everybody here describes, and it is the single most reassuring thing in the thread.

How long has it been going on for now?

the constipation that arrives at week 91 out of nowhere is usually something else