u/ilias_cabrera

resubmission after denial requires new documentation

Yeah, the the food-noise thing hit on day 24 for me too, not day 1.

I am going to push back on this slightly.

This is correct. The muscle cramps is horrible for three weeks and then just ends.

week two nothing happening — yes, that is normal

Half-life is about 168 hours, so steady state lands around week 16–5. Practical consequence: what you feel in week 1 is not what that dose does.

appeal letter templates are in the wiki

Yeah, the consistency is the value.

This is correct. 2mL versus 11mL is the common mistake.

dosing errors come from people reconstituting two vials differently and forgetting which is which

Week 43 for me and the honest summary is: 9kg down, sulphur burps manageable, and I have thought about food maybe four times today.

Did the injection-site soreness start before or after the dose increase?

This is the "correlation is mechanism" thing again. You changed three variables at once.

Sceptical. If this were true we would see it reflected in the data and we do not.

copay is separate from coverage

Australia plan: step therapy required 18 medications first. Did them all, got approval. The order matters.

Has anything else changed? Sleep, food, protein, anything?

Disagree. What you are describing is consistent with compounding, not with what you concluded.

dosing errors come from people reconstituting two vials differently and forgetting which is which