wendy_avl said:

Practical: whatever you change, write down the date and the reason.

Filing a mild objection. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. The counter-case has not been addressed. Somebody upthread described the situation that does not fit, and the thread moved on rather than engaging with it, which is the failure mode this board is supposed to avoid.

wendy_avl said:

Practical: whatever you change, write down the date and the reason.

Agreed, and one caution: a single measurement is not a measurement. Anything that moves day to day needs a trend before it means anything at all.

wendy_avl said:

Practical: whatever you change, write down the date and the reason.

This is exactly what I could not find anywhere else. Taking it to my next appointment.

From the other side of the consultation, briefly. The mechanism and the magnitude are separate questions. Agreeing that something happens says nothing about whether it happens enough to act on.

PharmD_Rodriguez said:

The mechanism and the magnitude are separate questions.

This is my experience too, for whatever a second data point is worth. The detail I would add is minor and it is already implied above.