Dr.PeteFamMed said:

One practical note: write down what you did and when, before you need it.

Pushing back on Dr.PeteFamMed here. 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.

If somebody has the primary source to hand I would rather cite it than paraphrase it.

Dr.PeteFamMed said:

One practical note: write down what you did and when, before you need it.

Agreed on the substance. I would put less weight on the timescale, because two months of anything is not enough to distinguish a trend from a wobble.

Dr.PeteFamMed said:

One practical note: write down what you did and when, before you need it.

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.

OP back with an update, since a thread like this is useless without one.

Update — tachyphylaxis to the gastric effect, persistence of the appetite effect. Two curves, and I had been watching the wrong one.