[Discussion] the copay advice in here is 4 years out of date
external review. That is the whole post, but I will justify it. Everything else people worry about in c/dosinglogs is downstream of it. Titration speed, muscle cramps, the endless dose arguments — most of it resolves if you sort external review out first, and almost nobody does. I say this having got it wrong for 21…
Retitled to remove editorialising. Put the evidence in the body.
Mechanistically the bit that matters is appeal. It explains most of the early profile and a decent chunk of the outcome.
external review is the appeal after insurance says no
external review is the appeal after insurance says no
Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.