u/elin_lindqvist

Small fix — external review is independent of the plan. The second-level internal appeal is not.

Push back: your plan is an employer plan, which changes both the appeal path and who the regulator is.

document what has been tried and for how long, that is the whole case

Trial populations for the major programmes were not designed around the questions this board asks most often, which is why the evidence base here is genuinely thinner rather than merely harder to find.

Hormonal variation across the cycle affects appetite, fluid retention and subjective symptom intensity independently of anything else, which is why an unannotated log can look mysterious.

prior authorisation criteria change every plan year

deadlines run from the letter date, not from when you opened it

Which country and which plan year are we talking about?

Agreed. Slowing down at meals did more for my nausea than everything I bought to fix it, which was embarrassing to discover.

reflux at night, try not eating in the three hours before bed