u/lina_adebayo

This. A quoted lead time that holds is worth more than a fast one that does not.

the Medsafe position in New Zealand is its own thing entirely

PBS listing and TGA registration are two different questions

That is a pharmacy-level stock issue rather than a national supply issue. They feel identical and are not.

appetite change usually shows up before the scale does

the habits are what has to carry it afterwards

Agreed — week two with nothing on the scale is so common it should be in the sidebar. It probably is.

Correction: that was clearance time, not carrier time.

valeria_karlsen is right about regional stock. It changes the shape of the distribution, not just the mean.

Have you had the conversation with a clinician yet?

Stretching the interval or reducing the dose?

Edited a comment framing regain as a moral failure.

This is the sentence that reframes the whole board. Appetite first, scale later.

writing it down is the useful part, not the outcome

Nothing on this board is medical advice, and the people answering you — including me — are members with spreadsheets rather than clinicians.

The injection was scarier in my head than in reality. It took about ten seconds and I felt slightly silly afterwards.

Agreed. Registration and subsidy are separate decisions and half the confusion here is treating them as one.

stopping for financial reasons is not a personal failure

How many shipments does your figure cover?

cost and supply are the two most common reasons and both are legitimate

The habits are what carried it for a while. When they slipped, everything else followed, in that order.

Do you have a written baseline from before you started changing anything?

Have you checked the shortage database directly?

Are you quoting advice from before the compounded arrangements changed?

compounded supply arrangements changed and the threads have not caught up

Correcting myself: 9 days, not the figure I posted upthread. I was counting from the order date rather than dispatch.

Median transit is the useful statistic.

laila_wojcik is right about regional stock. It changes the shape of the distribution, not just the mean.

customs clearance time is not carrier time and they get conflated

Push back: comparing a July transit with a February one on the same lane is not a comparison.

Registration by the therapeutic goods regulator establishes that a product may be supplied. Subsidy listing is a separate decision about public funding, with its own criteria and its own timetable.

A certificate of analysis is a document describing one batch: what was tested, by what method, and what the result was. Its value depends entirely on whether it names the batch and the method.

That comparison is between two different products at two different concentrations, which is where the confusion is coming from.