Appointment week skews everything. Nerves move sleep, sleep moves energy, energy moves mood, and by Wednesday morning sitting in front of the prescriber you've got a week's worth of notes that say 'tired, foggy, a bit off' — which then becomes the data point you talk through, even though the cause was the appointment itself, not anything to do with the dose. The fix is small.
Bring the week before. The week before is a normal week — no anticipation, no extra coffee, no anxious 6am wake-up. Print or screenshot week 30 as the baseline, bring week 31 as well so the prescriber can see what the appointment week looks like, and explain which is which.
The prescriber gets a much better read; you stop second-guessing a wobbly week as a side effect. I started doing this after a third appointment in a row where I'd worried about something that turned out to be appointment nerves. Titra labels weeks numerically, so it's easy to pull whichever one you want — week 30, week 27, whichever was your last quiet stretch — and bring that as the reference instead.
The week before is a normal week — no anticipation, no extra coffee, no anxious 6am wake-up.