When the prescriber changes your dose — up, down, or sideways — they explain the reasoning in the appointment. You feel like you'll remember it. You won't.
Six months on, all you'll remember is that the dose changed at some point, and the prescriber asks 'do you remember what we discussed last time?' and you don't. This is a wasted question because the prescriber's note will tell them — but it's a wasted minute or two of the appointment for you, and more importantly it's a wasted opportunity to bring your own context to the conversation. The fix is a one-line anniversary note on the day of the change.
Three parts. What changed — the actual dose, the actual date. Why the prescriber gave that reason.
How you felt about the reasoning at the time. Not 'how it went' — that's the next entry. Just 'how you felt about the plan when you walked out of the appointment'.
That third part is the one that matters six months later, because it's the part the prescriber's note doesn't capture. 'They wanted to hold for 12 weeks; I was nervous but agreed' is a different starting point for the next conversation than 'they wanted to hold for 12 weeks; I argued for sooner'. Titra has a notes field with a pin feature — pinning the dose-change note means it surfaces at the top of the relevant date range when you scroll back. Boring administrative job that pays back at every subsequent appointment.