Apparently my levels are now normal, so no increase in treatment.
The doctor glanced at her screen with the look of one who sees it in writing, so it's official - the fact I generally feel under par doesn't seem to cut any ice! However she did say it may take a while to settle down, so it seems I may have a course of appeal. She also asked whether I'd had one of the many bugs that have been going the rounds and I said 'no', but when I thought again this morning, I realised I'd had a mild dose of one, probably close to the time I felt most tired.
I am also going through the usual mid-summer 'can't sleep' cycle so no wonder I feel tired. I've decided to get more sleep and see how that helps.
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