What a good follow-up looks like

The most useful thing you can bring to a follow-up is an honest account of what changed — including anything that got briefly worse.

We look at more than the presenting complaint: energy, sleep, appetite and mood often shift before the skin or the joints do. That order matters, and it tells us the remedy is acting.

A short flare followed by clear improvement is common and usually a good sign. A flare that keeps going is not, and we want to hear about it early rather than at the next scheduled visit.