Thank you, Christina. The increase was approximately 3.5 weeks ago. I have been taking my prn medication more often lately. Sometimes I take my PRN before work. Since I had such a bad day today, I will try to do that tomorrow. The only issue is that it tends to make me tired at work, and sometimes others notice this. So it's really tough and frustrating to find that balance, especially when the goal is just to get through the day. I'm so tired of this illness.