Injection day as a fixed ritual, which helps enormously

What helped was making everything the same. Same day, same time, same order, same place, and removing every decision I could.

My ADHD medication and everything else needed a proper look at together, and a pharmacist did that better than either prescriber had.

The thing I could not do was notice a symptom in the moment. I could only notice it in retrospect from notes, so notes became essential.

Sensory change was real. Textures I had eaten my whole life became impossible for about two months and nobody had warned me.

I set four alarms and it is not excessive, it is what makes this possible, and I have stopped feeling odd about it.

Something I did not expect: my safe foods stopped being safe for a while, which was much more destabilising than the medical side of things.

My eating became much more repetitive and my dietitian was entirely relaxed about that, which I had braced to be told off for.

You have described the bit that nobody warns you about.

This is the post I wish had existed when I was looking for it.

The hardest part was that advice kept coming in the form of listening to my body, and my body does not speak clearly enough for that.

I had a very difficult fortnight when my routine broke for an unrelated reason, and rebuilding it took longer than I expected.

My experience is that the medical part has been simple and the logistics have been the entire challenge.