Use this when timing matters. A change can be useful, irrelevant, harmful, or just noise unless you record what changed and what signal you expected.
Do not include names, photos, addresses, clinician names, pharmacy account details, or portal screenshots unless you need them for your own private record.
Boundary
Do not use this worksheet to start, stop, raise, lower, or replace prescription medication on your own. Use it to preserve the timeline and questions for the clinician conversation.
Record label
- Record label:
- Change category:
- Prescription medication
- OTC medication
- Supplement
- Hormone context or hormone medication
- Cannabis product where legal
- Topical, device, food, or other product
- Start date or approximate start window:
- Stop date or planned review date:
What changed
- Product, medication, or category:
- Brand or product label, if relevant:
- Dose, route, form, timing, or serving:
- Why it was changed:
- Who recommended or decided it:
- What else changed at the same time:
Evidence label
Choose one for supplements, products, cannabis products, foods, or devices:
- Current care
- Human gout data
- Human adjacent data
- Animal or lab mechanism
- Mechanism map only
- Personal experiment
- Research curiosity
- Unknown or unclear
Claim this change is supposed to affect:
- Urate burden
- Crystal context
- Immune activation
- Inflammatory signaling
- Joint protection
- Sleep or pain support
- Tracking
- Other:
Fit checks
- Kidney function or lab-monitoring issue:
- Medication interaction question:
- Glucose, blood pressure, bleeding, stomach, mood, sleep, fertility, pregnancy, or hormone-context issue:
- Legal or impairment issue:
- Skin, allergy, gut tolerance, or sensitivity issue:
- Clinician question:
Tracking plan
| Signal | Baseline before change | What I will track | Review point |
|---|---|---|---|
| Pain or flare frequency | |||
| Heat, swelling, stiffness, or touch sensitivity | |||
| Serum urate or labs | |||
| Sleep or next-day function | |||
| Side effects or tolerance | |||
| Rescue-plan use or rebound |
What happened
| Date or approximate timing | What happened | Dose or use that day | Notes |
|---|---|---|---|
Stop or step-back signal
- Stop or call now signal:
- Step-back signal:
- No-signal review point:
- Question to bring to clinician:
Claude prompt
Help me fill out a de-identified gout medication, supplement, and hormone change log. Ask one question at a time. Do not ask for names, photos, addresses, clinician names, pharmacy account details, or portal screenshots. Separate prescription medication changes from supplement or product experiments. For products, ask for the evidence label, fit check, tracking signal, review point, and stop or step-back signal. End with a timeline summary and concrete clinician questions. Do not recommend starting, stopping, or changing medication.