@rlpostrp This! But moving along can be scary. There can be anxiety associated with moving along from a care provider, maybe one with whom you've worked and had a relationship (however flawed) for years. But everything a new provider would need to know is available to that new provider, and frankly, there is not likely to be any nuance that can't be found in the numbers and history of your diagnosis and treatment. Even if there is such a nuance, such things are always open to re-interpretation. (Maybe a new look is in order?) And if you live in an area where such a change means a few hours of driving time, it's worth it.