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God I missed that because of the use of puberty blockers distracting me. I'm not a medfag, but I asked someone who is. They said that it sounds...

It's a clichéd sentence, but "you know how". Was probably taking multiple doses in hopes it'd be faster. I'd almost bet 5 bucks on it. Could be...

She’s not following the dosage she’s told to take and not telling her doctor about it.