Clients can raise this through their Altro client portal, either during their monthly check-in, where they report on how they're feeling and their progress, or by messaging the clinical team directly through the portal.
From there, the clinical team reviews the request and decides whether a change is appropriate based on the client's progress and safety. Any adjustment is always a clinical decision, so a change isn't guaranteed.
One way you can help: encourage your clients to complete their optional monthly questionnaires. These give the clinician an ongoing picture of how a client is progressing, which helps them track results over time and personalize dosing when appropriate.
A practical note for your clients: updates take a couple of business days to process (for clinical review and any pharmacy changes), so it helps to request a change well before the next shipment.