Exapmle of insurance denial letter

NEVER GIVE UP!
For those that were denied Mounjaro by their insurance company because they did not meet the Type 2 diagnosis please do not give up!!!! I’ve been fighting this since Jan 2024 and nearly gave up after my 2nd appeal I was so exhausted. Find a doctor that will help you in writing your appeal. I also have to shout out mochi because I had given up and was going to buy the telehealth version but they’re prior auth team sent in a prior auth for Mounjaro I gave them the accurate ICD codes to use (VERY IMPORTANT) and I was approved! I never got a denial letter from the 2nd appeal I submitted so I believe that did the trick.
I have insulin resistant PCOS, BMI 48, pre diabetes A1C 6.2 and family history of diabetes. This medicine is worth the fight keep going!

Listen. I know "Tyrion Targaryen" is a divisive topic. I don't think there's any theory that gets more vehement criticism. I understand why it gets the ire it does, and don't even wholly disagree.
Buuuut, if I can play devil's dragonlion's advocate here: The counterarguments to the theory are all...kinda shaky.
1. "It hurts the story"
I'll admit it. I (kinda) agree with this assessment. A "Tyrion's a secret Targ" reveal threatens to undermine other big elements of the story. One secret orphaned prince is a tragedy, but a dozen is a farce.
It also arguably hurts the Tyrion-Tywin relationship. I don't think it'd be ruinous as many of the critics do. But even if it were, that still wouldn't affect whether or not it's canon. This argument really doesn't address "what is or is not," but rather "what should or shouldn't be."
But writers do stuff they arguably shouldn't all the time. Fans of Star Wars will gladly tell you that midi-chlorians undermine the Force. But they're still canon, bc George said so. Martin is no more infallible than Lucas. I love these books, and I think GRRM's the bee's knees. But can you tell me with a straight face that "Joffrey sent the catspaw" was perfectly executed storytelling? Whether something's good or not is a subjective matter for the audience. But whether something's canon is wholly at the whims of the author. And it definitely seems like GRRM's whims are pointing towards A+J.
2. "GRRM was setting it up in the early books, but abandoned the idea at some point."
Yes, George is a gardener and doesn't necessarily stick to a rigid story plan. He's removed or changed big elements of the story, like the 5 year gap or the Brightflame cloth dragons. It's definitely possible that Tyrion Targaryen might have been a similarly scrapped plan.
(Small Tangent: I'm even pretty open to the idea that it was scrapped in the show. It's totally the kind of thing D&D would hate. But you can ask Griff & Stoneheart if show canon = book canon.)
The problem is, there's no clear point where GRRM stopped dropping hints that align with A+J. It still seems front and center in ASOS (2000), when Tywin makes his last on-page appearance. He explicitly calls Tyrion's paternity (and the fidelity of his beloved cousinwife) into question twice in that book, down to his last breath. Bookending Tyrion's first speaking appearance (AGOT Jon I). The very first thing Tyrion says about Tywin is "he thinks of me as a bastard." The idea of Tyrion's paternity being in doubt hangs over the Tyrion-Tywin relationship from the first moments to the last.
The relevant characters' most recent book appearance was the worldbook in 2014. (The same year GRRM gave his now famous explanation of why abandoning setup makes for bad storytelling.) Even then, GRRM was obliquely pointing to the possibility of A+J=T with relentless determination. Every single mention of Joanna is attached directly to a note about how much Aerys pursued her. Tyrion's birth is one paragraph after the tourney of 272. Where the only notable event was Aerys lusting after Joanna, deepening the rift with Tywin.
Which moves us nicely from the meta-textual arguments into the in-universe "evidence."
3. "[Pycelle said] Tywin wouldn't have married Joanna if she'd been with Aerys"
Pycelle sure did say that. Pycelle is wrong. That's the point. How can we tell? GRRM's choice of wording in Pycelle's rebuttal.

As Pycelle insists in his letters, Tywin Lannister would scarce have taken his cousin to wife if that had been true, “for he was ever a proud man and not one accustomed to feasting upon another man’s leavings.”

Pictured: Pycelle's wrongness.
The 2014 audience already knows Tywin absolutely would do that. The climax of his conflict with Tyrion was him bedding Shae. "Feasting on another man's leavings" is already a defining part of Tywin's relationship with Tyrion.
GRRM wrote Pycelle huffing copium. Conspicuously. The fanboy maester's denial depends on a claim the audience explicitly knows is false. It's just basic dramatic irony: the audience knows something the characters don't. If Pycelle's claims rests on false evidence, what is the author saying about the claim?
4. "If Tywin knew/suspected, why didn't he do anything more than try to resign?"
I'll be honest, this one blows my mind. The man sacked King's Landing and killed every Targaryen he could find. Tywin's big defining pre-stories action was brutally overthrowing Aerys' whole family. Sure he didn't do it immediately. But when circumstances permitted, Tywin took extreme vengeance.
5. "Tyrion's dragon dreams aren't Dragon Dreams"
Why the hell not? Symbolically heavy. Seemingly prophetic. Showing a destiny of magical conflict, with stakes as intimate as family identity, and as broad as globe-spanning war. Tyrion’s dreams check all the boxes for what makes up a Dragon Dream. (Or should I say, “They meet any cry-Tyrion?”)
When Tyrion first mentions dreaming of dragons, he’s telling Jon “I know your secret. You dream the same kind of dreams.” Again, dramatic irony time. Tyrion’s saying it as “I know you secretly feel alienation.” But a reader who knows Jon’s lineage knows the real secret is why Jon’s magic dreams fixate on family alienation. Because they’re Dragon Dreams. The very first thing GRRM tells us about Tyrion’s dragon dreams is that they’re comparable to Jon’s Dragon Dreams. And Tyrion’s have actual dragons in them.
Oh, and very non-coincidentally, this scene happens only 20ish pages after Dany has the first confirmed on-page Dragon Dream. Which hits all the same elements. Prophesymbolic vision of a buried dragon identity. Which emerges through the crucible of sibling struggle.
GRRM returns focus to Tyrion’s dragon dreams in ADWD. He has two such dreams during his journey east from Illyrio’s manse as part of a plot to marry Dany to a guy with a big fighting force behind him. Eagle eyed observers will note that this is exact same setup Dany herself had in AGOT when her Dragon Dreams started.
In both the earliest and latest books in the series, GRRM draws immediate parallels between Tyrion’s dragon dreams and Targaryen Dragon Dreams. Just from an economy of storytelling perspective, it would be weird to have Tyrion’s special important dreams-w/dragons-in-them that just happen to be totally unrelated to Jon & Dany’s Special Important Magic Dragon Dreams™️.
Caveat: Schrodinger’s Targaryen
Despite all of this, I do not think GRRM’s endgame is as simple as “And then we learn Tyrion is 100% definitely Aerys’ son and not Tywin’s.” My strongest hunch is that the plan is for the story to end without a definitive answer, but a pointedly open question. Compare it to other “unresolved Targaryen/dragonrider ancestry mysteries” like Nettles and Daeron T vs Daemon B. GRRM loves this “the mystery is more valuable than the answer” approach to storytelling.
In AGOT and ASOS we’re told “Tywin thinks of Tyrion as not his.” In TWOIAF we see maesters publicly speculating about Aerys & Joanna’s relations. I think the in-universe uncertainty is the plotline here. The speculation already exists in Tyrion’s plot, which will come to a fever pitch when (not if) he saddles Viserion.
I don’t think there’ll be any raunchy Bran-vision or tearstained secret letter from Joanna that definitively confirms Tyrion’s parentage one way or the other. Tyrion seizes Casterly Rock and there’s a hubbub about legality. Is he a golden trueborn lion, Tywin’s legal heir? Is he the red of a Targaryen dragon and/or a color-inverted Lannister bastard? Who the hell knows? What does it matter? All the truth Tyrion knows is his mother was a lioness, making him a cat regardless of coat. That, plus he has a dragon, with sharp long claws. The dragon reins are all he needs to reign from Castam Casterly Rock.
This deliberate open-endedness leaves room for a lot of options. I’m very open to chimera theory. Nerd Tangent: In myth, the chimera is literally a fire-breathing lion-serpent hybrid. All Tyrion needs is some goat imagery and he’s got the whole animal. Plus GRRM keeps making the lady of Casterly Rock mother twins at every point in the timeline. Joanna’s were even fraternal. GRRM even wrote an unpublished conversation whereTyrion talks about Maelys the Monstrous (to whom Tyrion repeatedly compares himself) absorbing his twin in-utero, and imagines the same thing happening in his own mother’s womb. George is doing everything a writer setting up a “genetic chimera” twist reveal would do.
Separately, I really like the idea of Tywin misinterpreting prophecy and dooming himself to the fate he was trying to avoid. In perfect parallel to Cersei’s experience with Maggy. Tywin gets some kind of cryptic warning about Aerys’ bloodline displacing his own. Just like Cersei’s valonqar, he jumps to a misplaced suspicion of Tyrion, when he should be examining Jaime and/or Cersei. When TWOIAF bundles the tourney of 272, Tyrion’s birth/Joanna’s death in 273, and Tywin’s role in the Targaryen downfall together, it’s entirely possible that the point is the same as AFFC Cersei constantly telling us “valonqar = Tyrion.” A red herring; there to prompt the audience into thinking about the question. But preserving mystery by laying the false answer on thick while the true answer is surreptitiously sprinkled in.
Maybe there’s even in-universe discussion about how an AJT reveal makes a farce of RLJ? “Diluting the reveal by flooding the spot with something similar but even more outlandish” was Tyrion’s own in-universe strategy for dealing with the reveal of Cersei’s royal bastards. This could be GRRM going full circle. “Oh, Ned Stark’s other closely guarded secret about royal bastardy just came out? Well, this counterstory from Tyrion about royal bastards has juicy stuff like clowns and sex with a crazy guy and kids w/physical abnormalities. Once this story spreads, no one’ll know what to believe!”
It could even go the same direction the show went for Theon’s identity dualism. Tangent: (Theon is kinda directly connected to Tyrion already, having inherited the “burn Winterfell, torn between Starks & birth family” plotline originally meant for Tyrion.) You can be both a furry apex predator on 4 legs and a mythical beast with long wriggly appendages. Lizard & lion at once.
GRRM might even be highlighting this Schrodinger-esque superstate of “both one and the other simultaneously” with Tyrion’s ADWD intro. The first time we see the cat-man after he kills Tywin, he’s drunk himself half to death in a box while on his way to Illyrio. It's the moment when he’s most in limbo– after killing the lion Tywin, but before joining sides with Aerys’ dragonspawn – he’s a half-alive half-dead cat in a box.
All I'm saying is that I think, for George, the point is the duality. The uncertainty. The multiplicity of options. Tbh, I’m not arguing that “Aerys is the father” = The Answer™️. I’m just arguing that the story is designed to set up the question.
From Tyrion’s first lines to Tywin’s last, GRRM insistently raises the notion of Tyrion not being Tywin’s son. The most recently published account of A, J, T, & T deals heavily with the contentious love triangle. I’m not saying you have to like it. I’m just saying you can’t pretend it’s not there.