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Returns the EMA-reference ladder for the medication's drug, the
user's matched current step (snapped within ±10 % of their latest
dose), elapsed whole-weeks on that step, the immediate-next step,
and the observational escalation-due flag.
GET /api/medications/[id]/titration
-> { drugId, drugInn, ladder, currentStep, currentStepIndex,
weeksOnCurrentStep, nextStep, escalationDue, sourceEMA }
Defence-in-depth gating:
- requireAuth() + medication ownership check (404 on mismatch);
- 404 when treatmentClass !== 'GLP1' (the UI already gates here);
- 404 when the medication name doesn't map to a catalog brand.
Reads the user's latest dose from the MedicationDoseChange stream
(history of record); falls back to parsing the legacy free-text
medication.dose only when the stream is empty.
Pure-read; no writes; annotate() instrumentation only. Same shape
as the W19e cadence route — math lives in the pure helpers, prisma
lives in the route.
8 cases pass covering 401, 404 paths (non-owner, non-GLP-1,
unknown brand), the happy path on a 5 mg Mounjaro user, the
non-standard-dose null path, the ladder-ceiling no-next-step path,
and the escalationDue=true boundary past EMA dwell-time.