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One walk through GET, PUT and DELETE /api/medications/{id}: the read with stock, composition and courses, every edit branch the handler tells apart (schedule replace and echo, the grace bridge, pause and resume, the category rules, the record-only rule and both tracking transitions, the as-needed and one-shot refusals, the course refusals, a composition change), the refusals, and delegated access at each level. The parity step can now wait for a write the route does not await and read state outside the medication tables.