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A: "Last time I spoke to you it didn't sound too promising. Please tell me you're doing better."

B: "I am. The chemotherapy is working, so I'm very relieved right now."

Is it necessary to include I spoke to you or can I leave it out?

Also, is too promising natural here?

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anonymousIs it necessary to include I spoke to you or can I leave it out?

That's the question A is asking about B. A leaves out I spoke to you if A thinks B will understand without A's having to say it. A includes it if A thinks B won't understand without it.

If you, the writer, are asking this of us, the readers, then it is certainly better for us if you include I spoke to you because then we understand you're talking about a previous conversation rather than, for example, a previous attempt to do something.

anonymousAlso, is too promising natural here?

Yes. Or very promising. Either one.

CJ