The confident answers on prescriber and the well-sourced answers are not the same answers, which is the most useful thing I have learned reading this category.
Second pass at: When your prescriber and the evidence disagree posts 31–56
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.
Post #30 is right about the mechanism and I think understates the practical bit.
Prescription logistics: confirm whether it will be filled locally, requires mail order, or will be prescribed off-label and needs a compounding pharmacy. Different paths have different implications.
Where you disagree, saying so plainly and asking for the reasoning is better than agreeing and not following the plan.
A question phrased as "what would you want to see before considering X" is answerable and is not a request for X.
Two things can be true about prescriber at once: the mechanism is plausible and the evidence for the size of the effect is thin. Most of the argument here is people defending the first against attacks on the second.
Post #34 answers the question as asked. The question underneath it is different.
Adding the boring version of prescriber, because the interesting version keeps getting posted and the boring one is usually right.
Check the ordinary explanations, in order, and stop when one of them accounts for what you are seeing. Most of the time the second one does.
I read post #36 twice before replying, because I had assumed the opposite.
Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.
Collapsed as off-topic by two members at trust level 3 or above
Coming back to post #37, because the follow-up matters more than the original answer.
A pharmacist can answer a great many of the questions people save for a prescriber, faster and often better, particularly about interactions and formulations.
The interesting part of this is the exception, and I do not understand the exception.
Agreed on all of that, and I have nothing to add to it.
Checked the prescriber claim against the primary source this morning. It survives, with a narrower scope than the version quoted here. Posting the narrower scope.
I read post #43 twice before replying, because I had assumed the opposite.
Prescriber came up in a thread eighteen months ago and was answered well. I cannot find it, which is itself the problem, so here is the reconstruction.
Post #45 answers the question as asked. The question underneath it is different.
A question phrased as "what would you want to see before considering X" is answerable and is not a request for X.
If that reads as pedantic, it is, and it has saved me twice.
If you have been doing something the prescriber does not know about, saying so is more useful than not. Clinicians here consistently say they would rather know.
A modest claim, modestly supported.
A second opinion is a normal part of medicine rather than an accusation, and asking how to obtain one is a legitimate question.
Written from notes rather than memory, which is why the numbers are specific.
Collapsed as off-topic by two members at trust level 3 or above
My position on prescriber is current rather than settled. I have revised it once already and I expect to again, so treat it accordingly.
Bringing a record of symptoms with dates and severities makes an assessment materially easier and is the single most useful preparation.
Where I part company with post #51, and it is a narrow parting.
The most useful thing anyone has posted about prescriber in this category was a table of what had been measured and by whom. That is what I would want again.
Prescription logistics: confirm whether it will be filled locally, requires mail order, or will be prescribed off-label and needs a compounding pharmacy. Different paths have different implications.
Old habit: I write down the expected answer before I calculate it.
Confirming post #52 from a second method, which matters more than confirming it from a second person.
Adding a null result on prescriber. I looked, carefully, and found nothing, and null results deserve posting precisely because they never are.
I had written a reply contradicting post #54 and deleted it. Here is what survived.
How to ask for what you need: rather than "should I take this", frame it as "I understand the evidence for this shows X benefit in people with my condition; would it be suitable for my specific situation?" That invites clinical reasoning rather than yes/no.
Adding this to the thread rather than to the wiki, because I am not confident enough for the wiki.
This topic was referenced in
- When your prescriber and the evidence disagreeClinical › Prescriber conversations · 18 replies
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