What do you tell your doctors about "self-prescribed" meds?

[verylargeshoes]

I'm curious, for those folks on self-prescibed BP, HR, statins, etc. - do you disclose all that to your doctors? For our American brethren -- what about things like cilnidipine, which aren't even available for prescription use in the US? It sounds like great stuff (@Ghoul shared a lot of information about it) but a US doctor isn't going to know anything about it, or be extremely confused about why I'd be on it.

Or things like Aromasin/Exemestane and Raloxifene. The docs are going to wonder why I'm being treated for estrogen-positive breast cancer.

 

[HeatherSwanson]

I'm curious, for those folks on self-prescibed BP, HR, statins, etc. - do you disclose all that to your doctors? For our American brethren -- what about things like cilnidipine, which aren't even available for prescription use in the US? It sounds like great stuff (@Ghoul shared a lot of information about it) but a US doctor isn't going to know anything about it, or be extremely confused about why I'd be on it.

Or things like Aromasin/Exemestane and Raloxifene. The docs are going to wonder why I'm being treated for estrogen-positive breast cancer.

Get a young non-retard tuned in healthy medical professional thats aware of the underground market and brosciences. There's sports clinics online that cater to the market we create.

In the city I was in a decade ago there was a sports therapist clinician that was well read and did blood work for the pro card guys in the area.

Youd have to so some digging but they exist, and at a premium.

I brow beat my GP into submission telling him he's not practicing harm reduction by not giving me blood work requisitions and now doesn't ask questions and just forwards it by email. These are the same people that believe the food pyramid is healthy and there's nothing wrong with shooting new borns up with 80+ vaccines ... They're indoctrinated retards for the most part.

 

[verylargeshoes]

Get a young non-retard tuned in healthy medical professional thats aware of the underground market and brosciences. There's sports clinics online that cater to the market we create.

I've been trying to interview a few of the concierge doctors in the area. I like the idea of having a doc who'll answer my calls himself, and I figure for what they charge, I can demand some open-mindedness.

 

[BigDadd7]

I tell them, "Mind your own business. You need to do better!"

 

[verylargeshoes]

I tell them, "Mind your own business. You need to do better!"

I kinda want my docs to know what I'm taking so they don't prescribe something that'll interact with my extracurricular meds and cause my liver to implode.

 

[bananafeet]

I got everything prescribed initially from a TRT clinic. The ridiculous prices made me search for other sources.

I just tell my Dr I'm on TRT. Currently seem to be able to handle higher levels of estrogen so it's just testosterone at the moment.

The blood pressure meds I got initially prescribed from my TRT doc then got my GP to prescribe them.

To be honest besides saying I look different or better the conversation never developed further than that. I don't think most GPs give a damn.

 

[BigDadd7]

I kinda want my docs to know what I'm taking so they don't prescribe something that'll interact with my extracurricular meds and cause my liver to implode.

I understand. I'm just not comfortable sharing that with my gynecologist.

 

[bananafeet]

I kinda want my docs to know what I'm taking so they don't prescribe something that'll interact with my extracurricular meds and cause my liver to implode.

You can use most of the tools doctors use by searching online. There are calculators to use for diagnosing blood work, drug interaction checkers etc.

It's always a good idea to check because GPs don't care or don't know themselves. Or they just don't have the time.

 

[verylargeshoes]

You can use most of the tools doctors use by searching online. There are calculators to use for diagnosing blood work, drug interaction checkers etc.

For sure. I put all my meds into Apple Health, and it seems to have a pretty decent interactions checker. I'll have to look at the blood work calculators. Mostly I just throw it into Claude.ai, which does a good job on 90% of it, and then there's the 10% it just pulls out of its ass and gets dead wrong. Yesterday it told me that any kidney damage I got from something would likely heal, but the liver impact would be permanent. Umm...no.

 

[HeatherSwanson]

I'm curious, for those folks on self-prescibed BP, HR, statins, etc. - do you disclose all that to your doctors? For our American brethren -- what about things like cilnidipine, which aren't even available for prescription use in the US? It sounds like great stuff (@Ghoul shared a lot of information about it) but a US doctor isn't going to know anything about it, or be extremely confused about why I'd be on it.

Or things like Aromasin/Exemestane and Raloxifene. The docs are going to wonder why I'm being treated for estrogen-positive breast cancer.

Post blood work and ask Ghoul

LOLLLLL

 

[verylargeshoes]

I understand. I'm just not comfortable sharing that with my gynecologist.

That may be just one of the secrets you're keeping from your gynecologist. And I don't think they're very good at their job. "Yeah, I'm an outie"

 

[BP_6]

I tell them pretty much the whole truth. I want them to know what is going on so they can offer me the best treatment options and aren't confused if soemthing seems off. May get some strange looks, odd questions at times. However if you are polite and do it correctly and actually show them you have some basic knowledge and what is going on, they at least in my experience will do there best to help you even if they don't agree with it.

 

[BamaCrazy]

I'm curious, for those folks on self-prescibed BP, HR, statins, etc. - do you disclose all that to your doctors? For our American brethren -- what about things like cilnidipine, which aren't even available for prescription use in the US? It sounds like great stuff (@Ghoul shared a lot of information about it) but a US doctor isn't going to know anything about it, or be extremely confused about why I'd be on it.

Or things like Aromasin/Exemestane and Raloxifene. The docs are going to wonder why I'm being treated for estrogen-positive breast cancer.

I’m already prescribed Telmisartan and Rosuvastatin. He doesn’t need to know about the other BP and cholesterol meds. He either thinks I’m eating well and taking care of myself, or those meds are really working well. Jardiance and Cialis are the only other meds I take that he is unaware of and I make sure I know about any drug interactions that I might get if he prescribes me some other drug.

 

[Civdiv]

I had a talk with mine first and said I'm taking some "supplements" that I don't want on my record. Said I'd like them involved so they don't prescribe something that could interact with any of them but don't want to put either of us in a bad spot. I asked if they were comfortable discussing this off the record, then explained how I was mitigating risk and monitoring my labs for my safety. They have been totally supportive and even offered prescriptions to back up some of what I was taking. Until they couldn't find Proviron in their computer.

 

[Ghoul]

General practitioners? Need to know only.

Unintended consequences can flow from too much honesty.

Revealing yourself as a pharmaceutical "abuser", that's what you are in the eyes of the medical establishment if using prescription meds without a prescription, only clouds the picture, worsens your care, and strains the relationship with your doctor. Despite promises not to document things. don't count on it. Their legal liabilty > your privacy.

Obviously common sense applies. If you've fucked yourself up somehow and need help, reveal everything, but my doctor doesn't need to know about Cilnidipine or Exemestane use. or GH, or anything else unless there's some problem that may be related to those that I can't resolve myself.

I have a very good relationship with my current doctor. I had a good one with my last doctor as well, ruined after revealing peptide use. Telling him I used heroin would've been more acceptable than UGL peptides. Every problem after that candor is viewed through the lens of "that stuff you're using" may be the issue,

My doc knows I'm well informed, we work together, but she's a means to an end. When I decide I want to use a particular med to treat a condition, or get a diagnostic,I make my argument for it and she either agrees or tells me why a different approach is better in her opinion.

When I decided I wanted Repatha, I knew what the clinical and insurance requirements were. I pretended to go through a couple of statins she prescribed (she wouldn't write Pitavastatin imo because of lack of familiarity), complained about the "right" side effects, and manipulated lipid tests with coconut milk to make sure I qualified.

Since I wanted to use the most up to date <55 LDL-C target for best outcomes, but her guidelines told her to treat to <70 LDL-C, once again I made sure LDL was above 70 so she'd write a Pitavastatin prescription to accompany the Repatha.

The only thing she knows I'm "illegitimately" using is a prescription CGM. I told her I got a script through telehealth. She thinks they're awesome and now I know she'll write me script if I need one.

In any case, it's been well documented, including via interviews with docs, "noisy" patients who are very involved and informed with their own care get more attention and better care than passive patients.

 

[Civdiv]

General practitioners? Need to know only.

Unintended consequences can flow from too much honesty.

Revealing yourself as a pharmaceutical "abuser", that's what you are in the eyes of the medical establishment if using prescription meds without a prescription, only clouds the picture, worsens your care, and strains the relationship with your doctor. Despite promises not to document things. don't count on it. Their legal liabilty > your privacy.

Obviously common sense applies. If you've fucked yourself up somehow and need help, reveal everything, but my doctor doesn't need to know about Cilnidipine or Exemestane use. or GH, or anything else unless there's some problem that may be related to those that I can't resolve myself.

I have a very good relationship with my current doctor. I had a good one with my last doctor as well, ruined after revealing peptide use. Telling him I used heroin would've been more acceptable than UGL peptides. Every problem after that candor is viewed through the lens of "that stuff you're using" may be the issue,

My doc knows I'm well informed, we work together, but she's a means to an end. When I decide I want to use a particular med to treat a condition, or get a diagnostic,I make my argument for it and she either agrees or tells me why a different approach is better in her opinion.

When I decided I wanted Repatha, I knew what the clinical and insurance requirements were. I pretended to go through a couple of statins she prescribed (she wouldn't write Pitavastatin imo because of lack of familiarity), complained about the "right" side effects, and manipulated lipid tests with coconut milk to make sure I qualified.

Since I wanted to use the most up to date <55 LDL-C target for best outcomes, but her guidelines told her to treat to <70 LDL-C, once again I made sure LDL was above 70 so she'd write a Pitavastatin prescription to accompany the Repatha.

The only thing she knows I'm "illegitimately" using is a prescription CGM. I told her I got a script through telehealth. She thinks they're awesome and now I know she'll write me script if I need one.

In any case, it's been well documented, including via interviews with docs, "noisy" patients who are very involved and informed with their own care get more attention and better care than passive patients.

This is a good point. We're actually friends with our Doc. Family member worked with them. In general I'm told that docs either worry about losing their license or getting sued. Might turn you in just to protect themselves

 

[BigDadd7]

Post blood work and ask Ghoul

LOLLLLL

Might as well. My doctor doesn't know shit about interpreting bloodwork on cycle. He just points out anything marked high or low and then googles right in front of me for a reason my cycle could cause that.

 

[TurboJet]

I don't tell them anything but I don't take any prescriptions at this point in time.

Used to have high BP but not anymore.

 

[Ghoul]

This is a good point. We're actually friends with our Doc. Family member worked with them. In general I'm told that docs either worry about losing their license or getting sued. Might turn you in just to protect themselves

It's not so much that they're trying to get you in trouble, it's just that they don't want to get sued or lose their license.

Failure to keep complete records of anything relevant to health that's revealed to them, including drug use or even personal relationship issues would be considered a departure from the standard of care and could get them in trouble. Your info is still protected by privacy laws, but medical providers (and insurance companies) could see it.

AMA Code of Medical Ethics Opinion 1.1.1 – “Patient-Physician Relationships”

“The relationship between a patient and a physician is based on trust and gives rise to physicians’ ethical responsibility to place patients’ welfare above the physician’s own self-interest… Physicians must also maintain accurate and complete medical records.”

Patient-Physician Relationships | AMA-Code

At the heart of medicine lie relationships founded in a “covenant of trust” between patient and physician in which physicians commit themselves to responding to the needs and promoting the welfare of patients.

code-medical-ethics.ama-assn.org

 

[Ghoul]

Study showing "assertive", "self-compassionate" (lol) patients get better care.