Intended for healthcare professionals

Endgames Case Review

A patient request for some “deprescribing”

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h4023 (Published 03 August 2015) Cite this as: BMJ 2015;351:h4023

Re: A patient request for some “deprescribing”

As an obesity medicine physician who uses low carb high fats diets in all of my patients I cheer the publication of this article. Nowhere in medical school or after is the concept of taking someone OFF medications discussed. Why should we? Patients are supposed to just get sicker, right? This attitude is not only pervasive but more important WRONG. They get sicker only when they are taught to eat a diet that makes them sicker. Unfortunately, this is the low fat diet pushed by all so called "patient advocacy groups" such as the American Diabetes Association. When taught to eat a whole foods low carb high fat diet patients do get better and "deprescribing" is a daily occurrence in our clinic. We need to stop using medicine to treat food! Doing this requires teaching the patients why and not just telling them what to do. The idea that patients don't want to or are not capable of change is not true if you teach them to do something where they can actually see change.

Competing interests: No competing interests

01 September 2015
Sarah J Hallberg
Physician
IU Health
1500 Salem Street Lafayette, Indiana 47904