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> If a doctor said "take this medicine because you have condition X" and the patient doesn't do it, is it the doctor's fault?

Think about it from the doctor's perspective.

The doctor prescribes medicine X as a first line intervention and it doesn't work. The patient is unable to tolerate it.

After multiple failed attempts trying medicine X, the doctor opts to recommend that the patient consider medicine Y as a second line intervention, which has a much higher success rate but significant additional risks.

Makes sense, right? Doctor wants to help the patient.

Now swap "medicine X" for "dietary counseling" and "medicine Y" for say "bariatric surgery". That's not really unreasonable.



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