Direct and straight forward: The risk of a “coach” prescribing supplements and diets.

Por: Dra. María del Mar Arango | Fecha de publicación: 2018-05-16 | Healthy tips for adults, Othello

Last week a patient (Called Cintia, for the case) visited a new “coach”.

During the visit, the character recommended her to consume an “X” supplement, in order to improve his body composition.

Should Cintia, trust or not in what the “coach” prescribed?

If we could travel in time, we would discover that this character, did not make a complete clinical history of Cintia, therefore the “professional” did not know the pathological, allergic and pharmacological antecedents (medications and supplements used by the patient).

Second, we would discover that the “professional” did not perform a graduate degree in medicine or nutrition, therefore he did’nt know that the medication, Cintia was taking (Warfarin: an oral anticoagulant), is inhibited, with the supplement he recommended; having the potential to cause arterial thrombosis and subsequent death to Cintia.

Yes, maybe, this character who calls himself “coach”, prescribed a supplement with the best intentions; but what he forgot, is that Cintia is a human being, and as such she should be treated by a specialist, for her.

Thanks to his general internist doctor, Cintia did not consume this supplement, and therefore, no tragedy occurred.

But what would have happened if, for example… Cintia, had a history of an eating disorder (specifically, bulimia); in this case, the indication of this supplement could have caused metabolic alkalosis and lead to death in her. Without counting that, recommending a supplement to lose weight, to a person with this condition, would delay psychotherapeutic treatment, and reinforce in the patient bodily distortion.

Or if for example … Cynthia, suffers from hyperthyroidism, this supplement could have caused a thyrotoxicosis, which, not only would have damaged all her treatment, it could also have made her metabolism worse forever, causing her to gain weight due to secondary hypothyroidism.

That’s why Cintia, you and your health specialist and you should be very clear that:

One: The pharmacological options for the treatment of obesity are limited and have important adverse effects, therefore nutritional interventions and changes in lifestyle remain the mainstay for the treatment of obesity.

Two: Human beings are complex, and should always be treated ethically.

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