I agree that preventive medicine is not integrative medicine. However, integrative medicine has deceptively tried to claim preventive medicine as somehow being uniquely its own, which is not the case at all. 1/ https://twitter.com/agargmd/status/1057359994461544448 …
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Is the initial recommendation by the ADA to treat type II diabetes metformin or insulin? No, it's diet and exercise. There are many other examples in other specialties, including newly diagnosed hypertension and a number of other conditions. 3/
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Of course, there are conditions where the first intervention shouldn't be lifestyle, but pharmacological: Type I diabetes, severe bacterial infections, etc. The trick is knowing the appropriate science-based management for each condition. 4/
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That's where the whole "sick care" versus "health care" catchphrase/trope is a false dichotomy. Medicine isn't one or the other. It's both. Trying to force it into a nicer sounding label like "healthcare versus sick care" is marketing, not medicine. 5/5
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Again, I concur.
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