Your Checkup: Patient Education Health Podcast

118: When Should You Consider an Antidepressant?

Ed Delesky, MD and Nicole Aruffo, RN Season 3 Episode 12

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0:00 | 28:06

The hardest part about antidepressants is often not the pill, it is the question you ask yourself before you ever bring it up: “Is this serious enough?” We think that question keeps too many people stuck. We are Ed Delesky (family medicine doctor) and Nicole Aruffo (nurse), and we walk through a clearer test: is depression or anxiety affecting your ability to live your life the way you want to live it?

We unpack the stigma that makes mental health feel different from every other medical problem, even though it lives in the brain like anything else. We use simple, patient-friendly analogies to explain how antidepressants work: a dimmer switch turned back up, or glasses that help you see more clearly. We also cover the practical signals we look for in primary care when deciding whether it is time to consider medication for depression or anxiety: symptoms lasting weeks to months, daily function taking a hit, sleep and motivation sliding, and foundational steps like therapy, movement, and sleep support not being enough on their own.

We also demystify what starting an SSRI or SNRI can feel like, including why these medications usually take six to eight weeks to show real benefits and why a subtle improvement can still be life-changing. If you worry about dependence, personality changes, or taking something forever, we address those fears directly and talk about how many people use antidepressants for a season, not a lifetime. If this conversation helps, subscribe, share it with a friend, and leave a review so more people can find care that actually works.

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Production and Content: Edward Delesky, MD, DABOM & Nicole Aruffo, RN

Artwork Rebrand and Avatars:

Vantage Design Works (Vanessa Jones) 

Website: https://www.vantagedesignworks.com/

Instagram: https://www.instagram.com/vantagedesignworks?igsh=aHRuOW93dmxuOG9m&utm_source=qr


Original Artwork Concept: Olivia Pawlowski

Welcome To Your Checkup

SPEAKER_04

Hi, welcome to your checkup. We are the patient education podcast where we bring conversations from the doctor's office to your ears. On this podcast, we try to bring medicine closer to its patients. I'm Ed Delesky, a family medicine doctor in the Philadelphia area.

SPEAKER_02

And I'm Nicole Ruffo, I'm a nurse.

SPEAKER_04

And we are so excited you were able to join us here again today. So what are we going to talk about today, Nick?

When To Consider Antidepressants

SPEAKER_02

Today we're talking about antidepressants and when you should start taking them.

SPEAKER_04

Yes, you know, today I don't want to get anyone too excited. We're not going to be talking about ins and outs of specific medicines. Um, we are talking more conceptual about like, when is it time to think about asking for some help? Because there are some so many people who struggle with mental health, and there's still generations of stigma associated with these conditions. And the simple adage that I've been trying to use earlier is that if or in in more visits, is if someone was sick and someone was having seizures and someone already got that from me. I did get that from you. If someone was sick and someone was having seizures, would would you take anti-seizure medication?

SPEAKER_02

Yes.

SPEAKER_04

If someone was experiencing depression or anxiety that was impacting function and rose to the level of taking medication, why wouldn't someone take medication for it? Because there's stigma.

SPEAKER_02

I would. Yeah, that's one that really stuck, huh?

SPEAKER_04

It stuck. What? You said that?

SPEAKER_02

No, that like whole stigma and oh my gosh.

SPEAKER_04

Yeah, it's like the worst.

SPEAKER_02

Yeah.

SPEAKER_04

And it like it it bleeds into visits so much to the point where people don't even bring it up. And it just like is tucked away. And like, that's why we have like quiet like screeners for depression that we give people that they can like fill out in the quiet of their own mind. And gosh, like when you look at someone and they're smiling and they're just like there, and then like they have an extremely high number, and I'm like, Jesus. Oh no. Oh my god. So if you've been feeling off, low energy, low mood, not quite yourself, when is it time to actually think about doing something about it? And more specifically, when is it time to consider medication? Because I'll tell you what we see all the time. People wait and wait and wait. Not because they don't want help, but because they're also not sure if what they're feeling is serious enough. I've heard that a ton. So today let's walk through that together. How to think about it, what antidepressants actually do, and their marketing of just across the board antidepressants,

Stigma And The Seizure Analogy

SPEAKER_04

and how to decide if this fits into your situation. I think the biggest mistake we make is asking, Am I depressed enough to need medication? It's a really hard question to answer. And I would propose that a better question is, is this affecting my ability to live my life the way I want to? Because mental health isn't all or nothing, it's a spectrum. And just like with other conditions we talk about on this show, it's not about weakness, it's not about willpower. This is about how your brain is functioning right now. So let's talk a little bit about what's actually happening. Your brain uses chemical signals like serotonin or dopamine to regulate your mood and energy and motivation. And when those systems are off, you may feel low, unmotivated, disconnected, and anxious. You can think of it like a dimmer switch. Maybe it's not broken, but it's just turned down. Antidepressants don't create a new personality, which is a huge one that I often hear a concern. They help turn the lights back up to where they should be. So when to start thinking about actually doing this, and we've really tried to get practical in these moments. We start thinking about using medication when it's lasting longer than expected. Not just a few bad days, but weeks up to months. Start thinking about using it when it's affecting daily function, like work,

Function Over Labels And Spectrum

SPEAKER_04

relationships, sleep, motivation, or if you've tried some things already, some foundational things, like you've tried sleep, movement, and talking to someone. And not perfectly, but it's just getting started. And if it's still not improving after these things, you could consider using medication. An analogy is if you sprain your ankle, you might rest at first, but if weeks go by and you still can't walk, you wouldn't just keep waiting, you would escalate your care. You would go see someone, you would try to get extra help. And mental health is no different. So, Nikki, can you help us explore some common reasons why people avoid medication?

unknown

Again.

SPEAKER_02

Um, so big kind of things that people say are that they don't want to rely on something which you might not have to take something forever. Right. It might just need to, you know, level you out.

SPEAKER_04

Six months.

SPEAKER_02

Um, what if it changes who you are? It probably will, and you'll probably be happier.

SPEAKER_04

What is behind door number one?

SPEAKER_02

Um, and then they should just be able to handle it themselves. Which, like this is handling it. You know what I mean? Yes. Oh, I think taking something like this is handling it. Yes. Because you're you just might need help. And like we uh I know people say, like, oh, I wish there was like a magic pill for XYZ. We live in a time where there are magic pills for things. Yes, there is a magic pill for weight loss. There are magic pills to help you feel less depressed.

SPEAKER_03

Yep.

SPEAKER_02

They're great tools. We're not living in the 1800s. We have these like really great medications that can really improve someone's life.

SPEAKER_03

Yeah.

SPEAKER_02

You know? Um yeah. Is that all I had to say about that? I think so.

SPEAKER_04

That's all we had planned for you to say about it. You want to say anything else?

SPEAKER_02

Um, I don't think so.

SPEAKER_04

Okay. So we can explore what anti- Well, I think please.

SPEAKER_02

I don't know, this is down

Clear Signs It Is Time

SPEAKER_02

here.

SPEAKER_04

This might be the time to do it.

SPEAKER_02

I think going to the doctor and for anything and being prescribed a medication is one, very helpful. But then two, I can understand why someone would be like, Oh, I have to take this for the rest of my life now. And that can be like maybe a little bit daunting.

SPEAKER_01

Yeah.

SPEAKER_02

Or, you know, especially if it is something, not that depression isn't serious, but you like going back to the seizure thing, like if you were diagnosed with whatever seizure disorder you have to take this medicine, that can be kind of a scary thing, like, oh, I have to take this so that nothing bad happens if I have a seizure kind of a thing. But you don't necessarily need to take an antidepressant for a very long time or forever.

SPEAKER_04

Yeah, like I've definitely seen people like what if their situation changes.

SPEAKER_02

If it's like a situ, yeah, like a situation or like postpartum depression.

SPEAKER_04

Yep. Great example.

SPEAKER_02

They should just hand you a script on your way home from the hospital. Honestly, they should. Like, honestly, how can you not? The hormonal fluctuation that like, how can you not be?

SPEAKER_01

I don't know.

SPEAKER_02

And not because you like don't love your baby. It's just like your body's like going crazy. Just take a little pill for a couple months and like it'll be all right, you know?

SPEAKER_04

Yeah, at some point we should like be, we should we should talk about that in a a very sincere, thorough way. Because like, my God, like it's what also a great example of.

SPEAKER_02

Honestly, everyone should just get like a script in their third trimester to have it on standby for when they get home from the hospital.

SPEAKER_04

They and they there are some new developments, like there are new medications out there that are like work a little bit faster. Um, something we'll talk about is that these don't these aren't necessarily very quick. Um yeah, it's a generational thing, it's how people were raised, it's where people live, it's the people's experience with the world. Here's a couple things. Um, no one has to know about your health. No one has the right.

SPEAKER_02

Yeah.

Fears About Medication And Identity

SPEAKER_02

Yeah.

SPEAKER_04

If it's a stigma issue and you're worried about what other people think, because I like every day I see people struggle and well-intentioned people who try to do what they like need to do for themselves to make the situation better. Like they're being an advocate for themselves, they're not playing the role of victim and just like tossing their hands up in the air, like they're doing the best they can and are still reluctant to go through this way. But there's a couple elements, like if you don't like it, you can stop. It's not surgery. That's like the coolest part about this.

SPEAKER_02

And it's also not the acutely like a life or death, like it's not like you're suddenly stopping your seizure medicine and now your like brain's gonna fry and you're gonna have a lot of seizures. Right, you know, yeah.

SPEAKER_04

This like it's important, but the many times, many times we're not there are of course there are like different medicines and like things to try, you know. Right. So, like if something doesn't work for you, don't give up on the whole thing. You just be dynamic and you switch to the next one. Oh, this is such an important what were you gonna say?

SPEAKER_01

Nothing.

SPEAKER_04

Oh, okay. So we can now demystify what antidepressants actually do. They don't work instantly. Usually you take them. They don't work instantly. They tend to gradually improve mood and maybe energy, but they're not a quick fix and they definitely are not a personality change. They're more like putting on glasses. Like if your vision is blurry, the glasses

Privacy Plus You Can Stop

SPEAKER_04

don't change who you are, but they just help you see more clearly. Realistically, what to expect. Uh, most people don't feel suddenly amazing. They take weeks to start working. We basically, I toss the first month out the window and don't expect anyone to feel anything because they start working by six to eight weeks. But people may notice that things just feel a little bit easier, like getting out of bed, completing tasks, feeling less overwhelmed. And it might be subtle, but it also is meaningful. And like we've talked about before, the progress in medicine is often gradual, not dramatic. I've when I sit with someone, I don't say you need medication. We say, like, let's figure out what makes sense for you. How long has have these things been going on? How how are how is your depression affecting your life or your anxiety, what they've tried, what their concerns are. And then together you would decide with whoever you're working with, like, is medication one piece of the plan? Sometimes people feel like they feel like the like a numbness or like a smoothing out of the edges when they're on something called an SSRI. There are also SNRIs, which are a different class of medication entirely. I think one misconception is that like all of these get tossed into the same bucket and they are they can be very specific for a person. Some have like a little bit more weight positive effect, meaning like it could gain a little bit of weight, some are more weight neutral. There's a lot that goes into it that's very personal, which is why we're not tiptoeing on like naming things and like different names of

What To Expect In 6 Weeks

SPEAKER_04

medications, because I don't know how useful that is right now. But the concept is that like help is out there. You don't know what's behind door number one. You don't know if you took that leap of faith and you tried and you're feeling a certain way, and if there was a solution potentially in front of you, how exciting could that be that you could get to that other side and see like things are better?

SPEAKER_01

Yeah.

SPEAKER_02

I don't know. It's just like not that deep, you know? Like it's important, and depression is important, but taking a medication for it is not that like it's you're just taking a medicine to help you, and you're probably going to feel better.

SPEAKER_04

Yeah. You know? Sometimes I like to say it's like a vet a vitamin for the mind.

SPEAKER_02

Yeah.

SPEAKER_04

Because I think like uh what I've been trying, like, people don't like taking medications. I've recognized that. I've learned that a lot in this last year. And um I'd say that sometimes like I want this to be as invisible as the problem is. And if the act of taking a medicine or like a vitamin every day to try to make this situation better or reduce invisible risk for another problem, high blood pressure diabetes leading to stroke and whatever, that like it's supposed to be like invisible, like me taking my little iron pill every other night.

SPEAKER_01

Yeah.

SPEAKER_04

So that's that. We hope this episode's episode gets to someone who is maybe on the fence or felt like a negative way about their potential experience using medication.

SPEAKER_02

Yeah. I think some things are only as big of a deal as you make it. And which might be hard, however. Taking a pill every day is not hard.

SPEAKER_03

You can always stop.

SPEAKER_02

You can always just stop taking it.

SPEAKER_03

Yeah.

SPEAKER_02

Give it a good try.

Building A Personal Medication Plan

SPEAKER_03

That's the thing.

SPEAKER_04

Great.

Love Island Consent Talk

SPEAKER_04

And now for the banter. So, like, truth be told, oops, truth be told, um, because I'm traveling when this is coming out, or I'm like just getting back from traveling when this airs, assuming nothing crazy happens in this.

SPEAKER_02

How is your trip to Portland?

SPEAKER_04

We're gonna talk about actually it's gonna be a delayed by a week. Um, but we're gonna see how that goes. But we are recording like two episodes on one day, just to be completely transparent, because why not?

SPEAKER_01

I don't think anyone cares.

SPEAKER_04

No one cares. Um, so what we did leave out is that after a slow start, inching forward, what are you gonna say? We were not into the season of Love Island initially.

SPEAKER_02

Oh, we weren't. Oh my god, but these people are total freaks, and now we're on board. Can I get a kiss? Can I get a kiss?

SPEAKER_04

Yeah, I you know, consent is king, it's great, but um now like now the men have figured out a way to weaponize it. Um like, oh, I asked her for a kiss and she said no. And now they're like running around the villa and they're like, oh my god, he asked two girls to if he could kiss them, which I'm like, don't you want him to ask? Like he's asking.

SPEAKER_02

Yeah.

SPEAKER_04

That's a good thing.

SPEAKER_02

What do you girls want? Well, what do we want nowadays?

SPEAKER_00

Do we want consent or do we want someone to come tongue first making out with us? I can't keep up. Thank God I'm married.

SPEAKER_04

Tongue first. They those those kisses this year, they have done something with their camera angles. They got an extra layer of zoom or something.

SPEAKER_02

And like the microphones are like more sensitive now, and you can like hear the sounds. And these people, I have never in my life kissed someone so tongue-forward than these people.

SPEAKER_04

These people. Oh my goodness.

SPEAKER_02

Like these people are like one step away from making an adult film.

SPEAKER_00

They are, they they are because people don't kiss like that.

SPEAKER_04

No, they don't. That is not how people kiss. They just the way that like they just uh yes, they do they lead tongue down like they're gonna take a big lick of a 1-900 ice ice cream cone on a hot day in Rittenhouse. On a hot day in Rittenhouse, but an emergency lick because it's all falling down the side. No shade to 1-900 ice cream, great ice cream, but awful vessels. Um, so there's a there's a woman from Philly on the show, though.

SPEAKER_02

Oh yeah, Melanie. She um, oh my god, wait. First of all, we're gonna get back to that while still talking about her. Have you seen that? Um so I guess people found, you know, everyone takes a deep dive on everyone on reality TV. And I guess uh at some point in the past, she was like a plus size model. Really? But had like lost a lot of weight because she's like a little, like, I don't know, she's like I don't know, all those girls are like skinny and like walking around in bikinis all day. But there were like Ozempic allegations online, and her family was like going online,

Philly Moments And South Street

SPEAKER_02

being like, she didn't like take any medicine, she worked really hard for like however long. So I just thought that was funny because honestly, if I was on reality TV and was getting Ozempic allegations, like no one would ever be able to tell me anything ever again because like the highest form of a compliment. So I thought that was funny, but she's from presently, I guess, lives in LA, but is from Philadelphia. And she and the guy that she were coupled up with are mind you, like we live in center city. There is amazing food right where we are and all around the city.

SPEAKER_04

Yeah, it's great.

SPEAKER_02

And in that way, she, the guy that she's coupled up with, there's some drama, and she's like, I really like him. I want to like, she's talking to the one girl and it's like, I really like him, you know. Like, I want to date him after this, and I want to go like go out on a date on South Street.

SPEAKER_04

A record scratch like scratched in our house.

SPEAKER_00

Eddie and I like look at each other and we're like, on South Street.

SPEAKER_04

I couldn't believe my ears.

SPEAKER_00

What is she going to on South Street? The smoke shop?

SPEAKER_04

I couldn't believe it. The acne. I couldn't believe she said that. I'm like of all the places to go. I know. I want to take, I want to go on a date on South Street. Come on TV. South Street. That's where Ollie eats bones. Yeah. We oh my goodness. Oh my goodness. I don't know what there is down there. We it's only a couple blocks away, and we won't go there. Yeah, we don't go so many other places.

unknown

Yeah.

SPEAKER_04

What about one of these nice Michelin Bib Gourmand places? No. That you can go get pizza. Oh my goodness, the shade. But um, no, they I still can't. I know I don't want to talk too much about the tongue, but I have to. I just can't get it out. And then sometimes I'll like come up in the house and try to kiss you and like I'll like warn you, and I'll be like, Love Island!

SPEAKER_02

And then I'll like dive into your flex my face.

SPEAKER_04

It's like a funny, a funny little thing we do here. Um, it's but for those of you who don't know, it's like a near live nightly show that the concept of it is genius. It is genius, and they took like real like regular, degular people, it seemed. Like I saw their Instagram followings before, and they're like, I mean, they have like more than us, but they're not like out of this world in terms of like some people have like 2,000.

SPEAKER_02

Yeah, well, the people last um last season, like the one girl had like a couple hundred thousand followers, and the other girl was already trying to do the influencer thing, and then they had like their friends, because you obviously don't have your phone there, so they would have a friend or someone like run your Instagram account and be posting while you were there. Like the whole shtick of it was really to get more like followers on social media, but now apparently I heard that they're not allowing anyone, like you're not allowed to post on your social media while you're there.

SPEAKER_04

It's nice, yeah. You can tell that these people are just like normal a bit too. Like they're like, I think the social experiment brings out some crazy in people, but by and large, like and this this season in particular, they are being much more upfront with each other about quote exploring connections. Have you have you noticed that? I've noticed a distinct change.

SPEAKER_02

There's been a lot of conversations about well, you know, it's still early days, still early days. They better, these people better have movie night this year because they didn't last year after Costumore. And like that's the whole it's like the best part of the summer. Movie night.

SPEAKER_04

Was that about three weeks in, four weeks in?

SPEAKER_02

No, I think it's about like halfway. When I don't know, whenever they go to Costello Moore, and then they have movie night after.

SPEAKER_04

So are we we're embarking on the second week? I think so. Yeah, I gotta see if anyone at work. Um, my new uh my new coworker is like very much into Summerhouse, so I have to see if she's into this.

SPEAKER_01

Love Island with Bea Bea left. Yeah, that was sad. She was funny.

SPEAKER_04

That's a shame. I would watch her after Sun interview.

SPEAKER_02

Oh, we can do that later.

SPEAKER_04

That was a shame though. And the cop guy. I wish like the two good people.

SPEAKER_02

I Oh yeah, did we Did we talk about him and the mayor?

SPEAKER_04

No, we didn't.

Cop Drama And Reality TV Fallout

SPEAKER_02

He oh my god, that was this whole drama. And he was the first one to leave, I think, right? Yep. So he was the first one to leave. He was a cop for I don't know, for the last however many years. Um, probably like five, because these people are all like children, which is another thing that one kid said. They were talking about what year they were born, and he said 2004. And I was like, these people weren't even alive when 9-11 happened.

SPEAKER_04

Nope. They had to read about it in books.

SPEAKER_02

They had to read about it.

SPEAKER_04

Yeah.

SPEAKER_02

Anyway, um, so the cop guy, I thought we talked about this. Maybe we didn't. I don't know. It was a cop for like five years in whatever town, and then he has a kid who lives somewhere, so moved to that state, lives there now.

SPEAKER_03

Pennsylvania.

SPEAKER_02

Yeah. Oh, is it Pennsylvania? I guess like worked there for some short amount of time and then quit his job to go on Love Island. So then the mayor of the city. I wonder where it was. We have to look. The mayor of the city basically had this whole thing about how he basically did the police force dirty and he left and we spent all this time and energy to do his training. And he's the this is why we have like we're so short staffed, and why the police force as a whole is like suffering.

SPEAKER_04

Bethlehem, Pennsylvania.

SPEAKER_02

Oh, that's not funny.

SPEAKER_04

For like Lehigh is, yeah.

SPEAKER_02

Um, yeah. So the mayor was like all mad, and then I guess his family came out and was like saying things and like blah blah blah.

SPEAKER_04

That was funny.

SPEAKER_02

All that, all that. And you were the first one to leave.

SPEAKER_04

Yeah, nice guy.

SPEAKER_02

Yeah.

SPEAKER_04

Seemingly. I don't know. I don't want to say nice guy, and then it comes out that like Yeah, who knows? I I'm careful with my endorsements. So someone clips this and they're like, oh my god, Ed Doleski said this guy

Portland Trip And Life Updates

SPEAKER_04

was nice. Um, so that'd be tricky. But we're very excited about that. Um, I don't have anything to say about Portland right now. I'm a little nervous. I'm all um you're not coming with me, and like we've been in our druthers and woeful about not being together for four days, which is like a big deal for us. Um but I'm I'm looking forward to it. I'm not looking forward to leaving you guys. Um, it'll be fun. It's for one of my dear friends, bachelor party, but I'm not gonna know a lot of people, so I'm gonna have to turn on the like I don't know, just to be on, try to get to know people, remember names.

SPEAKER_01

It'll be fine.

SPEAKER_04

It'll be fun. Yeah. I'm looking forward to that. And that's kind of all I got for you right now. Sound good?

Open House And Corgi Logistics

SPEAKER_04

Is there anything else you want to talk about? We've been having a blast here today.

SPEAKER_02

We went to an open house today.

SPEAKER_04

We did go to an open house today. We were talking to our neighbor and they were like, they're selling the house next door.

SPEAKER_02

They're like, want to buy it? Come be our neighbors? Like they're like our down the street neighbors.

SPEAKER_04

Yeah, but they're like, Do you want to be like our neighbor neighbor?

SPEAKER_02

Neighbor neighbor. So then we were just chatting with them, and the realtor who was doing the open house left. And they were chatting with our neighbors because they talked to everyone. And then we were chatting with him. He's like, Wanna come look at it? So then we went and looked at it. Was that the first one we went alone and did it?

SPEAKER_04

I feel like open houses are always like intimidating, but they're like literally like you just open the door and no, it was fun.

SPEAKER_02

I also love being nosy.

SPEAKER_04

The layout of some of these houses, I was like It's very so vertical.

SPEAKER_02

So vertical and like short. The house is too short for you.

SPEAKER_04

Yeah.

SPEAKER_02

It'd be fine for me and Ollie.

SPEAKER_04

So and then he he needs to be.

SPEAKER_02

Actually, he would not do well. Yeah. Ollie needs a first floor setup.

SPEAKER_04

He does. He's been so good for the.

SPEAKER_02

Imagine we buy a ranch for our corgi.

SPEAKER_04

I I wouldn't put it beyond us.

SPEAKER_02

Yeah, no. Honestly, I feel like it would be a nice setup because you don't have to worry about the upstairs of your house getting too hot, you know.

SPEAKER_04

I've seen some nice things. Yeah. Mike had a ranch before he moved. Do you consider a basement? Yeah, but they had a ranch and did great. Of course, they've now moved on to Digger. Digger. Bigger and better. Congratulations to them. Um, as he listens in his basement, hopefully.

SPEAKER_02

In your new basement.

SPEAKER_04

New basement. Can't wait to see it. I can only imagine. Like he had so much. Like, he settled in so quick there and decorated so well, and then he has to take it all down. But they were there for a while. Like, I can't, I kind of can't even believe it's been that long. But kudos to them. Congratulations. All right. Good. Yeah.

Where To Find Us

SPEAKER_04

So thank you for coming back to another episode of Your Checkup. Hopefully, you were able to learn something for yourself, a loved one, or a neighbor. You can find us on Threads, Instagram, you can send us an email at your checkuppod at gmail.com. But most importantly, stay healthy, my friends. Until next time, I'm Ed Delesky.

SPEAKER_02

I'm Nicole Rufo.

SPEAKER_04

Thank you and goodbye.

SPEAKER_01

Bye.

Medical Disclaimer And Sign Off

SPEAKER_04

This information may provide a brief overview of diagnosis, treatment, and medications. It's not exhaustive and is a tool to help you understand potential options about your health. It doesn't cover all details about conditions, treatments, or medications for a specific person. This is not medical advice or an attempt to substitute medical advice. You should contact a healthcare provider for personalized guidance based on your unique circumstances. We explicitly disclaim any liability relating to the information given or its use. This content doesn't endorse any treatments or medications for a specific patient. Always talk to your healthcare provider for a complete information tailored to you. In short, I'm not your doctor. I am not your nurse. And make sure you go get your own checkup with your own personal doctor.