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Non-medicalization of medical science:Rationalization for future

World Journal of Methodology 2022年第5期12卷 402-413页

作者： Madhukar Mittal Parth Jethwani Dukhabandhu Naik MK Garg Department of Endocrinology and Metabolism All India Institute of Medical Sciences JodhpurJodhpur 342005India Department of Endocrinology and Metabolism Jawaharlal Institute of Postgraduate Medical Education and ResearchPuducherry 605006India

As we delve into the intricacies of human disease,millions of people continue to be diagnosed as having what are labelled as pre-conditions or sub-clinical entities and may receive treatments designed to prevent further progression to clinical disease,but with debatable impact and *** is no different,with almost every organ system and associated diseases having subclinical *** the expansion of these“grey”pre-conditions and their treatments come with a better understanding of pathophysiologic processes,they also entail financial costs and drug adverse-effects,and lack true prevention,thus refuting the very foundation of Medicine laid by Hippocrates“Primum non nocere”(Latin),i.e.,do no *** hypothyroidism,prediabetes,osteopenia,and minimal autonomous cortisol excess are some of the endocrine preclinical conditions which do not require active pharmacological management in the vast *** fact,progression to clinical disease is seen in only a small minority with reversal to normality in *** drugs also does not lead to true prevention by changing the course of future *** goal of the medical fraternity thus as a whole should be to bring this large chunk of humanity out of the hospitals towards leading a healthy lifestyle and away from the label of a medical disease condition.

关键词： Prediabetes Subclinical hypothyroidism Osteopenia mild autonomous cortisol secretion Pre-clinical Medicalization

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