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Patient: "What are the side effects of the statin?" Doctor: "Some people get muscle aches. Usually mild." Patient: "And if I get them?" Doctor: "We'd add naproxen for the pain." Patient: "Does naproxen have side effects?" Doctor: "It can irritate the stomach. Reflux, sometimes an ulcer. So we'd add omeprazole to protect it." Patient: "And omeprazole?" Doctor: "Long term it lowers your magnesium. Your B12 as well. We'd top those up." Patient: "With more tablets." Doctor: "Magnesium, and B12 if the bloods come back low." Patient: "And the magnesium does what?" Doctor: "Loosens the bowels. Loperamide settles that." Patient: "That's six tablets. I walked in with no symptoms." Doctor: "Could be seven. The statin can raise your blood sugar. We'd watch it, maybe start metformin." Patient: "And metformin?" Doctor: "Upsets the stomach. Lowers your B12." Patient: "We already did B12." Doctor: "Round we go." Patient: "Is a single one of these treating something I actually feel?" Doctor: "No. But your numbers will look excellent."

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