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alexandra_k said:

> I suppose neither you nor I work in primary care and see the efficacy of these meds in a lot of patients - do we?

i'm not sure how that relates either. clinical observations are unable to seperate the effect of the medication from the effect of placebo. that is the whole point in having double blind randomised controlled trials...

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I am simply pointing out how easy it is to come from an academic ivory tower perspective here