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doi: 10.1056/NEJMoa1509225 62 FonsecaVAAlvarado-RuizRRaccahDBokaGMiossecPGerichJEet al

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Consultation Quality Indicators Signs of Good Consultation: Provider reviewed your information thoroughly Asked about contraindications specifically Explained medication options clearly Discussed risks and benefits Answered all your questions Provided clear next steps Scheduled follow-up care Red Flags: Rushed through consultation Didnt ask about thyroid cancer history Auto-approved everyone Avoided questions Pushed specific expensive option No follow-up plan mentioned Legitimate providers take consultations seriously and make appropriate medical decisions

If Australia is to respond to image and performance enhancing drug use effectively, we need to improve our prevention and harm-reduction strategies and not merely further criminalise users