What are Healthy Survivors to do if they want to go against their physicians' medical advice and take dietary supplements?
On one hand, telling the truth may affect the doctor-patient relationship adversely. Your physician may feel undervalued; you may feel embarrassed, self-conscious, doubting or other uncomfortable emotion.
On the other hand, keeping a secret means your physician does not have a piece of information that might be important in your care, making it impossible for your physicians to take optimal care of you. Secrets jeopardize the mutual trust that forms the basis of healing clinician-patient bonds.
For me, trust and full-disclosure trump any other concerns in the doctor-patient relationship.
One suggested approach is to (1) emphasize your honesty, (2) frame it as a short-term decision and (3) inquire how to make the situation work for now.
"I understand what you are saying about the risk to me of taking supplements. I'll always be honest with you about what I'm doing between office visits. For now, at least, I want to take these supplements. We can revisit this issue in the coming months as we see how I do on them. In the meantime, tell me if there is something I can do to help you care for me while I am taking these supplements."