I think it's also about what feeds what. We are presented with seemingly silver bullets - take this medication. Changes in diet and exercise require that I take on a level of responsibility. I can imagine not having the faith that a patient would be willing to make changes. I haven't made many changes to my diet. But I did make some major changes to my work out routine in both quantity and intensity. Part of listening would be to have that conversation with the patient. The silver bullet suggests to me that neither party is truly responsible for my health. Medication feels to me to be subscribed without much of a conversation. Thanks for your warm wishes.