Well, may I give a small and common example? I’ll use my sister:
The pills make everything easier, so she goes for it. The other options reduce pain, but never eliminate it immediately or completely.
The use of hormones (birth control pills) causes her body to STOP producing hormones - if there is too much hormone available (thanks to the pill), why produce more?
By NOT producing hormones, her body consumes fat, transforms it in cholesterol… and doesn’t know what to do with it. Cholesterol is essential for hormonal production; if you don’t need hormones, cholesterol simply stays on the bloodstream, raising its blood levels, causing all sorts of metabolic syndromes. Eventually, fatigue, pains, headaches, will make one look for the doctor again. And now:
My sister, at first, took all treatment options, except stopping with the pill. As soon as the medication kicked it, she did without the diet and exercise. If the cholesterol levels lowered and the migraine stopped, why bother? Now, she decided it’s all good and well to take a bucket load of medication (for her age).
In the end, her body will stop working properly.
Cholesterol medicines will prevent her body from transforming fat/carbs into cholesterol, lowering its blood levels. That alone will put a burden on her liver, as it stops the liver from doing one of its jobs. It will also increase the chance of diabetes (too much carb available), mental confusion, memory loss, muscle inflammation, more fatigue, nausea…
So, in the end, we will have:
Right now, her migraine remains, but the doctor wants at least 3 months use for the migraine medication to “take effect”.
And it all might be cured by simply removing one innocent birth control pill. She doesn’t even have to stop using the pill, but could at least change the medication (other hormones). But since the pill is good for her acne problems and painful periods, she wants to keep it.
See how it goes? May sound absurd, but it is far too common, specially in older patients. One of mine (elderly, cancer, **non-**palliative care) was a bit bothersome (kept calling for his wife). She asked for something to calm him; doctor prescribed benzodiazepines - caused mental confusion on the patient. Doctor diagnosed him with “end of life symptoms”, saying to keep him comfortable and remove all other treatment - meaning: remove cancer treatment, but keep with the pain medication (including the benzodiazepines)