The DU Lounge

to do so unless in collaboration/consultation with your primary care. The pain specialist, perhaps less so, but still should have fully reviewed your medical history, blood work and consulted with your primary care. This is the problem with these drugs... Physicians and ...? who knows who are prescribing them WITHOUT a full review of your medical background, history, and concomitant conditions/diseases. That, plus using questionable privately compounded formulations (sans FDA review that even generic drugs would normally receive) is asking for problems.

The person prescribing should have physically examined you and fully reviewed your medical history (including blood work).

Other physicians who would be qualified to make the determination (albeit primary care ought to be first) would be cardiologists, endocrinologists (if diabetes is concomitant), gastroenterologists, bariatric specialist,s and perhaps some others, but talk to your primary care.