hal2kilo
Lifer
Talking mostly about endless GLP1 commercials. You live in a cave if you haven't heard about them.Doctors are not all knowing, and they may not be aware of when a new drug that could benefit their patients gets approval. Not every doctor has their finger on the pulse of the latest and greatest. I had this exact issue when my dad had metastatic hormone sensitive prostate cancer and I suggested a drug with a milder side effect profile that they could try. Doc told me it wasn't approved for that, not realizing it actually had been approved for that indication 4 months prior.
And patients may not always know that there could be genuinely better options for their condition out there (see point about doctors not always staying in the know). The doctors don't have to do what the patient says, and they can always talk to their patients about the risks and benefits of switching treatments.