Clinician consult is when stack-level self-management is no longer the right tool and a clinician review becomes the safer next step.
Why it matters
Unfair flags this early when effects are recurrent, medically urgent, or complicated by medication and lab context.
When self-management is usually not enough
- Severe or persistent adverse effects lasting beyond a few days despite adjustments.
- Symptoms that match urgent-sign patterns (chest pain, syncope, confusion, severe edema, active bleeding).
- Pregnant users, transplant recipients, and anticoagulated users unless explicitly approved.
Message template for clinician review
Use this template in your notes or visit prep:
- current goals and current stack names
- all doses, timing windows, and cycle schedule
- relevant meds and supplements
- symptom timeline with severity scores
- lab values if already available
- what change you tested and what happened
Decision triggers for escalation
- Objective thresholds (for example, repeated severe readings or blood pressure changes beyond personal baseline)
- medication conflicts (especially anticoagulants, hormone-sensitive conditions, or transplant drugs)
- severe persistent adverse effects that do not resolve within an expected short adjustment window
Practical action before contacting care
Compile 72 hours of dose logs and symptoms, then send a clean structured note using the template above.
Cross-site references
Uncertainty
- Evidence is limited for exact thresholds that always require in-person review.
- Evidence is limited on how supplement reporting quality affects clinician triage decisions.
How this appears in Unfair
Unfair presents consult prompts when repeated flags cross safety confidence and outcome consistency boundaries.
Clinical safety note
When in doubt, pause escalation and seek direct care input before adding or restarting high-risk compounds.