OPINION

Why smart people still fall for unproven treatments

Intelligence, no matter how sharp, does not protect us from uncertainty.

Brian Michael Icasas Cabral

There is a certain kind of patient I see often — people who, by all logic, should be immune to health misinformation. They are educated, analytical and careful. They read widely, ask thoughtful questions, and manage their lives with admirable discipline. They run companies, teach classes, argue cases, negotiate deals  and solve problems that would overwhelm most of us. Many of them have made entire careers out of gathering, sorting and interpreting information.

And yet these same patients sit across from me holding bottles of supplements whose ingredients read like a grocery list from a mountain province. They show me videos of someone in a white coat explaining how a monthly infusion can “cleanse the liver,” “reset the immune system,” or “regenerate cells” — treatments that somehow have no published trials behind them, only impeccable lighting, perfect skin and a calm, confident voice speaking in medical-sounding phrases. They forward links, screenshots and testimonials from friends and colleagues who “swear by it,” as if sincerity could substitute for scientific evidence.

It would be easy to say they fall for these things because they don’t know better. But that’s neither true nor fair. These patients are not naïve. They’re not careless. They’re not uninformed. They’re simply human.

In health, as in life, the quiet things often matter most.

Because intelligence, no matter how sharp, does not protect us from uncertainty. It doesn’t shield us from aging, fear, or the whisper that maybe, just maybe, there’s something out there that could help us stay healthy a little longer. It doesn’t silence the anxiety that comes with illness — not even for doctors. I’ve seen colleagues — smart, rational, heavily trained — reach for unusual diets, exotic teas, expensive drips, or supplements promising to “optimize mitochondria” or “renew cells.” In certain moments, hope feels easier to hold than doubt.

What has changed today is the way false hope has learned to speak. It no longer looks suspicious or unprofessional. It doesn’t shout its promises; it whispers them. It dresses itself in the language of science — “cellular detox,” “immune modulation,” “metabolic reset” -phrases that sound credible but reveal very little. It uses storytelling, design and language far more effectively than medicine ever has. And it thrives in the spaces where people feel unheard, overwhelmed or exhausted.

In a culture like ours, where stories carry more weight than statistics, the impact is even stronger. We trust people we know. We trust what “worked for my cousin.” A single convincing anecdote, especially from someone successful or influential, can outweigh a decade of research. You’ll rarely hear someone say, “My LDL improved significantly after three months of taking my statin consistently.” But you will hear them say, “After this supplement, I felt lighter.” And “felt lighter” is an easier story to tell and remember.

Real health interventions are often slow, steady and uneventful.

Sometimes, a patient proudly lists the ten or twelve supplements they take every morning. I listen, smile, and tease them gently, “Sa dami n’yan, kaunti na lang — pwede na kayong ihawin, Ma’am (With that much, just a little more — you can grill it).”  We laugh, and the laughter opens a door to a more honest conversation about what’s driving all of this. Most of the time, it’s not carelessness — it’s fear of doing too little. It’s the hope that one more capsule or powder might help. It’s the instinct to try everything, because doing nothing feels irresponsible.

People don’t reach for unproven treatments because they’re foolish. They reach for them because they want to live. They want to avoid suffering. They want more good years with their children and grandchildren. They want the assurance that they did everything they could.

The trouble begins when the unproven starts competing with the proven. When someone spends thousands on supplements but hesitates to buy maintenance medications. When a diabetic refuses insulin but believes in a powder mixed into a morning drink. When a hypertensive patient fears “dependence” on medication but places complete faith in weekly detox drips. When someone delays dialysis, hoping that a herbal concoction will “clean the kidneys,” only to arrive at the hospital in worse condition.

The body does not respond to trends.

It responds to biology.

And biology rewards consistency, not novelty.

I don’t blame patients for trying. I understand them. We all want more good years. We all want to stay strong for the people we love. We all want to feel that we are doing something, not standing still. Nobody wants to feel like they’re surrendering control, especially in a system where healthcare can feel confusing, expensive, or inaccessible.

But part of my job is to gently remind people that the quiet things — the proven things — are the ones that actually extend life. Things like controlling blood pressure. Managing diabetes. Taking medications faithfully. Showing up for follow-ups. Avoiding tobacco. Moving every day. Sleeping properly. Not skipping dialysis. These habits may be unglamorous, but they are powerful. They have saved more lives than any miracle supplement ever sold.

None of these will ever go viral.

None of them promise miracles.

None of them sparkle.

None of them come in gold packaging.

But they work.

They have always worked.

The challenge is that real health interventions are often slow, steady and uneventful. They do not give dramatic before-and-after photos. They require patience, discipline and trust. They do not promise transformation. They promise stability — and stability rarely feels exciting.

Yet stability is exactly what keeps people alive long enough to enjoy the things that truly matter: birthdays, children’s milestones, anniversaries, first steps, graduations, second chances, reconciliations and quiet mornings at home.

So if you’re well-read, accomplished and thoughtful — and you’ve ever been tempted by the latest “cellular reset,” don’t feel embarrassed. You’re not being irrational. You’re being human. You’re responding to fear, hope and the desire to hold on to health for as long as you can.

Just remember that real breakthroughs rarely arrive with hype or mystery. They arrive quietly, backed by decades of research, unchanged by trends and strengthened by time. They may not look exciting, but they are deeply reliable.

And maybe that’s the lesson worth carrying into the last weeks of the year: in health, as in life, the quiet things often matter most.