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It seems that it would be unethical, for example, to make someone intentionally sick to mimic the side effects of the drug with none of the expected positive results.


Yes. Yes it would. But comparing against baby aspirin might be worthwhile. There is some (safe?) effect beyond sugar pills.

Remember, the patients don’t know each other, and don’t compare symptoms. Hopefully.


An expected physiological result can be just something like dry mouth or temporary diuresis. It doesn't have to go all the way to making a person e.g., nauseated.




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