My general approach to medication is let's try the natural approach first and if that doesn't work then maybe meds but it depends on how the doc feels if I have time or damage. This will be similar and I will ask if we can try to just do the bloodletting and see if we can get it down that way first before meds but it will depend on her opinion if I have that time to do it. It's a personal preference but I just try to minimize meds as much as possible even OTC things.