thank you for posting this interesting question. I think we should openly discuss with our patients what the current evidence is so that they can form a decision for themselves. Coffee might affect different patients in a different way. The most important aspect, in my opinion, is to be open and honest to our patients.
I have found that patients who drink caffeine daily at home, often experience a migraine at the hospital. While others are offering medication for the headache, I question the patient about their use of caffeine. If this is the cause of their migraine I suggest they consume at least a small amount of caffeinated sodas or coffee rather than stopping completely as a patient. Much to the patient's surprise this has been successful.
I completely agree with you. A reasonable sufficiency must be observed. If we are talking about hypertension, then I like this slide. How much we can reduce blood pressure without drugs.
thank you very much, I try to reply to your question right away: when a patient asks whether she or he should start drinking coffee or whether she or he should drink more coffee, I would first discuss the individual situation, i.e. whether they have already tried it, whether they tolerated it well, whether they like the taste (as this also determines quality of life), etc. I don't think I would give a general recommendation, i.e. I would try to find out about the individual circumstances before making a recommendation.
"I think we have to tell patients that there are no real breakthrough studies; there are suggestive studies. They only become breakthroughs when they get replicated. We haven't really had a lot of replication that even I, as a coffee drinker, have to admit, about the information that says this beverage makes you live longer".
A. Caplan, Division of Medical Ethics at the School of Medicine at NYU