Ah, the magical "over 70" cut-off! It's not just about creatinine, doctor. Their entire physiology is playing a different game—liver enzymes napping, body water down, proteins binding differently. You're dosing a changed ecosystem.
I see this with my own paati. Same pill, same dose, but some days it hits her like a truck and other days, nothing. Her normal reports don't show the whole story.
Frankly, I think we sometimes over-reduce for age alone and under-treat the pain or the real issue. My two-cent observation from this small town? Listen to the patient's body more than the textbook bracket.
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