Editorial and medical review policy

The author of these pages is The Health Initiative, a nonprofit. Dr. Diana Nieves Castro, MD, a general practice physician licensed in Puerto Rico, reviews the clinical content. Learn more about the doctor.

Each page shows its status. If the doctor reviewed it, you will see "Medically reviewed by" with the review date. If she has not reviewed it yet, you will see "Author: The Health Initiative" and a note that medical care is provided by the doctor, which is true of the visits, but does not mean she has reviewed that page. We never show a review that did not happen.

We use artificial intelligence tools to help research and draft. Every draft is checked against primary sources and goes through the automatic checks described below. Artificial intelligence does not see patients or make clinical decisions: in a visit, every decision is made by the doctor.

We use primary sources: the CDC, MedlinePlus and the NIH, the FDA, the American Academy of Pediatrics (HealthyChildren.org), NICE, the Puerto Rico Department of Health, Puerto Rico laws and regulations (LexJuris and the Department of Health) and the MMWR. Each page lists them in its sources section, with the date we consulted them.

We publish a statistic only if the page cites a source for it. Service facts, such as our prices and the doctor's license, come from a single file, so every page says the same thing. We do not publish testimonials, ratings or patient counts. We do not use brand-name drugs in titles or FAQ questions.

Before any change is published, a program checks every page and blocks publication if it finds a problem: claims about our service that are not true (such as promising a prescription before the visit, or saying that the doctor is a pediatric specialist), broken links between pages, or missing required fields.

The Health Initiative also manages CASRAI, a research-administration standards programme. The clinical content on these pages is written separately: it does not go through CASRAI's automated publishing processes, and those processes do not automatically link CASRAI's research pages to our health pages. These pages also load no analytics or advertising tools (see the privacy notice). See about us.

These pages carry no advertising or sponsored content, and we take no payments from drug makers or other companies for what we write.

We review pages when clinical guidance, the law or our service changes, and we show the date of the last update when we have it. If you find a mistake, email [email protected]. We will look into it and correct it if needed.