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Physical (should I tell my doctor?)

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ok so when you get a physical, your doctor asks whoever is with you to leave the room so he can talk alone with you. he asks you if you have used any drugs or alcohol. what will he say if my answer is yes to either of those questions? because I drink a few times a month and I've smoked pot before. what will he say if I tell him? I know he cant tell my parents but I just dont know if I should lie or not. thanks in advance for any help.