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Most of us have our guard up when it comes to direct-to-consumer drug advertising. We know the butterflies, sunsets and puppies in the TV ads are designed to distract us from terms like “blood clot,” “heart attack,” “stroke,” “seizure,” “life-threatening allergic reaction” and “death.” We are aware that more than half the ads tell us why we don’t actually want to ask our doctor about the new wonder drug.

Unbranded advertising, however, is much more insidious. Instead of selling a drug, it sells the disease driving the drug sales and sometimes doesn’t mention the drug at all.

Unbranded advertising often appears to be from the CDC and can even run free as a public service announcement thanks to its apparently altruistic message. The hallmark of unbranded advertising is it calls the disease it’s hawking (whether depression, bipolar disorder or restless legs) “under-diagnosed,” and “underreported” and cites “barriers” and “stigmas to treatment” which of course means sales. Sometimes it calls the disease a “silent killer” to scare people who think they’re fine. (Before drug advertising it was the opposite: the medical establishment said you were probably fine despite how you felt.)

Do You Have Undiagnosed Hypothyroidism?

From Joan Lunden and Mike Piazza selling Claritin, to Dorothy Hamill and Bruce Jenner selling Vioxx, celebrity drug advertising is often phenomenally successful. No wonder the drug company AbbVie has selected actress Sofia Vergara to lead its hypothyroidism campaign.

“Emmy-nominated actress Sofia Vergara is helping to raise awareness about the importance of diagnosing and treating hypothyroidism,” read a press release last spring, “a thyroid condition that affects millions of Americans.” Her campaign, called “Follow the Script,” funded by AbbVie, “aims to educate individuals with hypothyroidism about the importance of being consistent with the treatment their doctor prescribes, and provides a ‘script’ to ensure they consistently receive the medication prescribed by their doctor when they visit the pharmacy.” Ka-ching.