I have absolutely no problem with patients doing both, for the record. I just hope patients understand the inherent danger involved.
However, there does seem to be a prevalent attitude with many patients who self-experiment, which is “why bother funding research, it’s too hard, won’t do anything for me, and you just need to try harder with self experimentation”. It’s obviously then a self-fulfilling prophecy that science won’t do anything for them, because far too many people will participate in the effort to progress it. Not too mention it creates a survivorship bias within the community.
It’s certainly not every patient though and I acknowledge there are many reasonable people who are desperate, which makes their attempts understandable.
We as a group have maintained that doing both are possible and don’t begrudge any individual who does so.