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It is, in fact, sticking needles in people randomly. Sticking needles in people randomly works. I know this because studies were done where they stuck people with needles randomly, and it worked. Taking sugar pills from a doctor also works, about as well if you really believe in the doctor. It even works if he literally tells you 'this is a sugar pill, it has no pharmacological effect, I want you to take one first thing in the morning every day to help you not feel pain.'
The placebo effect only applies if you believe it should work. My dad never believed in this stuff, but it still works. Don't really care what you think about it, his pain is mostly gone which is what matters
That's incorrect, actually. You can literally say "I am giving you a placebo" and it will have an impact compared to doing nothing.