Great point. I've noticed this trend on other sites, as well. Usually you have an option of facebook/google plus-integrated account, and maybe an anonymous opti

Great point. I've noticed this trend on other sites, as well. Usually you have an option of facebook/google plus-integrated account, and maybe an anonymous option. You've laid out the core problem with this binary view. In your case, for legitimate reasons, you don't want to advertise certain aspects of your health to search engines, but you still want to have standing with the community. I've had a similar dilemma with politically-oriented sites. I don't hide my political views in "real life" especially when asked, but I don't want to have them associated with me whenever someone google searches my name.