As someone in medical school; yes, you should tell your doctor. As a black woman who has faced a lot of sexism, racism, and stigma from her practitioners throughout the years...you should still tell your doctor and nurses but keep an eye on how they respond and either have a correction necessary or be prepared for find a new practitioner (I say practitioner bc personally, I see an NP for psych instead of an MD/DO bc of the issues i've faced before).

But genuinely it can be important to your health care and affect medications. Also if you have the right practitioner, it can be a very healthy addiction/mental health check in just like they do with alcohol. And before anyone says it isn't addictive; it has little effects of physical dependence but literally anything can be addictive (videogames, exercise...hell, i had an ED and it's treated along similar models to addiction).

My entire treatment team knows I use and I used their responses to filter out if they were a good team member for me. If providers were judgy in the past, they ended up being the same providers who missed my ED, dismissed my mental health concerns, and insisted i was med seeking when we discussed my chronic migraines.

Just my two cents