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Primary sources might be useful in these common situations: when writing about a rare disease, uncommon procedure, etc., for which no high-quality secondary literature is available, or for which the available secondary sources do not cover all of the information normally included in an encyclopedia article.
The reliability of these sources ranges from formal scientific reports, which can be the equal of the best reviews published in medical journals, to public guides and service announcements, which have the advantage of being freely readable but are generally less authoritative than the underlying medical literature.
Better sources available: While a good tertiary source can usually be used without incident to source non-controversial facts, such citations can and should be superseded by ones to reliable secondary sources. WP:Identifying reliable sources tell us: "Each source must be carefully weighed to judge whether it is reliable for the statement being ...
Many of the best sources are not available online, or are only available under subscription. For example, many books are not available online at all, and subscription to academic databases such as JSTOR can be fairly expensive. However, it is possible to use the open web to find many good sources to use in writing encyclopedia articles.
Sources that are reliable for some material are not reliable for other material. For instance, otherwise unreliable self-published sources are usually acceptable to support uncontroversial information about the source's author. You should always try to use the best possible source, particularly when writing about living people.
However, reliable sources are not required to be neutral, unbiased, or objective. Sometimes non-neutral sources are the best possible sources for supporting information about the different viewpoints held on a subject. Common sources of bias include political, financial, religious, philosophical, or other beliefs.
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But any editor should feel free to combine them, and doing so is the best practice on Wikipedia. Citations to different pages or parts of the same source can also be combined (preserving the distinct parts of the citations), as described in Help:References and page numbers. Any method that is consistent with the existing citation style (if any ...