This doctor is a major jack ***. He has no business stating his personal bias in that manner. He could have easily identified the well docummented risk factors of not losing her excess weight. If he was truly concerned for her sex life, he could have asked her is she has concerns in that area. Or are there things she feels limited in doing on that regard. That would open the door to the topic.
By telling her she won't ever get laid because she is fat is akin to telling someone they need a nose job because they are too ugly to find anyone to sleep with them. Shame is not an acceptable motivator for any physician!
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