Whenever I meet a new doctor, I do my best to address the weight before they can. I tell them up front, "I know I need to lose weight, and I've been trying all my life - and I will continue to try (and if you have any questions or suggestions I'll be happy to discuss them), but in the mean time we need to treat the body I have now, not the body I may or may not have in the future."
I've had a lot fewer problems with doctors since I've began doing this. My current doctor is awesome, maybe because he's struggling with weight issues himself (not nearly as much weight as I am, by a long shot - maybe 20 to 30 lbs at most, but he knows what it's like to struggle and even fail at weight loss and health changes like exercise. So he's a lot more compassionate than most).
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