On doctors
You know, I have always had little use for the medical profession. As a rule? they seem to be guessing. I have been through five doctors in ten years, and I have yet to find one with their head fully out of their ass. I dislike dealing with doctors on any level, but here are the “doctorisims” that I find most disagreeable:
1: You need to lose some weight.
Well, duh fucking hey. I weigh 350 lbs. I am active, and strong, but I’m big. Any suggestions as to how I might do this? Oh, while you’re thinking, i have tried every single thing there is to try, excepting surgery and heroin addiction. There is no “diet” I can stick with for any length of time without going barking mad. My body is particularly efficient at storing fat, I can only lose weight around 900 calories a day.
2: Eat less, exercise more.
Eat less than what? it’s not as if I’m a glutton, I eat less than most people I know who are thin. I have a sweet tooth, and it wins some times, but it isn’t easy when at least three days a week someone drops by the office with four or five dozen Krispy Kremes.
Exercise more than what? I perennially have some home improvement project going on, and I work at work and come home and work at home. What sort of exercise should I do? Oh, I also bicycle and spend three nights a week weight training.
3: take this, that, the other drug for your gout/acid reflux/cholestrol.
Sure, and by the way, deal with the side effects, collateral damage. I snore, they prescribed a CPAP machine. Imagine strapping a giant scorpion to your face while you sleep, and you have the CPAP effect. I have muscle aches and pains, they send me to a cardiologist to get a goddamned Angiogram. How about trying to help me deal with those things in other ways; how about giving me reasonable dietary changes that will help with this or that. No, just drugs and deal with it. Sorry.
Maybe I should find an acupuncturist. Look, everyone is different. Some people can eat like hogs and weigh 180 lbs, some people can eat like birds and weigh 350. It’s that category I fall in, and everything I do to try to change that is near to impossible.

Amen brother og!!!
You and I need to get together to drink good beer, eat deep-fat fried food, and laugh at the skinny people…
‘Cuz we’re the ones that’ll survive the famines… ;)
Doctors don’t know much about the specifics of dieting, so don’t go to them for that.
If you need help figuring out what to eat (most people can’t diet on their own) consider Weight Watchers. It’s sensible and it works. A lot of my patients are on it. (I have no financial relationship with them.)
If you need help committing to a cardiovascular exercise program to get you burning more calories than you eat (most people can’t exercise on their own) consider getting a personal trainer. It will make you accountable to someone to live up to your goals.
(I’m assuming one of these doctors checked your thyroid with a blood test called TSH. If not, ask your doctor to do that.)
Ultimately it’s about commitment and a decision that your current weight is unacceptable to you. And finding a doctor you like is ultimately about a good personality match and realistic expectations for each of you.
I hope that helps. Please hold your insurance card and a major credit card against your monitor for 5 seconds.
Thanks. NEXT!
I say fuck it and VIVA PIZZA!