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I have a point of contention with the "be blunt" approach. As someone who was greeted by their doctor with "Someone's gotten fat this year"...being blunt can be detrimental. It made me not want to go back to see that doctor because every time I did, she harped on my weight that was slow to come off, and never commented on how well my Hb1Ac was or my BP or my other readings, it was always weight weight weight weight. She never offered help on how to do it, why it was there, why i had a hard time losing even when on a 1200 calorie diet (yes, her idea). It's that "once bitten twice shy" thing. I know that all she's going to do is yell about my weight and harp on it, so I'm not going to see her, which means the potential for other diseases to go undiagnosed because the doctor is 1) unsupportive 2) unmotivating 3) insensitive to feelings.
just a thought.
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