When my doctor tells me that I need to lose weight, I could tell him that I’ve tried 6 meals per day, 1 meal per day, eat early, eat late, low carb, low fat, joined a gym, bought an exercise bike, and everything else. I don’t tell him that. Instead, I say, “No shit. Unless you want to write a script, let’s move on.”
My doctor is about my age, used to wrestle for St. Ignatius and knows what’s up.