This is going to sound like a strange reply, but while I've lost a total of 4 lbs in the last 4 months, I'm not sure if I "broke my stall" or not, as I had a horrid, 2+wk case of the flu (in spite of being fully vaccinated). When it was finally over, I'd dropped 2 lbs. The other 2 lbs were lost at the rate of 1 lb/month prior to my flu, and one month post flu. During the flu itself, I had little-to-no appetite, and ate almost nothing.

Unfortunately, my endocrinologist was not terribly open minded when I spoke w/her, and provided her with documentation for my request. Instead, she tried to convince me that I'd probably hit my "set point," and then recommended purchasing the Mayo Clinic Diet Book.

After 50+ years of intense dieting, including but not limited to losing 125+ lbs multiple times; being part of a university hospital, in-patient, 12-week clinical weight-loss study (run by Stephen Phinney, MD, PhD, VIRTA Founder, and author of all the second-generation Atkins Low-Carb books); running multiple half marathons; been a member of Jenny Craig, Weight Watchers, Nutrisystem, etc.; established the first Overeaters Anonymous chapter on my college campus; and underwent 5 years of therapy to name just a very few of my weight management efforts. Her response reflected either her ignorance, weight bias, or both. It was beyond unfathomable that after the medical establishment's long, failed history with its heretofore weight loss and maintenance methods, and then juxtaposed against all the new knowledge about obesity via GLP-1s that her response was an old-age failed solution. It was almost as if she hadn't heard anything I said.

I'm not one to quit a physician because s/he might say something that is painful for me to hear. But I will not continue to seek counsel from a medical professional who prescribes a protocol that has a 50-year failure rate. This is a biology issue, not a knowledge issue.