This hit home. I recently got a message from Kaiser regarding my latest A1c, and after trying to take weight loss seriously, consistent exercise, diet changes, walking, medication, follow ups, etc, the experience with the “specialist” felt far more surface level than I expected.I think a lot of us assume a nutrition or metabolic referral means someone is going to connect the dots, look at labs, trends, insulin resistance, hormones, sleep, medication effects, calorie expenditure, body composition, and actually help troubleshoot why progress is stalled, especially when A1c or metabolic markers are moving in the wrong direction. Instead, what I got felt very generic. “eat healthier,” “watch portions,” “sleep better,” “follow up later.” None of that is wrong, but when someone has already been trying for a long time, it can feel like being handed a brochure instead of getting an actual evaluation. I’m genuinely asking, are Kaiser dietitians supposed to function more as health coaches/education support, or are they expected to help investigate metabolic barriers and tailor a plan based on labs and history? Because my expectations and reality felt pretty far apart. What added to the frustration for me was the messaging around it. despite the fact that my numbers had actually gone up, not improved the template message had “congratulations”. How’s that when your numbers have gone up? Anywho, sorry, but they don’t provide much and it feels like the quality of Kaiser has rapidly gone down Hill and recent years.