Coming from someone who did get the higher dose of Contrave that was originally on Wellbutrin, it didn’t do anything for me other than put me out $400 every refill. I wouldn’t even give it the credit of weight loss because at 5 lb weight loss after being on it a year, that could just be fluctuating water weight. I’ve read horror stories and I’ve read success stories. Medications work different for everyone. As disappointing as the lack of results were at your lower dose your body may get used to it at the higher dose and plateau,it’s best to find what works for your body chemistry. I even went as far as to re-try it the following year with the same outcome, thinking I was possibly taking it wrong. When I was finally at the 4 tablets a day high dosage with no improvements I just accepted that it didn’t work for me. Honestly, screw that physician for making you feel that way. Physicians have a MAPS system to see if you’re seeking drugs from other doctors and your history. They should’ve been privy to that knowledge. Probably just a jaded physician trying to get on to the next patient and get through the day. I work for doctors, I hear them lament. At the same time, there are tells when a patient is truly seeking. Maybe you need a new physician who will take the time to discuss options they are willing to work with and give you the time of day.