Trouble losing weight?

Doctor solution: Lose weight

I'm disgusted right now, having just come from a follow-up visit with my psuedo-doctor, [a physician's assistant, since, as a woman, I don't rate seeing an actual doctor].

I visited three weeks ago with a couple of concerns: a feeling of generalized anxiety, a fluttering in my chest at times that made me anxious, a tiredness, a feeling of being overwhelmed, an inability to lose weight despite numerous 'healthy lifestyle changes', and just a general not well feeling.

Psuedo-doctor's first step was to prescribe vitamins, calcium supplements and Claritan [for a mild sinus irritation.] She then ordered blood and urine work, which I went for and today I went back for the results.

Well, my bad cholesterol is amazingly low!
My good cholesterol is also low. [How do you fix that? More exercise!]
My blood sugar is a little high [egads, I'm pre-diabetic - so now no other symptoms or concerns are of any importance. I could have had a broken leg and it wouldn't matter - I'm overweight and I have high sugar [9 points above normal] so therefore nothing else is of any value other than I LOSE WEIGHT!

Hold on, wasn't an inability to lose weight despite years of dieting and lifetsyle changes ONE OF MY COMPLAINTS?

Why, yes, it was.

What does the psuedo-doctor say? Here's a brief, disheartening transcript between me and the skinny little medical robot:

Her: You should cut out starches, pastas, sweets, white bread, white rice etc,.

Me: I explained to you already that I've done that. It made no difference.

Her: I'm sending you to Weight Watchers, people have lost 70 or 80 pounds on that. You should go with someone for moral support.

Me: I've been on diets since I was 17. They DO NOT work. I've counted points, calories, fat grams, etc. I've cut soda, white bread, salt etc. out of my diet and seen no weight loss.

Her: It's not just for weight loss, it's for a healthy lifestyle.

Me: I'm doing healthy lifestyle changes. They're not making a difference.

Her: How often do you exercise?

Me: I was doing it every day, it made no difference.

Her: But how about now?

Me: I'm TOO TIRED to excercise. That's my problem!

Her: Well, you can't just give up.

Me: Why not? Doing the same thing over and over again and expecting diffrerent results is the definition of insanity.

Her: I can send you to a dietician. Maybe they can tell you something you're not doing.

Me: Fine. Whatever.

Her: I'd like to see you in three months and let's see if we can get that weight down, because we don't want you to become diabetic.

Me: I thought it wasn't about weight, it was about a healthy lifestyle.

Her: I'll see you in three months.

Me: No. You won't.