At work I have the opportunity to discuss weight loss on a daily basis with my patients. This gives me the opportunity to reinforce the knowledge that I have learned here at BBB. I discuss diet with 80-90% nutritious food (not wanting to lable food good or bad) and 10% "adult snacks". I talk about focusing on protein and fiber first. I discuss consistency vs perfection and making small changes over time. This helps reinforce my knowledge. Unfortuanately, many of my patients are not interested in making these changes and want to discuss a quick fix and medications to do the work for them. I had an experience with a patient a couple of weeks ago that has stuck with me. A women came in to see me because she was going to go on vacation and wanted to take medication to controll her appetite. She stated "I am not able to control what I eat so you need to give me mediation to do this." I attempted to talk about how to be successful on vacation and still enjoy it at the same time. She simply stated that she is not willing to make any changes and cannot control what she eats and that it was my responsibility to do so. I was a little taken back. I finally told her that I could prescribe medication, but that I cannot control what she puts in her mouth and only she can do that. I want to say to everyone here that you are all doing the right things. Being here is the first step. Everything that you learn and improve will stay with you and help with your success and to be able to reach your goals. Everyone here is on the right track. So glad you are all here and and keep up all of the hard work! It is worth it!