Hi all. I had a really bad experience with a physician today trying to get Contrave prescribed and I wanted to vent about it because it was so upsetting.
This was a telehealth visit with a doc I didn’t know. For context, I am overweight but not obese (should lose ~30 pounds) with no other conditions. I suffer from severe food noise (always have) and I have an otherwise healthy lifestyle, the support I need is with cravings. And for context, I can’t tolerate GLP-1s due to gastric distress. I have no contraindications for this medication.
He* (*that should have been my first sign) approached the conversation with skepticism from the first second. I could tell immediately that he was not into the idea of prescribing me this, and was asking me question after question to essentially make me “prove” that this was a good idea.
And doubting whether I had tried dieting. Implying that I should just, like, not snack. Making me define words like “food noise” “compulsive eating” and “delayed gastric emptying” with a tone that implied he thought I was throwing around buzz words that I didn’t understand. Do you know how awkward it is to explain to somewhat what a specific example of compulsive eating / food noise looks like who doesn't understand it? Me: “so like it was the afternoon and I already ate a good lunch but then I like…ate 5 pieces of toast with jam.” Him: “…ok….?” I am actually a reasonably intelligent person who’s listened to probably 200 hours of audiobook and podcast content on nutrition and health, work in healthcare, and spend hours researching this specific drug, all to be condescended to for half an hour.
And asking me, Have I tired and accountability buddy? Are you fucking kidding me sir……..if an accountability buddy worked for me, I would be skinny by now. (Same with…nutritionist, counselor, personal trainer, labs, carb counting - he literally ask one by one if I had tried these solutions as if I was turning to a drug for the fun of it. Then furrowing his brow as if the thought of one of these tactics not working was my own personal failure). Not believing that I don’t have bulimia and asking for medical records from when I was a child (20+ years ago) to prove it.
I wish I had ended the convo after the first 10 seconds. this happened 6 hours ago and I am still shaking. UGH.