I am lucky because my primary care physician is overweight. So every time he scolds me about my weight he has to preface it with, "I know this sounds hypocritical, but..."

I think a lot of people who have never struggled with their weight don't realize how hard it can be. I have a friend from childhood who has always been slender who tells me not to "diet," but to make "lifestyle changes" like cutting out dessert or whatever. I want to scream in frustration when she says things like this--I am overweight. In order to lose weight at about 1 lb. a week, I have to limit myself to 1200 calories a day. Cutting out dessert (which I rarely eat anyway) will not do any good.

But of course you've addressed the most frustrating thing--even when you DO diet and exercise, sometimes the weight doesn't go. And of course to everyone else (like your doctor) that means you are doing something wrong. The sugar in a 210 calorie smoothie for breakfast isn't going to cause you problems with weight gain. If it had that much sugar, it would have more calories.

I hope you are assertive with your doctor. People deserve care whatever their size--and a lot of doctors who are prejudiced against overweight people will overlook non-weight related issues because they believe all problems are cased by being fat.