Haha! Love the term calorie enhanced. Brilliant.
I completely understand docs not wanting to address the Elephant In The Room (me). And I admit that in the past when they have raised the subject, I have been somewhat impatient.
I recall one conversation which went along the lines of:
'Yes. I know I need to lose weight. I have actually been dieting for 20 years and yoyoing for most of it. I know exactly what I am supposed to be eating (which of course was lfhc) but I am working 16 hour days, 6 days a week. The best solution to my weight issues would probably be a stay-at-home wife who could prepare every meal from scratch and have it on the table when I get home every day, but that ain't gonna happen in the foreseeable future!'
Poor man. It was just my own self-frustration and self-anger talking, but he got Both Barrels!
Thank heavens for lchf. And a change of job. And a lovely husband who bears with my pesky dietary restrictions.
I am now able to EASILY prevent weight gain, and am slowly inching the weight DOWN, pound by pound. Marvellous. But of course, the doc would be horrified at what I am eating. Oh, the irony.