my guess on why the gung-ho Drs. -
they've had obese patients for years and virtually the only arrow in their quiver was diet & exercise - which has really low compliance in the population at large and therefore they don't see it as effective in their practice. Yet they see their patient population going downhill with co-morbidities: diabetes, heart disease, strokes, neuropathy, etc.
Now they finally have a new arrow in their quiver and they are offering/pushing it to their population because it does seem to help some people over that compliance hump - especially good programs that have good aftercare programs.
Not that I agree with it - but I can see how they might react this way given what many of them must see in dealing with their patient population.
I think if you do it on your own (well, we'll help
) with diet and exercise and finding your own demons and dealing with them -- they will be absolutely thrilled to see that the old-school diet & exercise actually works too.