My first meeting with the doctor had me in tears. He was very blunt and to the point. The doctor address several issues that I haven't dealt with in my past and could effect me being successful in my weight lose. After speaking to his nurse I understand that he wants each and everyone of us to be successful. It makes him look bad if we don't succeed and accomplish our goals. As he explained it to me, this is a tool to help you lose weight but it isn't the solution. I am struggling everyday with ghosts in my closet. However, I know that I need to take control of my life and stop hiding behind my weight and food addiction. Since the first meeting my relationship with the doctor has improved and I have enjoyed the progress I have made, even though it has been slow. He has been very helpful and encouraging, but firm. I absolutely love his nurses. Good Luck!