Like "I think you know the answer to your question. I agree...yes. You may want to try one last time and have a sit down talk with him to explain your goals of his treatment. He works for you. If he is not filling the expectations, then either explain those more clearly or move to one who will. It took me a long time to get my doctor to take my feet seriously. I finally got frustrated and went to my podiatrist and got a diagnosis that I shared with my doctor. They need to know when they are wrong as well as when they are right. I also brought in my calorie expectations given to me by a nutritionist and we discussed what I needed to do in that regard. I also talk to him about specific exercise that I do and how I am eating. It took us a while to get to this place, but by a year you should be feeling more comfortable with your doctor, not less."