>"Don't you think if diet and lifestyle change worked, we would recommend that to everybody?" This is the crux, "worked" means a different thing to a health ca

>"Don't you think if diet and lifestyle change worked, we would recommend that to everybody?" This is the crux, "worked" means a different thing to a health care professional: to them it means when you tell 100 people to do it, most of them get better. It has nothing to do with root cause or mechanism of disease or any of that. They know if they tell 100 people to make the diet and lifestyle changes necessary, only a few will get better because most people didn't go through with it. Therefore in the doctor's experience it "doesn't work". Congrats by the way.