Last weekend I finally made it into the dietician, a task three months delayed for administrative reasons. The session was surprisingly predictable: she had my lab report, we discussed my typical diet/activity, I had a list of questions. The upshot of the visit was that my intake is too high in fat and carbs, my calorie load is too high. We discussed the changes I needed to make and the first steps I was going to have to do. We addressed my complete unwillingness to count calories, because I’ve tried and it doesn’t work and I quit. We discussed my need to have continual support for a while. There wasn’t…