My experience with Kaiser physicians are they are old school and still believe diet and exercise is the only solution. Told my doctor I think she is doing a disservice to her patients by not treating them aggressively with weight loss medication. My doctor then told me Qsymia didn't work beyond a few months. When I asked her how many patients did she base those findings on she said none. She said: "trust me, I know" to which I responded: "not much" That's when I told her apparently she had never even researched the product or she won't be making such outrageous statements. I looked her dead in her eyes and said: "half your staff is obese and all you can tell them is to diet and exercise. When they come down with diabetes, high blood pressure, heart disease and other ailments attributed to obesity they can thank you for your negligent care.