Isn't the Bible really against magic or something? Oh well, guess they gotta keep all the followers on their toes.

This is absolutely untrue. We have had an issue before where a doctor from Missouri Eye Institute in town wanted to refer my wife to STL or KC, and stated no one in town would work. We looked around and found a specialist at Mercy, went to him for a second opinion. He spotted the issue immediately and had her back to normal in two weeks.

Whether the first doctor was incompetent or malicious makes no difference; check around here first because they absolutely do not have to refer you in town.

Now the actual issue is "my doc agreed to rewrite my prescription but didn't and thinks I'm denying being depressed". Those are different issues than BMI, and the first one is a priori to me: I don't want a doctor who doesn't listen if I say something didn't work. BMI doesn't even factor in there.

If it's just one of your new criteria is also "and doesn't use BMI", well, circle back to my top level comment. Good luck!

You're kinda changing your story here. No one can really help you if you're kust mad at the doc, so my advice would be to simply go get some other opinions and stick with the doctor who gives you the one you want.

Plot twist: OP is Hugh Jackman.

No one argued otherwise. The BMI is a tool, one that works in most cases, and has some known outliers, like just about any other tool used to determine things in medicine. Wholesale rejection of it because it doesn't work in your case is illogical. And your doc doesn't seem to be basing advice to you on it based on other comments in this thread, which sounds to me like you already have what you want.

What's the problem, then? Bring up your concerns with it with him. Again, it's going to work in most cases, and if he's already ignoring it for you, seems like problem solved.

So why does your doc refuse to acknowledge your special case?

If you honestly fall into a category that BMI is that inaccurate for, you might need a specialist nutritionalist. BMI works for 95% of what an FP or GP is going to see.

Hey, I understand. It can be hard to hear that. I tried to cling to the "BMI is inaccurate" excuse, too. But as I looked into it, I realized I was trying to fool myself.

There are a few categories of people where the BMI doesn't correlate well with the actual body fat content. Really roughly, it's young adults, women, and bodybuilders.

Any doctor worth their salt should already know about those and be explaining to you why they are concerned in spite of that, if they even are. Otherwise, you're complaining about docs using a pretty robust indicator for health problems that works for the vast majority of the population.

I seriously doubt you will find a competent family practitioner who completely disregards BMI.

F exit, in front of the Lowe's.