There is enough here to offend just about everyone.
I’m seeing a few things here:
(1) Docs are inadequately trained in the area of nutrition. This is not a new fact.
(2) Docs largely have no idea how to address this issue in their patients. It’s easy enough to deal with matters such as cancer, asthma, and other medical conditions that are not often tied to behavior. But confronting obesity–which, with some exception, is a condition that is tied to behavior–usually means confronting lifestyle. No one likes to be told they are responsible for their condition.
(3) Many docs are harder on women than men, even though obesity stats are pretty much even between the sexes.
(4) Many women will be offended, no matter how the doc tries to address the (almost literal) 900 pound elephant in the room.