I just might (again). The only problem I have had with her is that she thinks I'm over-reacting (she is also a fuller figured lady--btw, so it may be influencing her consults to a degree) so it's hard to get an objective eval.

I think 20pds of weight gain is a warning that soemthing is very wrong, but have been told to try relaxation and de-stressing techniques. So far not very effective, but I am going to take the bull by the horns and try the modified fast and see how that goes with the whole eat-stop-eat thingy.

Thanks everyone for the helpful responses.