A nurse practitioner decided, without talking to me, that I was overweight from overeating. Many medical professionals will not have such conversations even when lifestyle changes could replace medication, because people get offended and hostile. Sometimes they even sue doctors for telling them that they are sick because they are overweight. Go back to the dietitian who successfully advised you toward achieving your 20 lb weight loss. If you have to use this nurse practitioner explain to her what you explained to us. If you do not have to use this nurse practitioner just switch to a new professional. The note was likely a medical judgement, not a personal one about your character. You will only look bad for bringing it up outside of the context of solving a medical problem.