POSITIVELY an absolute, total bullshit fake done by a “show” staff member.   It’s as phony and fake as the “pregnancy” (like somebody could get that whale pregnant) and every other phony, scripted, staged “encounter” on that phony, bullshit “show”.   No real MD would ever write a letter like that because the risk of medical society discipline or censure and the possibility of reputation-damaging litigation are deal-breakers for that idea. Honesty, truthfulness and integrity are as far beyond the reach of Witless Weigh More as losing weight is.   That pig stages everything to drum up attention and sympathy within the deathfat female population.