It is not that you have not tried. You have tried, more than once, in more than one way, some of it working for a while. Nobody asks about that part, so the only explanation left is you.
You get quieter. Shame and blame are in the room whether anyone names them or not. You start sorting your symptoms into the ones worth mentioning and the ones that will only bring the scale back into it.
Meanwhile the numbers keep moving. Your blood pressure is not quite fine anymore. Your blood sugar sits at the edge of normal, and your doctor says let's keep an eye on it, and nobody explains what any of it means.
Something is happening inside your body. It has a name, a biology, and a growing set of treatments. Nobody has walked you through it.