The doctor didn't even look at me when he said it. He was looking down at his clipboard and mentioned that my blood pressure was good.... then said (while looking at the clipboard), "...looks like you're obese and should lose some weight". When he looked up and continued with the physical, he didn't change a thing he said.
I have subtle 'love handles', but I'm not really fat looking. I haven't checked BMI or anything. Probably should. I bet I could get down to a healthier 172 lbs. My top biking/rock climbing weight was 160... 20 years ago.