no problem re-entry. I suppose when you put it like that your solution is quite ingenious, and illegal, but clever all the same. Never thought of it that way
The thing about the questions posed here is that none of us really have a clue about the specific circumstances of the individual, and cannot really provide meaningful advice unless one has seen the patient. But with something as relevant and common as hypertension it's tempting to provide general advice to the population as a whole. So although vfr on top might not need long term advice, somebody else might benefit from being lectured to lose weight, and that can only be a good thing.
When you say "pilots are not THAT dumb" that's not really the point. I once had the honour of seeing a Nobel Prize Laureate in a cardiology outpatients clinic. He had no clue about his problem, but that didn't make him dumb - his prize was in physics and not medicine. Likewise I sometimes cannot order five chicken soft tacos and a diet coke in the drive through, but that doesn't make me dumb either.