If you are in thin wetsuit, you may not be able to sustain your head out of water for too long by kicking especially when you tank isn't empty. In that case, a few lb of ditchable weight make a difference. I know it is worse case sceniro, but better to prepare for the worst.
I only dive in the tropics so I fall in this category. If I have a full tank or negatively buoyant tank and I'm struggling to keep my head above water then I would simply let all the air out as an empty tank or a tank at a reserve pressure of 500 psi should help you float.
In a situation where I'm struggling to keep my head above water, I would simply take off my bc and take out the weights (if they're in a hard to reach area like tank weights). with the weights off, then the rig should float or at least be neutrally buoyant. If not, and I'm still struggling for air, then I'll just ditch my whole rig - or at least which ever is still weighing it down.