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6 Possible Reasons Why You're Not Losing Weight Despite Regular Exercise and Dieting

NOT LOSING WEIGHT

Weight loss can be influenced by many factors, including diet, exercise, metabolism, and hormonal balance. If you're not losing weight despite exercising and following a diet, there could be several reasons, including hormonal imbalances. Let's explore some potential causes and the hormones that might be involved:


1. Caloric Intake

Even if you're eating healthy foods, consuming more calories than your body needs can prevent weight loss. It's essential to track your caloric intake and ensure it aligns with your goals.



2. Exercise Intensity

Sometimes, the type or intensity of exercise may not be sufficient to create a significant caloric deficit. Combining cardiovascular exercise with strength training can help boost metabolism and burn more calories.


Table 1. Simple workout plan for Weight Loss

Day

Workout Type

Exercise

Duration / Repetitions

Monday

Cardio

Running or Jogging

30-45 minutes

Tuesday

Strength Training

Upper Body (Chest, Shoulders, Arms)

3 sets of 10-12 reps per exercise

Wednesday

Cardio

Cycling or Elliptical

30-45 minutes

Thursday

Strength Training

Lower Body (Legs, Glutes)

3 sets of 10-12 reps per exercise

Friday

Cardio & Core

HIIT (High-Intensity Interval Training) + Core

20 minutes HIIT + 15 minutes Core

Saturday

Strength Training

Full Body (Combination of Upper and Lower Body)

3 sets of 10-12 reps per exercise

Sunday

Rest & Recovery

Stretching, Yoga, or Light Walk

Optional

Combining cardio and strength training offers numerous benefits, including improved cardiovascular health, increased muscle mass, and enhanced metabolism, which together can aid in more effective weight management.


3. Hormonal Imbalances which can affect weight:


Hormones play a crucial role in regulating metabolism, appetite, and fat storage. Some key hormones that might affect weight loss include:

  1. Thyroid Hormones (T3, T4): The thyroid gland produces hormones that regulate metabolism.

Hypothyroidism, a condition where the thyroid is underactive, can slow metabolism and lead to weight gain or difficulty losing weight.

2. Insulin: Insulin regulates blood sugar levels. Insulin resistance, common in conditions like prediabetes and type 2 diabetes, can lead to weight gain, particularly around the abdomen.


3. Cortisol: Known as the stress hormone, cortisol can lead to increased appetite and fat storage, especially when chronically elevated due to stress.


4. Leptin and Ghrelin: Leptin signals fullness, while ghrelin stimulates hunger. Imbalances in these hormones can disrupt appetite regulation, leading to overeating or inadequate satiety.


5. Estrogen and Progesterone: In women, fluctuations in estrogen and progesterone can affect weight, particularly during menopause or menstrual cycles.


Table 2. Diagnostic tests for key hormones related to weight management

Hormone

Diagnostic Test

Thyroid Hormones

Thyroid Function Tests (T3, T4, TSH)

Insulin

Fasting Insulin Test, PP Insulin Test , HOMA-IR

Cortisol

Serum Cortisol Test ( 8AM , 4PM, 24-hour Urine Cortisol)

Leptin

Serum Leptin Test

Ghrelin

Plasma Ghrelin Test

Estrogen

Estradiol (E2) Test

Progesterone

Serum Progesterone Test

4. Sleep:

Poor sleep can disrupt hormone levels and appetite regulation, making weight loss more challenging.


Adequate sleep is crucial for overall health and well-being, playing a vital role in weight management by regulating hormones that control hunger and appetite, such as leptin and ghrelin.

5. Stress:

Chronic stress can lead to emotional eating and increased cortisol levels.


Studies have shown that chronic stress can contribute to weight gain by increasing levels of cortisol, a hormone that promotes fat storage, particularly around the abdominal area.

6. Medications:

Certain medications, including antidepressants and corticosteroids, can contribute to weight gain.


Table 3. Common Medications known to cause Significant weight gain :

Medication Class

Common Medications

Antidepressants

- Paroxetine, Amitriptyline

Antipsychotics

- Olanzapine, Clozapine

Mood Stabilizers

- Lithium, Valproic Acid

Corticosteroids

- Prednisone, Dexamethasone, Hydrocortisone

Antidiabetic Medications

- Insulin (various types), Glipizide, Glyburide

Hormonal Contraceptives

- Medroxyprogesterone acetate (Depo-Provera)

Corticosteroids, such as prednisone, are commonly associated with significant weight gain, primarily due to increased appetite and fluid retention.

What to Do Next?

  • Consult a Healthcare Professional: It's essential to rule out any underlying medical conditions, such as thyroid disorders or insulin resistance. A healthcare provider can conduct tests to check your hormone levels and provide personalized advice.

  • Track Your Diet and Exercise: Use apps or journals to monitor your food intake and physical activity. This can help identify any patterns or areas for improvement.

  • Adjust Your Plan: Sometimes, small changes in diet or exercise can make a significant difference. For example, incorporating more protein, fiber, and healthy fats can promote satiety, while varying your exercise routine can prevent plateaus.

  • Manage Stress and Sleep: Techniques like mindfulness, meditation, and adequate sleep can support overall well-being and weight management.

  • Consider Professional Guidance: A registered dietitian or nutritionist can help tailor a diet plan to your specific needs and goals. A fitness trainer can design an exercise program that aligns with your weight loss objectives.

Conclusion

Weight loss can be a complex and individualized process. If you're struggling despite your efforts, it's important to consider all potential factors, including hormonal imbalances. Consulting with healthcare professionals can provide valuable insights and guidance to help you achieve your goals.


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