Why Am I Struggling to Lose Weight?

Common Reasons and Solutions

Losing weight can be a challenging journey, and many people find themselves frustrated when their efforts don't yield the desired results. At Affinity Whole Health, we understand the complexities of weight loss and offer a range of solutions including compounded semaglutide, tirzepatide, and hormone replacement therapy to help you achieve your goals. In this blog post, we'll explore common reasons why you might be struggling to lose weight and provide effective solutions to overcome these obstacles.

Common Reasons for Weight Loss Struggles



1. Hormonal Imbalances

Hormones play a significant role in regulating metabolism and appetite:

  • Menopause: Hormonal changes during menopause can lead to weight gain, particularly around the midsection. The decrease in estrogen and progesterone triggers metabolic changes, including a decrease in muscle mass, resulting in fewer calories being burned.

  • Testosterone Levels: Low testosterone in men and women can reduce muscle mass and increase fat storage.

Hormone imbalances can create a vicious cycle of weight gain and metabolic slowdown, making it increasingly difficult to lose weight through traditional methods alone. Solutions such as hormone replacement therapy can help with hormonal imbalances and weight loss. 

2. Dietary Habits

Even if you're eating healthy foods, portion sizes and hidden calories can sabotage your efforts:

  • Portion Control: Overestimating portion sizes can lead to consuming more calories than you realize.

  • Hidden Sugars and Fats: Many "healthy" foods contain hidden sugars and fats that add up quickly.

  • Inconsistent Eating Patterns: Skipping meals or eating at irregular times can disrupt your metabolism.

Maintaining a food diary can help you track your intake and identify areas for improvement. GLP-1 medications such as semaglutide and tirzepatide help suppress food cravings and give you the ability to lose weight in a slow and sustainable way.

3. Lack of Physical Activity

Regular physical activity is essential for weight loss, but many people overestimate their exercise levels ⁴
  • Intensity and Duration: Short, low-intensity workouts may not burn enough calories to make a significant impact.

  • Sedentary Lifestyle: Sitting for long periods can negate the benefits of your workouts.

Incorporating both cardiovascular and strength training exercises can boost your metabolism and promote weight loss.

Hormone replacement therapy can improve your lack of physical activity. Balancing your hormones can make effort feel good while generating better results and a faster recovery while working out. 

4. Unrealistic Expectations

Weight loss is a gradual process, and setting unrealistic goals can lead to disappointment and discouragement:

  • Quick-Fix Diets: Fad diets may offer rapid results, but they are often unsustainable and can lead to weight regain.

  • Scale Obsession: Focusing solely on the number on the scale can overlook other positive changes, such as improved fitness and muscle gain.

Setting realistic, achievable goals and celebrating small victories can help you stay motivated.

5. Medical Conditions

Several medical conditions can hinder weight loss efforts:

  • Polycystic Ovary Syndrome (PCOS): This hormonal disorder can lead to weight gain, particularly around the abdomen.

  • Insulin Resistance: Conditions like Syndrome X or metabolic syndrome can make it harder for your body to process insulin, leading to weight gain.

  • Chronic Stress: High levels of cortisol, a stress hormone, can promote fat storage, especially around the midsection.

  • Depression: Emotional eating is common among individuals with depression, contributing to weight gain.

If you suspect a medical condition is affecting your weight loss, it's crucial to consult with a healthcare provider for proper diagnosis and treatment.


Do you have questions about Weight Loss medication? Talk to one of our Patient Care Coordinators to get all of your questions answered today.

Effective Solutions for Weight Loss

1. Medical Weight Loss Solutions

At Affinity Whole Health, we offer advanced medical weight loss solutions, including compounded GLP-1 medications semaglutide and tirzepatide. 

  • Glucagon-Like Peptide-1 (GLP-1) medications mimic hormones that are important for metabolism and glucose regulation. 

  • Semaglutide: This GLP-1 receptor agonist helps regulate appetite and stomach emptying, promoting weight loss. Clinical studies have shown that most patients lose 15% of their weight on average with this medication. 

  • Tirzepatide: This GLP-1 receptor agonist also works at an additional receptor, GIP, and has been shown to produce even greater weight loss compared to semaglutide. Clinical studies have shown that most patients lose 20% of their weight on average with this medication. 

These medications are most effective when combined with lifestyle modifications, such as a balanced diet and regular exercise.

2. Hormone Replacement Therapy (HRT)

For individuals struggling with weight loss due to hormonal imbalances, particularly those related to menopause or andropause, hormone replacement therapy can be an effective solution:

  • Testosterone Replacement: For men and women with low testosterone levels, replacement therapy can help increase muscle mass and reduce fat. 

  • Estrogen and Progesterone Therapy: While menopausal HRT is not primarily indicated for weight loss, it can help boost metabolism and with fat distribution. 

It's important to note that while HRT can be beneficial for some individuals, it's not a magic solution for weight loss. The best results are achieved when HRT is combined with a healthy diet and regular exercise.

At Affinity Whole Health, we offer personalized hormone replacement therapy options tailored to your specific needs and health goals.

3. Balanced Diet

Adopting a balanced diet rich in diverse, nutrient-dense foods is crucial for sustainable weight loss:

  • Mediterranean Diet: This plant-forward diet has been shown to lower the risk of cardiovascular disease, metabolic syndrome, osteoporosis, and certain cancers. It emphasizes:

    • Fruits and vegetables

    • Whole grains

    • Lean proteins (fish, legumes, nuts)

    • Healthy fats (olive oil, avocados)

    • Portion Control: Use smaller plates and practice mindful eating to avoid overeating.

    • Meal Planning: Prepare meals in advance to avoid unhealthy food choices when pressed for time.

Avoid processed foods, trans fats, and added sugars to maintain a healthy diet.

4. Regular Physical Activity

Incorporating regular physical activity into your routine can enhance weight loss. The American College of Sports Medicine provides guidelines on effective exercise routines for weight management:

  • Cardiovascular Exercise: Activities like walking, running, and cycling can help burn calories.

  • Strength Training: Building muscle through strength training can boost your metabolism and aid in weight loss.

  • High-Intensity Interval Training (HIIT): Short bursts of intense exercise followed by recovery periods can be highly effective for fat burning.

The American Heart Association also recommends aiming for at least 150 minutes of moderate-intensity exercise per week, along with muscle-strengthening activities on two or more days per week.

5. Behavioral Changes

Making lasting behavioral changes is key to successful weight loss:

  • Mindful Eating: Pay attention to hunger and fullness cues to avoid overeating.

  • Stress Management: Practice stress-reducing techniques such as meditation, yoga, or deep breathing exercises.

  • Sleep Hygiene: Ensure you get adequate sleep, as poor sleep can disrupt hormones that regulate hunger and appetite.

  • Journaling: Keep a food and mood journal to identify emotional eating triggers.

  • Social Support: Surround yourself with supportive friends and family, or join a weight loss support group.

Tracking your progress and seeking support from friends, family, or a healthcare provider can help you stay on track.

6. Professional Support

Working with the healthcare professionals at Affinity Whole Health will give you  personalized guidance and support:

  • Patient Care Coordinators: Our Patient Care Coordinators provide ongoing support throughout your program at Affinity Whole Health.

  • Medical Providers: Regular check-ins with your healthcare provider can help monitor your progress and make necessary adjustments to your treatment plan.

At Affinity Whole Health, our team of experts is dedicated to helping you achieve your weight loss goals through comprehensive, personalized care.



Conclusion

Weight loss is a complex journey influenced by various factors, including medical conditions, hormonal imbalances, dietary habits, physical activity, and behavioral patterns. By understanding these common obstacles and implementing effective solutions, you can overcome your weight loss struggles and achieve lasting results.

At Affinity Whole Health, we offer a range of services, including hormone replacement therapy, compounded semaglutide, and tirzepatide for weight loss, to support you on your journey. Our holistic approach combines medical treatments with lifestyle modifications to help you achieve and maintain a healthy weight. If you're ready to take the next step, contact us today to schedule a consultation and start your personalized weight loss plan.

Remember, successful weight loss is not about quick fixes but about making sustainable changes that improve your overall health and well-being. Stay committed, seek support, and celebrate your progress along the way. You've got this!


Do you have questions about Weight Loss medication? Talk to one of our Patient Care Coordinators to get all of your questions answered today.

Sources

¹  Blair, S. N., & Morris, J. N. (2009). Healthy Hearts—and the Universal Benefits of Being Physically Active: Physical Activity and Health. Annals of Epidemiology, 19(4), 253-256. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10729542/. Accessed August 1, 2024.

² Mayo Clinic Staff. Menopause weight gain. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/menopause-weight-gain/art-20046058. Accessed August 1, 2024.

³ American Heart Association staff. 5 Steps to Lose Weight and Keep It Off. American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/losing-weight/5-steps-to-lose-weight-and-keep-it-off. Accessed August 1, 2024.

American Heart Association staff. American Heart Association Recommendations for Physical Activity in Adults and Kids. American Heart Association. https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults. Accessed August 1, 2024.

⁵ Von Hippel C, et al. The Impact of Self-Criticism and Self-Reassurance on Weight Loss Success. NCBI. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644966/. Accessed August 1, 2024.

Mayo Clinic Staff. Polycystic ovary syndrome (PCOS). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439. Accessed August 1, 2024.

Wilding JPH, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. New England Journal of Medicine. https://www.nejm.org/doi/full/10.1056/NEJMoa2032183. Accessed August 1, 2024.

Jastreboff AM, et al. Tirzepatide Once Weekly for the Treatment of Obesity. New England Journal of Medicine. https://www.nejm.org/doi/full/10.1056/NEJMoa2206038. Accessed August 1, 2024.

Stuenkel CA, et al. Hormone Therapy for Hormone Deficiency-Related Conditions: Impact on Weight Management. Journal of Clinical Endocrinology & Metabolism. https://academic.oup.com/jcem/article/90/5/2701/2836795. Accessed August 1, 2024.

¹⁰ Esposito K, et al. Effect of a lifestyle intervention program with energy-restricted Mediterranean diet and exercise on weight loss and cardiovascular risk factors: one-year results. Diabetes Care. https://diabetesjournals.org/care/article-abstract/42/5/777/40527. Accessed August 1, 2024.

¹¹ American College of Sports Medicine. Physical Activity Guidelines Resources. https://www.acsm.org/education-resources/trending-topics-resources/physical-activity-guidelines. Accessed August 1, 2024.

¹² American Heart Association. Recommendations for Physical Activity in Adults. https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults. Accessed August 1, 2024.

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