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Weight Loss
Learn more about healthy weight loss, including the safest eating plans, exercises, and medications that can help you shed pounds. Expert input can help you stay motivated to achieve sustainable long-term results.
LEARN MORE
  • 1Body Mass Index (BMI) Defined
  • 2Child and Teen Body Mass Index (BMI): A Complete Guide
  • 37 Tips Proven to Help Lower Your BMI
  • 4Adult Body Mass Index (BMI): A Complete Guide
  • 5Is Body Mass Index (BMI) Accurate for Measuring Health?
  • 6What Are the Risk Factors for a High BMI?
  • 7BMI and Your Health: How Are They Connected?
SEE MORE

9 Reasons You’re Not Losing Weight

Shedding pounds and keeping them off isn’t easy. But once you know the facts about how weight loss works, it’s easier to reach your better-body goals.
By
Beth W. Orenstein
Updated on December 11, 2024
by
Reyna Franco, RDN
scale and measuring tape
Want to lose weight? Be ready to balance your expectations about how sustained weight management really works.
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You don’t need us to tell you that losing weight — and keeping it off — is hard. But it is useful to hear why weight loss is so difficult. That intel can help you stop blaming yourself for every setback and increase your chances of success. Forget the gimmicks: It’s time to face the facts about weight loss and go get the body you want to live in.

104

Your Body Works Against You

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It’s not just your imagination: When you try to lose weight, you’re fighting both your cravings and your own body. Weight loss decreases the hormone leptin, which signals to your brain that you’re full, and increases the hormone ghrelin, which stimulates hunger, according to research.

According to Everyday Health network site Lose It!, hormone imbalances of leptin, ghrelin, and many others make it even harder for you to keep the pounds off.

Plus, if you cut too many calories too quickly, your metabolism will slow, says Sabrena Jo, PhD, senior director of science and research for the American Council on Exercise in San Diego. “If you cut calories drastically, and as a result you drop a lot of weight fairly quickly, it’s likely that you’re losing some muscle. Muscle is really the engine of metabolism, so that contributes to a lower metabolism,” she explains.

Eating too little also makes you more likely to rebound and go in the opposite direction by overeating because you were restricting yourself for so long. “We recommend doing things more moderately: Increasing physical activity and decreasing calories have been shown to be what works in the long run,” Dr. Jo says.

9 Hard Truths About Weight Loss That Can Help You Slim Down

Do you find that, no matter how hard you try, you can’t lose weight and keep it off? Forget fad diets, and face the truth about what works and what doesn’t.
9 Hard Truths About Weight Loss That Can Help You Slim Down

Next up video playing in 10 seconds

105

There Are No Easy Fixes

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Wishing you were 20 pounds lighter in time for your high school reunion next month will not make that happen, and there are no realistic scenarios that will change that hard truth.

Certain newer prescription weight loss drugs can help with quick weight loss, but they can be expensive and come with unpleasant side effects. Plus, they aren’t right for everyone. Then there are extreme diets, which can wreak havoc on your metabolism and damage your weight loss efforts for the long term.

“When you’re trying to lose weight, it’s hard to be patient,” says Mark Pettus, MD, the chief medical officer of Preventia, an online health technology platform based in Indianapolis, and host of the podcast The Health Edge.

If you’re looking to lose weight through diet and lifestyle choices, healthcare professionals generally recommend a slow and steady pace so that keeping the weight off is more sustainable.

Aim to lose 1 to 2 pounds a week, as this pace is easiest to maintain, Dr. Pettus says.

106

Exercise Can’t Conquer All

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Yes, exercise helps you lose weight and keep it off: Research discovered more than a decade ago that people who maintain their weight loss exercise for at least 60 minutes most days.

But it’s also important to know that it’s nearly impossible to lose weight from exercise alone, Pettus says. Just do the math: A 135-pound person biking 60 minutes at a moderate pace will burn around 500 calories.

You can put all that back on with one post-workout meal. To lose a pound of fat, you have to burn 3,500 calories more than you consume, so you can see how hard it is to exercise your way through a poor diet. Instead, you have to watch what you eat and how much you exercise, Pettus says. If there’s any magic to dieting, it’s in that combination.
107

Diet Supplements Don’t Work

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Those pill bottles on the drugstore shelves that claim to supercharge your metabolism are tempting, but there’s little evidence that they work. One review of more than 1,700 articles on various supplements and alternative therapies, including green tea, acupuncture, and caffeine, found there was little to no high-quality evidence to support their value in aiding weight loss.

Instead of using these fad supplements, try focusing on better-supported weight loss strategies, such as eating less and exercising more.

108

Fad Diets Don’t Work for Long

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Grapefruit. Maple syrup. Cabbage. Apple cider vinegar. Juice. All these “miracle” diets are supposed to help you melt pounds and trigger fat-burning. Fad diets work in the short term through calorie restriction, but they fail to deliver long-lasting results, says Jo. “The problem is that people typically lack the desire to eschew entire food groups or severely limit their caloric intake, so eventually a more inclusive, calorically dense way of eating returns,” she explains.

109

One Diet Doesn’t Fit All

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Everyone’s body is different, so the diet that works for your friend, coworker, mother, or sister might not be successful for you. When looking at how best to lose weight, consider your health and family history, your metabolism, your activity level, your age, your gender, and your likes and dislikes. When you’re dieting, it’s important to allow yourself some foods that you enjoy, per Lose It!, or else you’ll feel deprived and be less likely to stick with an overall healthy eating plan, Jo says. For weight loss success, you need to drill down on what works for you — not what’s working for the other people in your life.

110

Cardio Is Essential (and Strength Training Helps, Too)

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According to the current Physical Activity Guidelines for Americans, adults should get 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous aerobic activity (or a combination of both), preferably spread throughout the week, plus two or more days of muscle-strengthening activities.

 And every bit counts — the recommendation is to move more throughout the day, even if it’s just a walk around the block.

These guidelines should help most people lose weight, says Jo, but obese people or people with a lot of weight to lose need to be even more active, working up to at least 30 minutes per day over time. Plus, don’t skip the strength training, which supports muscle, bone, and joint health and function, adds Jo. Increased muscle mass also gives your metabolism a slight boost — and makes you look more toned.

111

He Can Eat More Than She Can

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It doesn’t seem fair, but men often can eat more than women and still lose weight. That’s because people assigned male at birth tend to naturally burn more calories than those born female, thanks to their larger size, muscle mass, and elevated levels of the hormone testosterone, which promotes muscle growth, Jo explains. Plus, the male body is genetically designed for more muscle and less fat than the female body because it doesn’t need to store the energy required to bear children, she adds. Once you come to terms with this fact, the scale will thank you.

112

It’s Not a Diet, It’s a Lifestyle Change

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If you want to lose weight and keep it off, you have to change your behavior until you reach your goal weight — and for the months and years to follow. That’s because as soon as you stop your “diet,” you’re likely to gain back the pounds you worked so hard to shed. To be successful at weight loss, you need to make sustainable lifestyle changes, like making healthy food choices at most meals and getting plenty of exercise every week.

The Takeaway

  • If you find losing weight — and keeping it off — to be a challenge, it’s not all in your head. Understanding how your body works can help you find weight loss success.
  • Your activity level, metabolism, and even your gender can impact how easy it is to slim down. Understanding your own body is a more effective way to drop pounds than following the dieting playbook of popular trends, friends and family.
  • Sticking to a combination of eating less and exercising more is key to creating a lifestyle that will help you lose weight and keep those pounds off for good.

Resources We Trust

  • Cleveland Clinic: Weight Loss
  • National Institutes of Health: Weight Management Tools and Resources
  • American Council on Exercise: Exercise Database and Library
  • Nutrition.gov: Interested in Losing Weight?
  • American Heart Association: Losing Weight

Additional reporting by Jennifer D’Angelo Friedman.

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Lund J et al. The Unidentified Hormonal Defense Against Weight Gain. PLOS Biology. February 25, 2020.
  2. Catenacci VA et al. Physical Activity Patterns in the National Weight Control Registry. Obesity. September 6, 2012.
  3. Physical Activity Calorie Counter. American Council on Exercise.
  4. Batsis JA et al. A Systematic Review of Dietary Supplements and Alternative Therapies for Weight Loss. Obesity. June 23, 2021.
  5. Adult Activity: An Overview. Centers for Disease Control and Prevention. December 20, 2023.
Meet Our Experts
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Reyna-Franco-bio

Reyna Franco, RDN

Medical Reviewer
Member of American College of Lifestyle Medicine

Reyna Franco, RDN, is a New York City–based dietitian-nutritionist, certified specialist in sports dietetics, and certified personal trainer. She is a diplomate of the American College of Lifestyle Medicine and has a master's degree in nutrition and exercise physiology from Columbia University.

In her private practice, she provides medical nutrition therapy for weight management, sports nutrition, diabetes, cardiac disease, renal disease, gastrointestinal disorders, cancer, food allergies, eating disorders, and childhood nutrition. To serve her diverse patients, she demonstrates cultural sensitivity and knowledge of customary food practices. She applies the tenets of lifestyle medicine to reduce the risk of chronic disease and improve health outcomes for her patients.

Franco is also a corporate wellness consultant who conducts wellness counseling and seminars for organizations of every size. She taught sports nutrition to medical students at the Albert Einstein College of Medicine, taught life cycle nutrition and nutrition counseling to undergraduate students at LaGuardia Community College, and precepts nutrition students and interns. She created the sports nutrition rotation for the New York Distance Dietetic Internship program.

She is the chair of the American College of Lifestyle Medicine's Registered Dietitian-Nutritionist Member Interest Group. She is also the treasurer and secretary of the New York State Academy of Nutrition and Dietetics, having previously served in many other leadership roles for the organization, including as past president, awards committee chair, and grant committee chair, among others. She is active in the local Greater New York Dietetic Association and Long Island Academy of Nutrition and Dietetics, too.

See full bio

Beth W. Orenstein

Author

Beth W. Orenstein is a freelance writer for HealthDay, Radiology Today, the Living Well section of The American Legion Magazine, St. Luke’s University Health Network, and others. She is a magna cum laude graduate of Tufts University (1978), where she majored in English and was editor of the student newspaper for three years.

No matter the weather around her eastern Pennsylvania home, Orenstein either bikes 25 to 30 miles or walks at least 6 miles every day. Her one indulgence is blueberry pancakes — but only after biking a long distance.

See full bio
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