I'm not losing weight even though I'm eating less.
"I'm exercising, but my weight isn't dropping as I'd like."
These kinds of concerns are very common.
When weight loss stalls, it's easy to think, "Am I not trying hard enough?" However, often there are underlying causes that can't be explained by diet and exercise alone. Factors that make weight loss difficult can include irregular lifestyle habits, decreased muscle mass, lack of sleep, stress, sleep apnea syndrome, and even medical conditions like hormonal imbalances. At Ikenohikari Sera Clinic, in addition to treating lifestyle diseases including obesity, we offer dietary and exercise therapy, sleep apnea syndrome testing and CPAP treatment, and care for endocrine disorders such as thyroid and adrenal conditions.
Reason 1 for not losing weight: You are consuming more calories than you think.
One of the most common causes is inaccurate estimates of energy intake.
Even if you think you're "cutting back on meals" and "avoiding sweets," you might be consuming more calories than you realize through drinks, snacks, nibbling, condiments, and eating out.
What are particularly easy to overlook are café latte, juices, alcohol, sweets, and late-night snacks. Because you don't strongly consider them as meals, there's a greater tendency for a gap to form between your perception and actual intake.
When weight loss is stagnant, simply organizing "what you ate and how much" can be a trigger for improvement.
Reason for not losing weight 2: Low muscle mass leads to low energy expenditure
If you try to lose weight solely through dietary restrictions, you're likely to lose muscle as well as fat. A decrease in muscle mass lowers your basal metabolic rate, making your body less prone to weight loss than before.
When you gain weight despite eating the same amount as when you were younger, it's often not just due to aging itself, but also a decrease in activity levels and muscle mass.
In such cases, rather than simply reducing your food intake further,Building a sustainable exercise habitis important. At Ikejiri-Ohashi Sera Clinic, doctors and physical therapists collaborate to offer a diet program that incorporates exercise therapy and body composition measurements. A key feature is the 3-month intensive plan, which combines exercise risk assessment, body composition measurement, and exercise therapy by a physical therapist.
Reason 3 why you're not losing weight: Appetite is disturbed due to lack of sleep and stress.
Lack of sleep and stress are major factors that make weight management difficult. If you don't get enough sleep for a prolonged period, your appetite control can become disrupted, making you more likely to crave sweets and fatty foods. Also, when you're under a lot of stress, you might eat not because you're hungry, but to soothe your fatigue or anxiety.
Furthermore, **Sleep Apnea Syndrome (SAS)** can sometimes be hidden behind sleep deprivation. SAS is a condition characterized by repeated pauses in breathing during sleep, and obesity is one of its causes. Even if you feel like you're getting enough sleep, the quality of your sleep may be poor, leading to daytime sleepiness, fatigue, and reduced concentration. This can result in decreased activity levels and make it harder to lose weight. Ikejiriohashi Sera Clinic offers simple screening tests for Sleep Apnea Syndrome, polysomnography, and CPAP therapy.
4 Reasons Why You're Not Losing Weight: Underlying medical conditions can be the cause: What is secondary obesity?
A cause of weight loss that cannot be overlooked isSecondary obesityIt is.
Secondary obesity refers to obesity that occurs not only due to overeating or lack of exercise, but also due to other underlying diseases.
is a prime examplehypothyroidismWhen thyroid hormone is deficient, metabolism slows down, making it easier to gain weight. Additionally, symptoms like swelling, fatigue, constipation, and feeling cold can occur. Furthermore, some endocrine disorders...Adrenal gland or pituitary gland abnormalitiesSome things are related to weight gain. In such cases, trying to improve it with self-taught dieting alone is unlikely to yield results.
A trigger for suspecting secondary obesity is
- I suddenly started gaining weight easily, even though my lifestyle is the same as before.
- In addition to weight gain, I have severe fatigue, swelling, and constipation.
- Even though I'm trying my best, my weight barely budges.
There are cases where
At Ikenjiri Otsukuri Sera Clinic's Department of Diabetes and Endocrinology, we handle not only thyroid diseases but also disorders of the pituitary gland, adrenal glands, and parathyroid glands, providing evaluation and treatment including blood and urine tests. It is a significant advantage to be able to medically investigate the causes if necessary, rather than simply dismissing them as diet-related issues.
5 Reasons You're Not Losing Weight: Your Solo Diet Isn't Working
Extreme carbohydrate restriction, skipping meals, and trying to lose weight rapidly in a short period tend to be difficult to sustain even if you lose weight temporarily, and are more likely to lead to rebound weight gain.
Also, among those who feel "I'm exercising but not losing weight," increased appetite after exercise or methods that don't suit them can be contributing factors.
What's important is not being too strict, butA method that is medically feasible and easy to maintainChoosing the right approach. At IKEJIRI-OHASHI Sera Clinic's diet program, we combine a medical consultation and exercise risk assessment by a doctor, individualized exercise guidance by a physical therapist, and visualization through body composition measurement to aim for a lifestyle change that prevents rebound. Health checks and assessments for lifestyle diseases are also conducted as needed.
When you can't lose weight, considering consulting a medical institution is also an option.
When you feel like you're not losing weight no matter what you do, it doesn't necessarily mean you need to "endure more."
In reality, it may be important to organize your diet, review your exercise habits, evaluate your sleep, check for lifestyle-related diseases, and get tested for endocrine disorders as needed.
At Ikenjiri Ohashi Sera Clinic, we offer comprehensive care as a Diabetes and Endocrinology clinic, in addition to treating lifestyle-related diseases such as obesity, fatty liver, hypertension, and dyslipidemia. Our services include dietary therapy, exercise therapy, and pharmacotherapy. We also provide testing and treatment for sleep apnea syndrome, as well as a diet program in collaboration with physical therapists. This allows us to evaluate individuals facing challenges with weight loss from multiple perspectives.
summary
There isn't just one reason for not losing weight.
In addition to overeating and lack of exercise, secondary obesity can also be caused by a decrease in muscle mass, lack of sleep, sleep apnea syndrome, stress, and diseases of the thyroid or adrenal glands.
When what you're doing your own way isn't working out, rather than thinking "my willpower is weak,"To organize why it's difficult to lose weightIt's important. Ikejiri Ohashi Sera Clinic offers a wide range of treatments, including lifestyle diseases, sleep apnea syndrome, endocrine disorders, and exercise therapy. If you are concerned about your weight, have been told you have an abnormality on a medical check-up, or find it difficult to stick to a diet, why not consult them?
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