What to Do When Your Weight Loss Plateaus

How Do I Break Through a Weight Loss Plateau?

So, you've been on this weight loss journey, right?

At first, the pounds were dropping like it's hot, and you were feeling pretty good about yourself. But now? It's like hitting a brick wall. No matter what you do, the scale just won't budge. Sound familiar? We're diving deep into this whole weight loss plateau phenomenon in today's episode. We'll break down what it actually means, what you can expect, and most importantly, how to kick it to the curb and keep making progress.

Cracking the Code on Weight Plateaus

You're cruising along on your weight loss journey, feeling good, when suddenly, bam, you hit a plateau. It's like hitting a speed bump on a smooth road. Let's break it down.

See, weight loss isn't always this straightforward, linear process. It's more like a rollercoaster ride, with ups, downs, and unexpected twists and turns. You might start off strong, shedding a few pounds here and there, only to hit a patch where the scale just won't budge.

But here's the thing: those periods of stagnation are totally normal. Your body is a complex machine, and there are a ton of factors that can affect your weight, from water retention to bowel movements to what you ate for lunch yesterday.

So, if you find yourself stuck in a plateau, don't panic. It doesn't mean you're doing anything wrong or that your efforts are wasted. It just means it's time to reassess and maybe switch things up a bit.

What Happens to Your Body When You Start Losing Weight?

Well here's the deal: that significant drop you experienced at the start? A good chunk of it is water weight bidding you farewell. When you kick-start a weight loss plan, your body taps into its glycogen reserves, which is stored sugar in your muscles and liver. As these glycogen stores deplete, they release water, leading to those impressive initial losses.

But once the water weight party ends, things may hit a snag. Your body's metabolic rate, its calorie-burning engine, starts to ease up a bit. It's almost like your body's way of saying, "Hold on, let's conserve some energy here." Plus, as you shed more weight, your hunger levels can surge while feelings of fullness take a backseat, making it trickier to stick to your plan.

This slowdown in weight loss is what we call metabolic adaptation. Your body is pretty clever—it adjusts to your new, slimmer self and works to maintain its current weight by scaling back on non-essential functions. You might start noticing signs like feeling more fatigued, getting a bit chilly, or even experiencing some hair loss. Essentially, it's your body's way of saying, "Let's hang on to what we've got here."

Yes, it can be frustrating when you're putting in the same effort but not seeing the same results. But really, it's all part of the journey. Your body is simply doing its thing to maintain balance. 

So, the next time you feel like tossing in the towel because the scale isn't cooperating, remember—it's just a phase. Understanding these changes can help keep you motivated and focused as you continue on your weight loss journey.

 

How Long Does Weight Loss Continue? 

One common question about weight loss is how long you can expect to keep shedding those pounds. Well, it really depends on the methods you're using. If you're sticking to lifestyle changes like diet, exercise, and behavior tweaks, you're typically looking at around 9 to 12 months of weight loss action. Some folks keep chipping away at those pounds for a couple of years, especially if they're on a meal replacement program or a new diet. And sometimes, even after a year or two, you might still see a steady drop of a pound or two a week.

Now, when you throw medications into the mix, things follow a pretty similar timeline. Take oral meds like phentermine or Contrave, for example. The most significant weight loss usually happens in the first three months. You'll still see some good progress between months three to six, but things start to slow down a bit after that. By the one-year mark, most people are settling into their new weight groove.

The newer meds, like GLP-1 agonists Wegovy or Zepbound, tend to stretch out the weight loss journey a bit longer, maybe more than a year. That's good news for folks who've lost about 20 pounds in six months—they could still have another 20 to go. The weight loss is most noticeable in the first six months, but it keeps trucking along at a steady pace until about a year, and then it starts to taper off.

Bariatric surgery plays by similar rules. The big drop usually happens in the first three to six months, and then things stabilize around the one-year mark.

Knowing these patterns helps you set realistic goals. Remember, the first three to six months are crucial. If you're not seeing the progress you're hoping for, it might be time to switch things up a bit.

Key Strategies for Maintaining Weight Loss

Keeping the pounds off is a crucial part of the journey. Here are some key points based on research and expert recommendations:

  1. Increase Your Movement: According to the National Weight Control Registry, 95% of people who successfully maintain their weight have upped their physical activity. Around 90% of these folks aim for an hour of moderate-intensity movement daily, with walking being a favorite. But hey, any form of exercise counts. I highly recommend adding some strength training into your routine. If you're looking for a program, check out my new GLP Strong program at www.glpstrong.com. Shoot for that hour of moderate activity each day, and if you're not there yet, no worries—just gradually work your way up.

  2. Consistent Eating Patterns: Most successful weight maintainers start their day with breakfast and stick to consistent eating patterns. That means no wild swings between weekday and weekend diets. Many folks stick to a routine—having the same breakfast, rotating through a few lunch and dinner options. It's all about keeping that consistency.

  3. Manage Stress: Stress and emotional times can throw a wrench into your healthy habits. That's why it's crucial to have effective stress management strategies in place for the long haul. This might include therapy, counseling, exercise, journaling, seeking support from your community, or even medication for mental health conditions. Making sure you've got a solid support system can really help you navigate those stressful moments without resorting to unhealthy eating habits.

  4. Limit TV Time: Cutting back on TV watching can actually lead to more movement. Let's face it, sitting in front of the tube often means being super sedentary. Instead, try to mix things up with activities that get you moving—even if it's just a little. Personally, I like to use TV time to fold laundry or do some light chores.

  5. Continue Medications if Needed: If you're using medications to help with weight loss, it's important to keep them up even after you've hit your goal weight. Of course, you should always consult with a healthcare professional before making any changes to your medication regimen. There's absolutely no shame in staying on medication long-term if it helps you maintain your weight and overall health.

  6. Regular Weigh-Ins: Keeping track of your weight regularly can help you stay on top of things. For many, a morning weigh-in is a good way to keep tabs on progress. But if stepping on the scale starts to mess with your head or negatively impact your mental health, it's totally okay to explore other methods for tracking your progress. You can even work on building a better relationship with the scale with the help of a therapist or by using alternative methods for monitoring your progress.

By focusing on these strategies, you can effectively maintain your weight loss and keep living that healthy lifestyle. Remember, the goal is to stay at your new weight and stick with the healthy habits that got you there.

Accepting or Adjusting Your Plateau

When evaluating your plateau, consider the intervention used. For instance, if you've lost 7% on phentermine, that's expected and should be seen as a success. If you're on Zepbound and lost 20%, you've achieved great results. Don’t forget to check in with your other health goals—such as improvements in diabetes, blood pressure, or overall energy.

What to Do if You Plateau

If your weight has plateaued for 10-12 weeks, you have two choices: accept it and focus on maintenance, or pursue more aggressive measures if there's a medical or personal reason to lose more weight.

1. Adding Medication: If not already on medication, consider starting one. If you are, explore combination therapies or stronger medications.

2. Bariatric Surgery: For those maximized on medication and still needing weight loss, surgery may be an option. 

3. Increasing Exercise: Evaluate if a more structured exercise plan is needed. Sometimes adding intensity or changing the type of exercise can help.

4. Tweaking Diet: Small dietary changes can make a difference. For instance, replacing a sugary latte with black coffee. However, it's crucial that any dietary changes are sustainable.

So there you have it—everything you need to know about breaking through a weight loss plateau. Remember, it's all part of the journey. By understanding how your body reacts to weight loss and implementing some key strategies, you can push past those plateaus and keep moving towards your goals.

If you found this episode helpful, don't forget to check out our previous podcasts on weight loss maintenance. And if you're looking for more guidance or support on your exercise journey, be sure to visit our website at glpstrong.com

Thanks for tuning in, and until next time, stay motivated and keep pushing forward on your weight loss journey!

More from The Dr. Francavilla Show:

Website 

YouTube

Facebook

Twitter

Instagram

Instagram for Clinicians

Tools for Clinicians

GLP Strong

Subscribe to The Dr. Francavilla Show on

Apple Podcasts, Spotify, Amazon Music, iHeartRadio, Stitcher

Google Podcasts, Pandora

Previous
Previous

Heart Health, Personalized Heart Testing, Wegovy, and More with Dr. Tracy Paeschke

Next
Next

How to Stress Less to Weigh Less with Dr. Robyn Tiger