Why Am I Not Losing Weight? Nutrition and Dieting - Nutrition

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Weight loss


Hello Dr.
Ke: I am 171 cm tall and weigh 69 kg.
Although I am not considered very overweight, I have gained 10 kg compared to my previous weight.
I have also been controlling my diet; for breakfast, I eat an apple sandwich, a salmon sandwich, and drink mineral water.
For lunch, I skip rice and only eat vegetables and fish.
For dinner, I have bread (whole grain).
I do not eat late-night snacks and only drink water or freshly squeezed juice.
Why am I still unable to lose weight? Thank you.

Hanwen, 20~29 year old female. Ask Date: 2002/09/16

Dr. Ke Qiuliang reply Nutrition


Hello Hanwen: Based on your height and weight, your standard weight range is approximately 57.6-70.4 kilograms.
How long ago was the "previous" reference mentioned? Additionally, how long have you been following this diet? What is the daily intake of vegetables, fish, and freshly squeezed fruit juice? Since the amounts you consume were not mentioned, it is difficult to estimate your caloric intake.
Furthermore, I believe your diet lacks balance.
For appropriate weight loss, it is essential to maintain a balanced intake of the six major food groups: dairy, grains, vegetables, fruits, protein sources (meat, fish, beans, eggs), and fats.
In addition to diet, regular exercise is also necessary! I recommend consulting a nutritionist at a hospital for further advice tailored to your situation.
Wishing you peace and well-being.

Reply Date: 2002/09/16

More Info


Hello! Thank you for reaching out with your question about weight loss. It sounds like you've been making some significant changes to your diet, and yet you're not seeing the results you desire. Let's explore some potential reasons why you might not be losing weight despite your efforts.

Firstly, it's important to understand that weight loss is a complex process influenced by various factors, including diet, physical activity, metabolism, and even hormonal balance. Based on your height of 171 cm and weight of 69 kg, your Body Mass Index (BMI) is approximately 23.5, which is within the normal range. However, if you feel that you've gained weight compared to your previous self, it's understandable that you want to make changes.

1. Caloric Intake vs. Expenditure: Even though you are controlling your diet, it's crucial to ensure that you are in a caloric deficit, meaning you consume fewer calories than you burn. Sometimes, even healthy foods can contribute to a higher caloric intake than expected. For example, whole grain bread, while nutritious, can still be calorie-dense. Tracking your daily caloric intake using a food diary or an app can help you understand if you're consuming more calories than you think.

2. Nutritional Balance: Your current diet seems to lack variety and may not provide all the essential nutrients your body needs. While fruits and vegetables are important, they should be complemented with a balanced intake of proteins, healthy fats, and carbohydrates. For instance, incorporating lean proteins (like chicken, beans, or tofu) and healthy fats (like avocados or nuts) can help you feel fuller and more satisfied, which may prevent overeating later.

3. Portion Sizes: Even healthy foods can lead to weight gain if consumed in large quantities. It's essential to be mindful of portion sizes. For example, while a salmon sandwich is nutritious, the amount of salmon and the type of bread can significantly impact the calorie count.
4. Physical Activity: You didn't mention your level of physical activity. Regular exercise is crucial for weight loss and overall health. Aim for a combination of cardiovascular exercises (like walking, running, or cycling) and strength training (like weight lifting or bodyweight exercises) at least three times a week. This not only helps burn calories but also builds muscle, which can increase your resting metabolic rate.

5. Metabolism and Hormonal Factors: Individual metabolism can vary greatly. Factors such as age, genetics, and hormonal imbalances (like thyroid issues) can affect how your body processes food and burns calories. If you suspect that hormonal issues might be at play, it may be worth consulting with a healthcare provider for further evaluation.

6. Stress and Sleep: High stress levels and lack of sleep can also hinder weight loss efforts. Stress can lead to emotional eating, while insufficient sleep can disrupt hormones that regulate hunger and appetite. Aim for at least 7-9 hours of quality sleep per night and consider stress-reducing activities like yoga or meditation.

7. Hydration: While you mentioned drinking water and fresh juice, ensure you're adequately hydrated throughout the day. Sometimes, our bodies can confuse thirst with hunger, leading to unnecessary snacking.

In conclusion, while your dietary changes are a step in the right direction, consider evaluating your overall caloric intake, ensuring a balanced diet, increasing physical activity, and addressing any potential metabolic or hormonal issues. It might also be beneficial to consult with a registered dietitian or nutritionist who can provide personalized guidance based on your specific needs and goals. Remember, weight loss is often a gradual process, and patience is key. Best of luck on your journey to better health!

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