Please help me?
Hello, nutritionist, please help me! Why do I keep gaining weight despite trying to lose it? Every time I lose 15 to 20 kg, I quickly regain it, and I end up even heavier.
I'm going crazy! My height is 180 cm, and my weight has exceeded 160 kg.
I exercise every week and eat normally.
Could it be that I have a hormonal imbalance or something else?
Pang Pang, 30~39 year old female. Ask Date: 2003/03/05
Dr. Xie Huimin reply Nutrition
Hello, I suggest that you first consult a metabolic specialist to diagnose any potential endocrine issues.
Additionally, you should keep a record of your diet and exercise.
After that, seek the help of a nutritionist to evaluate your caloric intake and expenditure.
A comprehensive analysis will help identify the underlying causes.
It would also be beneficial to consult a physician and a nutritionist who have experience in weight management for a joint assessment.
Reply Date: 2003/03/05
More Info
Gaining weight after losing it, often referred to as "yo-yo dieting," is a common issue that many individuals face. This phenomenon can be frustrating and disheartening, especially when you feel like you are putting in the effort to maintain a healthy lifestyle. Let's explore some potential reasons behind this weight gain and provide insights into how to address it.
Understanding the Yo-Yo Effect
1. Metabolic Adaptation: When you lose weight, your body undergoes metabolic adaptations. This means that your basal metabolic rate (BMR)—the number of calories your body needs to maintain basic physiological functions—can decrease. As a result, when you return to your previous eating habits, you may consume more calories than your body now requires, leading to weight gain.
2. Restrictive Dieting: Many weight loss strategies involve restrictive dieting, which can lead to feelings of deprivation. Once you stop the diet, you may find yourself overeating or bingeing on foods you previously restricted. This can create a cycle of losing and regaining weight.
3. Hormonal Changes: Weight loss can affect hormones that regulate hunger and satiety, such as leptin and ghrelin. After losing weight, levels of leptin (which signals fullness) may decrease, while ghrelin (which signals hunger) may increase. This hormonal imbalance can lead to increased appetite and cravings, making it difficult to maintain weight loss.
4. Psychological Factors: Emotional eating is another significant factor. Stress, anxiety, and depression can lead to overeating as a coping mechanism. If you find yourself eating in response to emotions rather than hunger, it can contribute to weight gain.
5. Physical Activity: While you mentioned that you exercise weekly, the type and intensity of your workouts matter. If your exercise routine is not sufficiently challenging or varied, it may not be enough to counteract the calories consumed, especially if you have increased your caloric intake after a period of dieting.
Addressing Weight Gain
1. Balanced Eating: Focus on a balanced diet that includes a variety of foods from all food groups. Instead of restrictive diets, aim for moderation. Incorporate whole grains, lean proteins, healthy fats, and plenty of fruits and vegetables. This approach can help you feel satisfied and reduce cravings.
2. Mindful Eating: Practice mindful eating by paying attention to your hunger cues and eating slowly. This can help you recognize when you are full and prevent overeating.
3. Regular Physical Activity: Ensure that your exercise routine includes both cardiovascular and strength training exercises. Strength training can help build muscle, which in turn can increase your BMR. Aim for at least 150 minutes of moderate-intensity aerobic activity each week, along with muscle-strengthening activities on two or more days.
4. Monitor Portion Sizes: Be mindful of portion sizes, especially when eating calorie-dense foods. Using smaller plates and bowls can help control portions without feeling deprived.
5. Seek Professional Guidance: If you suspect hormonal imbalances or underlying health issues, such as thyroid dysfunction or metabolic disorders, consult with a healthcare professional. A registered dietitian can also provide personalized nutrition advice and help you develop a sustainable eating plan.
6. Emotional Support: Consider seeking support from a therapist or counselor if emotional eating is a concern. They can help you develop healthier coping strategies for managing stress and emotions.
Conclusion
Weight gain after losing it can be attributed to a combination of physiological, psychological, and lifestyle factors. By adopting a balanced approach to eating, incorporating regular physical activity, and addressing emotional eating, you can create a sustainable path toward maintaining a healthy weight. Remember, weight management is a lifelong journey, and it's essential to be patient and kind to yourself throughout the process.
Similar Q&A
Understanding Weight Gain: Is It Hormonal Imbalance or Dieting Effects?
I would like to ask a question. I previously drank weight loss tea and took weight loss pills, but it has been a while since then. Recently, in the past month, I have gained nearly six kilograms. My usual food intake is not large. Could this be due to hormonal imbalance, or is it...
Dr. Yang Hongzhi reply Internal Medicine
Weight regain after stopping a diet is commonly observed. Most cases of obesity are not due to endocrine disorders and can be addressed in a metabolic clinic.[Read More] Understanding Weight Gain: Is It Hormonal Imbalance or Dieting Effects?
Why Am I Gaining Weight Despite My Diet and Exercise Efforts?
I am 166 cm tall and weigh 63 kg. Since starting my regular weight loss plan a week ago, I have noticed that my weight has not only failed to decrease but has actually increased. I am currently not working and attend night classes, waking up around noon for regular meals and not ...
Dr. Zhao Chongliang reply Internal Medicine
Hello! If tumors grow within the body, their unlimited growth can deprive normal cells of nutrients, causing weight loss rather than weight gain. There are many causes of obesity; in addition to diet and exercise, the medical community has identified at least six genes associated...[Read More] Why Am I Gaining Weight Despite My Diet and Exercise Efforts?
Managing Weight Gain After Depression: Tips for Healthy Eating
Hello, I recently experienced severe depression, which led to a loss of appetite and weight loss. Recently, I have been trying hard to eat a little to maintain my body functions, but I gained a kilogram immediately after eating just a small amount. I would like to ask a nutrition...
Dr. Xie Peiru reply Nutrition
Hello: First of all, I want to acknowledge your hard work. Initially, weight gain can occur because your body has been in a state of starvation, so once calories are introduced, the body tends to absorb them in large amounts. However, after a period of time, the body will adjust ...[Read More] Managing Weight Gain After Depression: Tips for Healthy Eating
Why Am I Gaining Weight Despite Eating Less? Understanding Body Metabolism
I would like to ask! I don't know why! I am gradually gaining more weight! I originally thought it was because I was eating too much and becoming very overweight! Later, I tried eating only one meal a day, but there was no weight loss effect! At most, I have three normal mea...
Dr. Zhuang Yizhen reply Nutrition
Obesity has a direct relationship with metabolism, and effective weight loss requires careful assessment and long-term commitment. Eating only one meal a day can lead to a decrease in basal metabolic rate, resulting in a cycle of weight loss and regain, making weight management d...[Read More] Why Am I Gaining Weight Despite Eating Less? Understanding Body Metabolism
Related FAQ
(Nutrition)
Weight Loss(Nutrition)
Exercise And Weight Loss(Nutrition)
Dietary Adjustment(Nutrition)
Post-Operative Diet(Nutrition)
Bulimia(Nutrition)
Leg Obesity(Nutrition)
Bowel Movement(Nutrition)
Unexplained Weight Loss(Internal Medicine)
Loss Of Appetite(Gastroenterology and Hepatology)