Weight Gain: Is It Hormonal Imbalance or Dieting Effects? - Internal Medicine

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Obesity


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 a rebound effect from excessive dieting, or could there be other reasons? Should I see a doctor? Should I consult a specialist in metabolism or another field?

Jin, 20~29 year old female. Ask Date: 2005/06/06

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.

Reply Date: 2005/06/06

More Info


Weight gain can be a complex issue influenced by various factors, including hormonal imbalances, dietary habits, and lifestyle changes. In your case, the recent weight gain of approximately six kilograms over the past month, despite a relatively small food intake, raises several important considerations.

Firstly, it is essential to understand that hormonal imbalances can significantly affect body weight. Hormones such as insulin, cortisol, thyroid hormones, and sex hormones (like estrogen and testosterone) play crucial roles in regulating metabolism, appetite, and fat storage. For instance, an underactive thyroid (hypothyroidism) can lead to weight gain, fatigue, and a slower metabolism. Similarly, elevated cortisol levels, often associated with stress, can lead to increased appetite and cravings for high-calorie foods, contributing to weight gain.

On the other hand, the effects of dieting, especially through extreme measures such as taking weight loss teas or pills, can also lead to unintended consequences. These methods may initially result in weight loss, but they can disrupt your body's natural metabolism and hormonal balance. When you restrict calories too severely, your body may enter a "starvation mode," slowing down metabolism and making it more challenging to lose weight in the long run. Additionally, once you return to a more normal eating pattern, your body may gain weight more easily due to this slowed metabolism.

Given your situation, it would be prudent to consult a healthcare professional. A visit to an endocrinologist or a metabolic specialist would be appropriate, as they can evaluate your hormonal levels and metabolic function. They may conduct blood tests to check for thyroid function, insulin levels, and other hormonal assessments that could provide insights into your weight gain.

In addition to hormonal evaluations, it might be beneficial to review your dietary habits and lifestyle. Keeping a food diary for a week can help identify any patterns or triggers that may contribute to weight gain. It’s also important to consider factors such as stress, sleep quality, and physical activity levels, as these can all impact weight management.

Moreover, if you have been relying on weight loss teas or pills, it may be time to reassess your approach to weight management. Sustainable weight loss typically involves a balanced diet rich in whole foods, regular physical activity, and healthy lifestyle choices rather than quick fixes. A registered dietitian can help you create a personalized nutrition plan that aligns with your health goals while ensuring you receive adequate nutrients.

In summary, your recent weight gain could be attributed to hormonal imbalances, the effects of previous dieting methods, or a combination of factors. Consulting with a healthcare professional, particularly an endocrinologist, will help clarify the underlying causes and guide you toward effective and sustainable weight management strategies. Remember, achieving and maintaining a healthy weight is a journey that requires patience, understanding, and a holistic approach to health.

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