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The most common reasons you're not losing weight

If you're worried about not reaching your ideal weight - despite recently shedding some pounds - we explore potential reasons why your weight loss may have plateaued.

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Video picks for Obesity and weight loss

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You're not sleeping well

When you sleep your body naturally slows down and uses less energy. You might sleep for ten hours and feel fine in the morning. But try not eating or drinking for the same amount of time. You'd be thirsty and hungry, right?

If you're having trouble sleeping, then your body tends to go into stress mode. Stress hormones such as cortisol are naturally low at night, but will go up again if we're awake. Cortisol makes our bodies lay down fat reserves 'just in case'.

Plus if you're awake, you're up and possibly in the kitchen - so your tendency to snack is higher.

The underlying question is - why aren't you sleeping?

Sarah Walford, a nutritionist based in London, explains that stress is a two-fold process.

"Some people feel so anxious they can't eat, while others tend to binge eat," she says. "When you feel stressed, your body releases cortisol in an attempt to free up sugar into your bloodstream. If you then can't burn off that sugar it gets converted to fatty acids, which makes you put on weight. That kind of weight gain is often around the tummy rather than the arms or legs."

Scientists have also found a potential link between carbohydrates and serotonin - the hormone that helps to regulate your mood. There is a theory that, without realising it, by eating carbohydrates you are attempting to boost your serotonin levels when you feel depressed. Hence why we love 'comfort food' when we're feeling down - such as pizza, mashed potato, toast.

But of course, all that carbohydrate can make you put on weight.

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Walford explains that, nowadays, more people work through the night.

"Think nurses, factory workers, delivery drivers, office cleaners," she says. "Your body wants to be asleep, but if you're awake and working then your cortisol production kicks in. This is the same bad cycle we see in people who are stressed or anxious. Cortisol frees up sugar which - if it isn't burnt off - gets converted to fatty acids and laid down as fat."

With more people working nights, this increases the chance of negative consequences for their weight and health.

When you work nights, you also tend to eat unhealthily and mainly during the later hours. This is bad for your health, but also tends to make you put on weight because your body can't digest food as efficiently at night as during the day.

If you do work nights, try regular small snacks which are high in protein or fibre. Some grilled meat or fish, a salad and plenty of water can help get you through your shift.

You're going out for dinner with friends later, so what do you do for lunch? Skip it? This technique is unlikely to lead to weight loss.

Walford warns: "Skipping meals puts your body into self-defence mode. Low food intake slows your metabolism down. So then when you go back to eating normally you're putting food into your body but not burning it off as quickly."

You end up putting the weight back on and sometimes even more than before."

Walford's talking about the unhealthy technique of skipping meals followed by binge-eating, rather than 'intermittent fasting' - made famous by the 5:2 diet - for weight loss. Intermittent fasting works but it's a tougher regime for some people to maintain than merely eating a bit less. And it's not a good idea if you've had an eating disorder in the past.

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In most places there's plenty of coffee shops. These coffees or hot chocolates may taste nice and make you feel good - for a bit - but they aren't a great choice if you're trying to lose weight.

Walford suggests you watch the milk: "Many white coffees or hot chocolates from cafes have much more milk in than you would put in yourself at home."

And, coffee shop 'mixed drinks' such as a mocha or blended ice-coffee tend to have a lot of sugar in too. Trying to lose weight, but love your coffee? Try black, no sugar.

Studies that go back to the 1990s have consistently shown that we underestimate how much we eat.

If you're having trouble keeping track of what you eat, try snapping a photo of literally everything you eat or drink over a 24-hour period. The results might surprise you.

Need weight loss treatment?
Complete a simple online consultation through Patient.info, available 24/7
All consultations are reviewed by UK registered clinicians, powered by Evaro - a UK regulated healthcare service supporting over 2 million patients. Treatments can often be delivered next day.

שאלות נפוצות

Why does poor sleep increase fat reserves in my body?

When you're awake at night, your body releases stress hormones like cortisol. While cortisol is normally low at night, being awake causes it to rise, which signals your body to store fat reserves. Additionally, you might be more prone to snacking when you're awake overnight.

How does stress affect my weight, particularly around the tummy?

When stressed, your body releases cortisol, which frees up sugar into your bloodstream. If this sugar isn't used for energy, it's converted into fatty acids and often stored as fat, particularly around the abdominal area. Some people also tend to binge eat when stressed, while others might lose their appetite.

What’s the problem with drinking coffee shop drinks like lattes or mochas when trying to lose weight?

Many coffee shop drinks, especially white coffees, lattes, and hot chocolates, contain a lot more milk than you might use at home. Mixed drinks like mochas or blended iced coffees also tend to have a high sugar content. These can add significant calories and sugar, making weight loss more difficult.

How can working night shifts negatively affect my weight and health?

Working night shifts disrupts your body's natural sleep cycle, leading to increased cortisol production, similar to being stressed or anxious. This can cause your body to store fat. Additionally, people working nights often eat unhealthily, especially later in the evening, and your body digests food less efficiently at night than during the day, which can contribute to weight gain.

Why does skipping meals hinder weight loss and sometimes lead to gaining more weight back?

Skipping meals puts your body into a 'self-defence mode,' slowing down your metabolism. When you eventually return to eating normally, your body doesn't burn off the food as quickly. This often results in regaining the weight you lost, and sometimes even more than your original weight.

How can taking photos of my food help me manage my eating habits?

Studies show that people often underestimate how much they eat. By taking a photo of literally everything you eat and drink over a 24-hour period, you can get a more accurate picture of your true intake. This visual record can help you become more aware of your eating patterns and portions, which might surprise you.

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About the authorView full bio

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Dr Oliver Starr, MRCGP

MBChB, BMedSc, MRCS, MRCGP, DRCOG

Dr Oliver Starr is a general practitioner in Hertfordshire and an undergraduate tutor at University College Medical School.

About the reviewerView full bio

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Dr Krishna Vakharia, MRCGP

Chief Medical Officer for Health, Optum UK

MBChB, MRCGP(2013), BMedSci (hons), DFSRH, DRCOG, PGDipDerm (Distn)

Dr Krishna Vakharia is an NHS GP. She is also a regular examiner for the postgraduate Diploma in Practical Dermatology at Cardiff University as well as being the Chief Medical Officer for health at Optum UK.

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