Advanced Institute for Diabetes & Endocrinology

Why Is It So Hard to Lose Weight?

Why Is It So Hard to Lose Weight? An Endocrinologist Explains

Losing weight is often frustrating. Many people follow strict diets, exercise consistently, and still struggle to see results. Why? Because your body is biologically designed to resist weight loss.

“Nature doesn’t want you to lose weight,” explains Dr. Lindsey VanDyke, DO,  board-certified endocrinologist based in Texas. “Your body is wired for survival, and any significant weight loss can trigger defense mechanisms to slow down your metabolism and hold on to fat.”

But that doesn’t mean weight loss is impossible. By understanding how your hormones, metabolism, and body’s survival instincts work, you can find ways to overcome plateaus and keep making progress.


How Your Body Resists Weight Loss: The Endocrinological Perspective

Your metabolism isn’t just about how many calories you burn—it’s a complex system controlled by hormones that regulate energy storage, hunger, and fat loss. When you start losing weight, your body detects the change and triggers multiple responses to preserve energy.

“Weight loss isn’t just about willpower,” says Dr. VanDyke. “Your body has built-in mechanisms to prevent starvation, which is why so many people struggle with plateaus or regain weight after dieting.”

Here’s what happens hormonally when you try to lose weight:

1. Your Body Lowers Leptin Levels (The “Fullness” Hormone)

Leptin is the hormone responsible for telling your brain that you’re full and have enough fat stores. When you start losing weight, leptin levels drop, making you feel hungrier and more likely to overeat.

“This is why after dieting, people often feel extreme hunger and cravings,” Dr. VanDyke notes. “Your body wants to restore the fat it lost.”

2. Your Metabolism Slows Down to Conserve Energy

Weight loss triggers a decrease in resting metabolic rate (RMR)—meaning your body burns fewer calories at rest. This is a defense mechanism to prevent starvation.

“A lot of people assume their metabolism is ‘broken’ when they stop losing weight,” says Dr. VanDyke. “But what’s actually happening is that your body is adapting to the lower calorie intake.”

3. Your Ghrelin Levels Increase (The “Hunger” Hormone)

When you start losing weight, ghrelin—the hormone that stimulates hunger—rises. This leads to:
✅ More cravings
✅ Increased appetite
✅ Difficulty sticking to a diet

“This is why long-term weight loss is so difficult,” Dr. VanDyke explains. “Your body is literally working against you, increasing your hunger hormones while slowing down your metabolism.”

4. Your Cortisol Levels Can Spike (The “Stress” Hormone)

Chronic dieting or extreme calorie restriction raises cortisol, which can lead to:

  • Increased fat storage (especially in the belly)
  • Muscle breakdown
  • Slower metabolism

“Stress plays a huge role in weight gain and retention,” Dr. VanDyke says. “People who are constantly dieting may have elevated cortisol levels, which can make fat loss even harder.”


How to Overcome Weight Loss Resistance

Even though your body fights weight loss, there are science-backed ways to outsmart your metabolism and keep losing fat:

1. Prioritize Protein Intake

Protein helps maintain muscle mass, which keeps your metabolism higher. It also reduces hunger hormones and keeps you fuller longer.

“Eating more protein can help counteract some of the hormonal shifts that slow down weight loss,” Dr. VanDyke explains.

2. Strength Training Over Cardio

Muscle burns more calories than fat, so strength training helps prevent metabolic slowdowns during weight loss.

“Cardio is great for heart health, but too much of it without resistance training can lead to muscle loss, which lowers metabolism,” Dr. VanDyke advises.

3. Avoid Extreme Calorie Restriction

Very low-calorie diets trigger starvation mode, slowing down metabolism and increasing hunger hormones. A moderate, sustainable calorie deficit is key.

“We know that a ‘concentration camp diet’ works because we’ve never seen a case of a concentration camp victim that did not lose extreme weight. However, dramatic calorie cuts can backfire,” says Dr. VanDyke. “Your body will fight back harder, making long-term weight loss nearly impossible.”

4. Get Enough Sleep

Poor sleep increases ghrelin (hunger) and decreases leptin (fullness), making you more likely to overeat.

“If you’re sleeping less than 6 hours a night or have poor quality sleep, your metabolism is already at a disadvantage,” warns Dr. VanDyke.

5. Manage Stress & Cortisol Levels

High stress = high cortisol = more belly fat retention. Try:
✅ Meditation & mindfulness
✅ Walking instead of intense exercise when stressed
✅ Setting boundaries around work & social obligations

“Managing stress is just as important as diet and exercise when it comes to weight loss,” Dr. VanDyke emphasizes.

6. Consider Medical Support When Needed

For some people, hormonal imbalances, insulin resistance, or thyroid issues make weight loss even harder. A board-certified endocrinologist can help identify and treat underlying conditions.

“If you’ve been struggling with weight loss despite doing everything ‘right,’ it may be time to check for hormonal imbalances,” says Dr. VanDyke.


Final Thoughts: Long-Term Weight Loss is About Science, Not Just Willpower

If you’ve ever felt frustrated with weight loss, know this: It’s not just you. Your body is designed to hold on to weight for survival. But with the right strategies—balancing hormones, managing stress, eating smart, and staying active—you can overcome these barriers.

“Weight loss isn’t about punishing yourself with restrictive diets or endless cardio,” Dr. VanDyke concludes. “It’s about working with your body, not against it.”

🔔 If you found this helpful, share it with someone struggling with weight loss! Looking for more science-backed tips? Follow Dr. Lindsey VanDyke, DO, for expert insights on metabolism, hormones, and sustainable weight loss.