Why am I not losing weight in a calorie deficit — and when could there be a medical reason?

A calorie deficit should lead to weight loss over time, but metabolic adaptation, tracking errors, hormonal factors, and fluid retention can affect results. In this episode, we explain how doctors assess stalled weight loss and when further evaluation may be appropriate in Europe.

You’ll learn:

• What a true calorie deficit means and how energy balance works

• Common causes of stalled progress: inaccurate tracking, portion miscalculation, reduced non-exercise activity (NEAT)

• The role of water retention, menstrual cycle changes, and sodium intake

• How sleep deprivation, stress, and cortisol influence weight regulation

• When thyroid dysfunction, insulin resistance, or polycystic ovary syndrom ...