Episode 197: When Weight Loss Stalls: What Now?

Did you know that your body can actually fight against weight loss, even when you're doing everything right?

In this episode, I dive into what to do when obesity medications stop working and how to get back on track with your weight loss journey. I explain how metabolic adaptation—your body burning fewer calories as it gets more efficient—can lead to plateaus, along with hormone changes and medication tolerance. I will also walk you through lifestyle tweaks like adjusting your diet, reintroducing food tracking, adding strength training, improving sleep, reducing stress, and practicing mindful eating. I also cover when it's time to reassess your medications or even consider bariatric surgery. Most importantly, this will remind you that hitting a plateau isn’t a failure—it’s just your body adapting, and with the right tools and mindset, you can break through and keep moving forward.

Tune in to learn how to outsmart weight loss plateaus and get your journey back on track!

Episode Highlights:

• Why obesity medications may stop working

• Understanding metabolic adaptation and hormone shifts

• Importance of lifestyle tweaks alongside medication

• Strategies to break through weight loss plateaus

• When to adjust medication dose or switch classes

• Combining medications for better results

• Considering bariatric surgery as a treatment option

• Managing stress, sleep, and emotional eating for long-term success

Connect with Dr. Alicia Shelly:

• Website | drshellymd.com

• Facebook | www.facebook.com/drshellymd

• Instagram | @drshellymd

• Linked In | www.linkedin.com/in/drshellymd

• Twitter | @drshellymd

About Dr. Alicia Shelly

Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, “Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''.

Resources:

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