Why Aren't I Losing Weight? 10 Factors You Need to Consider.

Every year, millions of people attempt to tackle weight loss. They find talk of calories, of macros, of IIFYM, Paleo, and IF; hormones with really weird names, and fat burning supplements; training programs, met cons, and infomercials galore. Everybody says how simple it should be and then proceeds to muddy the simplicity with hundreds of “if's” and options. There is no shortage of information telling you everything you've done wrong or why this program is better than the others. And I'm not going to write another step-by-step guide to losing weight, discuss macros, diets, and training programs. There are enough of those out there for you to read. Instead, I'm going to address some of the not-so obvious problems in weight loss.

Without boring you with all the different theories and the soapbox lecture about how weight loss is a process and there is no such thing as a quick-fix, I want to remind you that THERE IS NO QUICK-FIX, no magic pill, no insta-cleanse (that's a whole different post), and a whole lot of ways that work. Each person responds differently and part of the challenge is finding what works for you. The most important part is approaching your weight loss systematically and by making small, sustainable life changes and having patience.

Assuming you've got a solid plan (no magic pills, no drastic calorie cuts or food eliminations) and a training program that matches (some cardio, some weight training), you should see progress happen within a few weeks depending on how much you've got to lose. Remember, the scale isn't always going to show progress, so that's why we advocate taking before pictures from multiple angles along with measuring calves, thighs, hips, waist, chest, biceps, and neck. But what happens when you aren't seeing any of these measures move?

Unfortunately, even with the perfect plan, there are other factors that can effect weight loss, and many of them are either overlooked or never discussed. Instead of looking deeper, the fitness world would have you change programs, cut your calories, use a “cleanse” or buy some new variant of bootcamp DVD paired with a TENS Unit (the electro shock thing).

Some of these factors that effect our weight loss are within our control, and many others are not. Even though we can't have 100% control, when we know what is causing our problem, we can take appropriate steps to minimize their effect.

Possible Factors Effecting Weight Loss:

• The Wrong Mentality – This could be the most difficult weight loss stumbling block of them all. Whether it's overconfident or self-defeating, how we think about our weight loss and our plan can determine our chance of success. When we're too stubborn to listen (I didn't say implement) to other options we're likely to make poor decisions when we stall. When we don't believe in the program we're using, we're likely to cheat on the diet, skip workouts, and commit self-sabotage in small ways. Either way, your success depends on you believing

• Stress – We all face stress every day. Some of us train to relieve stress, some of us play sports, some meditate, and others binge eat. For the most part, we handle the stress fairly well, but when we face more stress than we can handle or we don't recover well enough, bad things happen. Stress causes the body releases the hormone Cortisol. While Cortisol is both normal and necessary, too much of it throws off the body's hormonal balance and can result in a number of medical conditions.
  
  One of the best techniques to battle stress in my experience, is learning to meditate. There are apps on both iOS and Android that can guide you through techniques to relax and relieve stress in as little as 5 minutes each day.

• Working Out Too Much – The old addage goes something like “Eat less, move more.” Unfortunately, in weight loss, more isn't always better. When you work out too much, whether it's endless hours of cardio or weights, the body's reaction may be to hold on to weight. Simply explained, working out causes stress, and stress without proper nutrition and recovery leads to negative changes in the body and potential weight gain.
  
  Many unknowingly out-train their recovery and nutrition, resulting in no progress and a lot of frustration. The solution is truly as simple as it seems; do less. That's not to say do nothing, but if you are training 5-6 days per week and you aren't seeing changes, it may be time to consider reducing your training days to only three days per week.

• Too Little Recovery – There are articles and research to be found all over that explain the importance of recovery and sleep on hormonal regulation, recovery, and weight loss. When the hormones get out of whack (yup, science terms here) weight loss and fat burning slows. Lack of sleep and poor sleep quality leave us tired and potentially reaching for sugary food and drink to give us quick bursts of energy, skipping workouts, and eating the easy, fast food because we're too tired to make healthy meals at home.
  
  One of the tools I use to monitor my sleep is called “sleep bot” for Android. There are a plethora of similar trackers that monitor sleep time and movement and can provide a sleep quality. Many can also create “smart alarms” that wake us up at the right time with the right amount of sleep. Another valuable part of getting restful sleep is playing meditation hypnosis before bed to relieve stress. If monitoring and adjusting your sleep isn't working, it may be time to speak to a doctor about it.

• Inconsistency – We all see it or have experienced it, the on again, off again relationship with good nutrition and working out. But what happens when we start and stop repeatedly? What happens when we only work out once a week instead of the three that we planned on? Weight loss takes consistent efforts, and patience to stay the course.
  
  News Flash – The infomercials provide skewed perceptions about typical weight loss rates. The truth is weight loss and body changes don't happen overnight and sometimes not for weeks. Be patient, make your training and nutrition a priority. Plan it into your day and then take no excuses.

• Medical Conditions – Hypothyroidism, Cushing's Syndrome, PCOS, Syndrome X, Depression, and other Hormonal Changes are all conditions that effect weight loss. Each condition occurs for a different reason and can be an underlying cause on why the weight isn't coming off.
  
  While we can read all about these conditions and symptoms, and self-diagnose, the only true diagnosis and treatment comes with the the assistance of a medical professionals.

• Medications – There are millions of medications on the market and being used by people all over the world. Birth Control, Anti-Depressants, Blood Pressure Meds, and many others can all effect our hormone levels, cause fatigue, fluid retention, or can increase appetite. Like everything else that goes into our body, the medications we take can effect how our body works.
  
  You can research the medications you take, along with their side effects online. If you're concerned about your medications and their effect on weight loss, check with the prescribing doctor.

• Food Sensitivities – There is a difference between a sensitivity and an allergy. A trouble food can be tolerated in small amounts and the bad reaction might be prevented with medications in a food sensitivity. The reason for the reaction is certain elements of the offending food might not be digested and processed optimally, resulting in inflammation. Inflammation is typically followed by a level of insulin resistance and possibly leaky gut.
  
  The obvious solution is to limit the intake of foods that you are sensitive too. Another possible solution is the use of Probiotics to help maintain a healthy gut and aid in digestion. If you suspect food sensitivities could be hindering your weight loss, it is best to seek the assistance of a medical professional.

• Lack of Variety – When we do the same thing or eat the same thing for too long, our body adapts. In 6-8 weeks, the body can become more efficient and at that point, a small change needs to be made to keep progress moving forward.
  
  Evaluate your program every 6-8 weeks. If you are still making progress, there is no need to make a change, but when a program that was working, stalls, it's time to consider a small, calculated change.

• Too Much Variety – On the flip side of not changing enough is the person that changes too much. Whether it's switching from carb backloading to IIFYM to IF or from 5x5 to GVT to PHAT, too much variety prevents us from making progress. There is a huge myth out there that says the body needs to be “confused” to produce results.
  
  Like many have mentioned before, progress requires consistency and a chance for the body to adapt. As the body becomes efficient and adapts, then it is time to make just enough of a change to keep progress going.

As you can see, there are a number of factors that can effect weight loss and while we have control over only a few of them, we can be informed and make educated decisions about how to handle all of them. Once you've got the plan and the program it is important to be patient and consistent. Remember to take pictures, use the tape measurements, and the scale to create a whole picture of your transformation. If things aren't moving, instead of giving up or making drastic changes, consider the many factors above and ask for help from the people that know about and have experience working with weight loss.

Lose and Gain...At the Same Time?

One question is brought up at least 10 times a day on different fitness boards I read, “Can I gain muscle and lose fat at the same time?” Another version I see all the time which has the same answer is “Can I get stronger while cutting weight?” Some will say “absolutely” while others will scream bloody murder at the very idea. Unfortunately, it isn’t a simple yes or no answer. Like many fitness questions, the answer “it depends” is the answer. There are no simple solutions in fitness because everybody’s body reacts differently, but the more you know, the better your chances of finding success in obtaining your goals.

Let me first address the “gain muscle / lose fat” conundrum. A quick search of the internet returns no less than 42 million results. Unless you have experience weaving through the magic of fitness advertising, you’d wholly believe that everybody can gain muscle and lose fat at the exact same time or that nobody can do it. The internet makes the body seem capable of building muscle from the fat that is being burned. Some basic science tells us that our body needs a caloric deficit in order to lose weight and a caloric surplus in order to build muscle. In an ideal world, your body could use the stored fat as the energy source for building and maintaining muscle. Unfortunately, the fat we burn is not that source and our body doesn’t work that way. Human Physiology tells us that when we eat below maintenance levels, our body does not focus on making muscle [1]. The body will find energy, which can come from the fat we burn or the food we eat to maintain functions, but it does not make muscle from it. According to Dr. John Berardi, the body uses the energy from the days before for repair and growth and not the new nutrients with the exception of long duration exercise [2]. Seems like I just gave some solid reasons why it isn’t possible, but there are a few times when it is possible.

Given the resounding “no” that came from above, there are several cases where the answer is a resounding “yes.” In order to figure out how possible it is, and if is it worth the extreme effort, there are several questions that I consider.

• What is the training age of the client?
• What type of training has the client been doing to this point?
• What is the body composition of the client trying to make the change?
• How much weight is the client giving me to manipulate?
• What is the client's age?

As you can see, that simple “yes” or “no” just got more complicated. Each question and answer gives me an idea of the likelihood of success when trying to do accomplish two goals at the same time. The best chance of success comes from:

• A novice trainee
• Someone that was in a trained state and became detrained
• Someone with higher body fat or a lot of weight to lose
• Someone that is younger

There are many reasons these types of trainees are more likely to experience success, primarily it is the greater potential to build muscle. In contrast, more experienced trainees, trainees that are still in a trained state, people with lower body fat or weight, and older people have several factors against them. In my experience, if the elements are leading away from success, I would look for alternate routes.

If you fall into one of the magical categories, the answer is yes, it is possible and worth trying. One study found that a group of overweight novices lost 16+ pounds of fat and gained nearly 10 pounds of muscle during a 14-week training program [3]. Another study took 30 newer lifters and divided them into three groups of 10. One group did cardio, one did weights, and one did both. Despite the fact that the third group started out with an average body fat of just 12%, the men gained 7 pounds of muscle while losing almost 6 pounds of fat [4].  Finally, a study of trained then detrained and retrained individuals also showed promise that it is possible to lose fat and build muscle due to muscle memory [5]. Does this mean it is possible for everybody? No, it doesn’t, and as I have said many times, what works for one person may not work for any other person.

If you aren’t in one of the special categories that typically means you have less body fat / weight to manipulate, have more years of experience training, or have reached a limiting factor based on age, training, or diet. Without the use of pharmaceutical assistance, it is tremendously hard to do both at the same time. At this point and in most cases it is the wiser choice to attack one goal and then the other. Along with many other trainers, my preferred pattern is to lose fat in the first phase and then gain muscle in the second phase. I’m not going to break down cutting and bulking here as they are topics unto themselves. By losing the fat first through maintaining a high protein, caloric deficit and utilizing proper training, you will be able to spare a lot of your current muscle. Following the fat loss, it will be possible to gradually increase caloric intake to maintenance levels and above to allow for the growth of muscle tissue while minimizing fat gain. While this process may seemingly take longer, it is more reliable and better than spinning your wheels making no progress. This two-phase method will allow for much more control and the ability to manipulate and adjust if things aren’t going as planned.

Still want to try and lose fat while gaining muscle? Here are a few essential elements that need to happen in my successful experiences:

• Train HARD.
• Not just heavy, or cardio, but a mix of both. Train low rep, high intensity two days per week.  Train high intensity one day per week and long steady state one day per week. Every day needs a form of metabolic conditioning circuits.
• Increase protein intake and decrease the carbs.
• You’re trying to save and build muscle which needs protein. Approximately 1-1.2 g per pound should be good.
• Cycle your intakes on training and non-training days.
• This doesn’t mean splurge or starve, but eat slightly more or less based on the training style that day. Carb cycling is popular as is intermittent fasting and the paleo diet. Previous research also showed very low carb / high protein diets to be successful in muscle sparing as well. Be sure to research and fully understand this new eating style before diving in headfirst.

The “it’s possible” to lose fat and gain muscle at the same time verdict relies upon the right combination of circumstances, nutrition, and training protocols. The truth is that while possible under certain circumstances, it is not ideal or possible for most to easily achieve losing fat while gaining muscle and your time may be best spent tackling one goal at a time. If you are one of the few predictable cases where it is more likely and worth the time investment, I support pursuing fat loss while gaining muscle, however, for the many others where it is less than ideal, I urge you to consider all of the variables and options before making a decision. It is a choice you must make regarding the amount of effort and the time it will take to find what works best for you before finding success. From here, you have a starting point to continue educating yourself about your options or you can choose to reach out to a coach to help you accomplish your goals.

Sources:

1. Pasiakos SM, Vislocky LM, Carbone JW, Altieri N, Konopelski K, Freake HC, Anderson JM, Ferrando AA, Wolfe RR, Rodriguez NR. (2010). Acute energy deprivation affects skeletal muscle protein synthesis and associated intracellular signaling proteins in physically active adults. Journal of Nutrition, 140, 745-751
2. Berardi J, Andrews R, (2014). The Essentials of Sport and Exercise Nutrition, 2nd ED, 71
3. Wallace MB, Mills BD, Browning CL. (1997). Effects of cross training on markers of insulin resistance/hyperinsulinemia. Medicine and Science in Sports and Exercise, 29, 1170-1175
4. Dolezal, B.A., & Potteiger, J.A. (1998). Concurrent resistance and endurance training influence basal metabolic rate in nondieting individuals. Journal of Applied Physiology, 85, 695-700
5. Staron RS, Leonardi MJ, Karapondo DL, Malicky ES, Falkel JE, Hagerman FC, Hikida RS. (1991). Strength and skeletal muscle adaptations in heavy-resistance-trained women after detraining and retraining. Journal of Applied Physiology, 70, 631-640