Findings that change the plan
Several common, testable conditions make weight genuinely harder to lose. A prescription written without checking for them is a guess.
- Thyroid function. An underactive thyroid slows metabolic rate and is easy to miss without testing.
- Insulin resistance. Blood sugar and insulin markers often explain stubborn central weight gain.
- Low testosterone in men. Affects muscle mass and body composition, not just energy.
- Perimenopause and menopause. The hormonal shift changes where weight sits and how easily it comes off.