Common Patient Questions Series #2 – My weight loss has stalled, OMG – now what? (Part 1)

This is one of the most common questions we hear at the clinic, so let's deal with it properly.

First thing to remember: weight loss, like weight gain, never happens in a straight line. Never. We look at averages over weeks and months — and please, don't be the twice-a-day weigh-in person. It'll just drive your anxiety through the roof while telling you nothing useful.

But let's be honest — we're all human, and we want to see constant progress. With 1,300+ patients through our clinics now, I can tell you nobody loses the same amount every week. Some weeks more, some less, some weeks the scale flat-out lies to you. I had an almost 60-day stall on my own journey where the scale didn't move at all. Sixty days. Then it started dropping again like nothing happened.

Now here's the part that surprises everyone: the most common cause of a stall we see is that you're not eating ENOUGH.

I know. Unbelievable-sounding. But give me a second. The appetite suppression in Semaglutide and Tirzepatide is remarkably effective — some patients skip meals entirely because they're simply not hungry. Calories drop to 800 or 900 a day, and your body does what bodies do: it protects you. Metabolism slows to match what's coming in. The stall isn't the medication failing. It's your body defending itself.

The fix is counterintuitive: eat more. Hit your protein target — 100g a day minimum — even when you're not hungry. Protein shakes on low-appetite days count. Small frequent meals count.

And before you panic-change anything: check the trend, not the day. Two flat weeks means nothing. A flat month with inches still dropping on your 3D scan means everything is fine. That's why we scan — the scale alone is diabolical.

(Part 2 covers set points — the deeper biology. Stay tuned.)

-Daryl

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