When Weight Won't Move, No Matter What You Try
Diet and exercise changes that used to work — and suddenly don't — are one of the most common reasons patients come to Nabella Health. Weight and metabolic health are rarely just about calories in and calories out; hormones, insulin sensitivity, thyroid function, sleep, and stress all play a role.
What Can Drive Weight Loss Resistance
Hormonal shifts, including perimenopause and menopause
Insulin resistance and blood sugar dysregulation
Gut health and inflammation
How Nabella Health Approaches Weight and Metabolic Health
Rather than starting with a generic diet plan, we start with diagnostics — evaluating hormone, metabolic, and thyroid function to understand what's actually working against you. From there, Dr. Safdieh builds a plan that may include medical treatment, targeted supplementation, and nutrition and coaching support through our health coaching team, often using continuous glucose monitoring (CGM) to make your body's specific response visible.
Frequently Asked Questions
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Hormonal, metabolic, and thyroid changes can shift how your body responds to the same habits that used to work — which is why a comprehensive evaluation, rather than another diet plan, is often the more useful next step.
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Hormonal shifts during this life stage commonly affect weight distribution and metabolism. It's not always fully avoidable, but it can often be better managed with the right evaluation and plan.
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Of course. Before prescribing medication, I try to understand why you may be gaining weight or having difficulty losing it. If insulin resistance, hormonal shifts, or metabolic changes are contributing, medications such as tirzepatide (Zepbound or Mounjaro), semaglutide (Ozempic or Wegovy), Metformin, or other weight loss medications may be appropriate. The goal is to choose the right medication for you while also addressing the underlying factors affecting your weight.
Find Out What's Actually Working Against You
A comprehensive metabolic evaluation looks past calories to the hormonal and metabolic factors at play.
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