Home Weight Loss Visitor Submit: Causes For Weight Regain

Visitor Submit: Causes For Weight Regain

Visitor Submit: Causes For Weight Regain


As we speak’s Visitor Submit comes from my buddy and colleague David Macklin, MD, Toronto

Not way back I obtained a message from a colleague searching for assist with a affected person who was regaining weight. As I considered my response, it occurred to me that there needs to be a complete record of why this occurs, but I couldn’t keep in mind coming throughout one. The next is a extra detailed replica of the record I despatched again to my colleague that day.  I’d prefer to thank Arya for suggesting that I share this record along with his readership.  

An vital word concerning this record:  Purpose primary is an important and most typical purpose for weight regain. The opposite causes could make the first purpose extra difficult.


The first purpose for weight regain is biology. The mind defends towards weight reduction due to an previous organic play e-book.  If our ancestors misplaced weight, it was to not look good for a marriage or due to bathing go well with season. Again then, weight reduction was both due to sickness or an interrupted meals provide. Merely put, defending towards weight reduction was defending towards demise.  

Within the final 30 years we have now discovered how the mind does this. The mind is knowledgeable at 1) recognizing fats loss, 2) defending towards fats loss, and three) selling weight regain. The mind does this by:  

a) growing urge for food – the motivation for calorie consumption

b) reducing metabolic fee

Elevated urge for food appears to be extra complicit than slower metabolism in weight regain. Elevated urge for food, within the type of an elevated motivation to eat, results in elevated total calorie consumption, which in flip results in weight regain.

A reminder, the remaining causes for weight regain function by way of the primary mechanism, biology. 


The following frequent purpose for weight regain pertains to weight-reduction plan.  Observe that weight-reduction plan isn’t an efficient technique of stopping weight regain. As an alternative, the three pillars to stopping weight regain are behavioural remedy, remedy, and surgical procedure. Merely put, the chance of weight acquire is larger the extra “diet-like” the weight-loss technique. Particularly:

a) if the weight-loss effort concerned a dedication to a diminished calorie consumption that was unsustainable.

b) if the weight-loss effort concerned a dedication to a degree and kind of effort that was unsustainable.

c) if the weight-loss effort didn’t settle for and contain a acutely aware dedication to the worth of enjoyable, meals, drink, associates, socialization, and journey.

The best predictor of thwarting weight regain is sustained adherence to the strategy used to drop extra pounds. The above strategies predict poor adherence.  In addition they predict that for somebody dropping an excessive amount of weight, going to a weight decrease than what’s sustainable, weight reduction shall be overwhelmed by biology.

Thus, we have now the definition of greatest weight. One’s greatest weight is arrived at by committing to the alternative of weight-reduction plan. Finest weight is found by committing to 1) a sustainable calorie degree, 2) at a sustainable effort, 3) whereas accepting a acutely aware dedication to the worth of enjoyable, meals, drink, associates, socialization, and journey. Finest weight is the load you softly land at when committing to a way of life that’s, by definition, sustainable.


The following and relatively poorly understood purpose for weight regain is a sustained change in a single’s total surroundings. A typical present instance of this might be somebody who was working in an workplace and is now working of their dwelling, or the alternative: somebody who was working at dwelling and now’s working at an workplace.  One other instance is somebody who, throughout weight reduction, prevented high-risk settings for the aim of weight reduction and now inevitably is re-engaging in these setting. For instance somebody who prevented social setting or eating places quickly only for the aim of weight reduction. The cues in our bodily and social environments set off the organic response of urge for food – wanting – the unconscious motivation to eat.  If the cues skilled throughout weight reduction change, weight regain can comply with.


Anti-obesity medicines (AOMs) work by defending towards a person’s biology. AOMs defend towards elevated urge for food and dampen the unconscious motivation for calorie consumption (wanting).  If AOMs are discontinued or poorly complied with, the defence towards weight regain is misplaced and the biology does the remaining.  


A extremely underestimated purpose for weight regain is in a person’s response to “weight reduction setbacks.” Frequent weight reduction setbacks embody 1) the aftermath of off-track consuming and/or ingesting episodes, and a couple of) the moments after seeing a quantity on a scale not in a single’s favour. Except efficient behavioural remedy has been supplied, these setbacks might typically be adopted by unfavourable self-critical ideas and unfavourable feelings together with demotivation.  But it’s exactly when one is at a decrease weight that they’re most topic to their organic drivers of weight regain and most certainly to expertise over-consuming and unfavourable scale outcomes. Screening for and treating these unhelpful cognitive responses is a crucial a part of understanding and addressing weight regain. To reiterate, that is in all probability essentially the most underestimated non-biological complication of weight reduction.


Weight acquire is usually a attainable severe aspect impact of many generally used medicines. Some medicines extra generally trigger weight acquire than others, and vital inter-individual variations exist. Weight regain could also be brought on by the addition of a weight-promoting remedy and if attainable, a substitution might be made for an alternate remedy that’s extra weight impartial.


Lastly, there’s a finite record of inside states which will promote weight regain.  It’s intuitive to most that stress, fatigue, lack of sleep, depressed temper, and decrease ranges of exercise might promote weight regain. For a lot of people, particularly in a state of diminished physique weight, every of those components can improve wanting, the motivation to eat, and reduce self-regulation expertise (restraint). If somebody is regaining weight, it’s crucial to display screen for every of those modulators and to acknowledge how a change in any of those could also be resulting in larger calorie consumption and weight regain.

For clinicians, and for individuals who battle with weight, I hope this record is useful.

David Macklin, MD

Toronto, CND

Concerning the creator: David A. Macklin, MD, is a lecturer on the College of Toronto and a College of Toronto skilled household doctor. He has practiced weight problems medication since 2004. He’s the Medical Director of the Weight Administration Program on the Toronto Medcan Clinic and co-author of the Canadian ACTION Research and the Psychology and Behavioural Remedy Chapter of the 2020 Canadian Medical Observe Pointers for the therapy of Weight problems in adults.



Please enter your comment!
Please enter your name here