Medical Factors That Hinder Weight Loss

Dr. Gopi Vora
Dr. Gopi Vora
Clinician with 10 years of hospital medicine and ambulatory experience, who specializes in Obesity Medicine.

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By Dr. Gopi Vora & Dr. Akash Shah


How have the scale numbers been looking lately?! Do you ever feel like no matter how much salad you eat or how many miles you jog, that pesky scale won't budge? You're not alone! We, as physicians, hear you when you say you have been eating healthier and exercising and yet not losing weight. While it's easy to blame that extra pizza slice, other culprits are sometimes at work, and physicians are aware of it. So let's take a gander at the medical mystery behind those unexplained pounds. And remember, health is not a size, but understanding the possible causes of weight gain can lead to better health outcomes!


Dr. Gopi Vora and Dr. Akash Shah, are board certified Internal Medicine Physicians who specialize in obesity management of adults and chronic disease management. Dr. Vora is also a Diplomate of the American Board of Obesity Medicine.

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Hypothyroidism: thyroid, a tiny butterfly-shaped gland in your neck, is acting lazy and doesn't produce enough hormones (a condition known as hypothyroidism), it can bring your metabolism to a snail's pace. This could make you gain weight.

Dr. Gopi Vora

Polycystic Ovary Syndrome (PCOS): It is a hormonal disorder common among women of reproductive age. One of its sneaky side effects? Yup, you guessed it, weight gain! But PCOS is also known to cause Type 2 diabetes, excess facial hair, and acne.

Dr. Gopi Vora

Cushing Syndrome: Cushing's syndrome is when your body has too much of the hormone cortisol. Imagine cortisol as that overenthusiastic friend who can't calm down, leading to weight gain, especially in the face, upper back, and belly

Dr. Gopi Vora

Insomnia:Wait, not sleeping makes you gain weight? Oddly enough, yes! Insomnia can throw your hunger hormones into a frenzy, making you want to eat everything to stay awake.

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Depression: Depression doesn't just weigh on the mind; it can also add pounds to the body. Sometimes, it's from comfort eating. Other times, antidepressants might be the culprit. 

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Obstructive Sleep Apnea (OSA): Weight gain is known to cause OSA. But it has been reported that people with OSA are more susceptible to weight gain. 

Dr. Gopi Vora

Heart Faliure: Unfortunately, yes. Heart failure can cause fluid retention, leading to sudden weight gain. It's like you're suddenly carrying around a bunch of water balloons!

Dr. Gopi Vora

Stress: Yes, the final contender on our list is Stress. Your body responds to Stress by releasing the hormone cortisol. Unfortunately, too much cortisol can make your body store extra fat. 

Dr. Gopi Vora

That's a wrap! I hope you enjoyed learning about The Medical Mystery Behind Stubborn Weight Gain. If you want to learn more about weight loss then you can read our blog and subscribe to our Weight Loss Tales Newsletter.

Dr. Gopi Vora