Weight Concerns & Weight Regain
Weight is complex. It is influenced by more than willpower, calories, or exercise. Hormones, insulin resistance, medications, sleep, stress, appetite patterns, medical history, genetics, and lifestyle environment can all affect weight and weight regain. The NIDDK notes that weight can be influenced by factors such as lifestyle habits, sleep, medicines, health conditions, family history, and genes.
At Obsidian Integrative Health & Wellness, we take a deeper approach to weight-related concerns. We look beyond the scale to understand what may be affecting your metabolism, your body composition, and your ability to lose weight or maintain progress over time.
What This May Include
Patients may seek support for:
- Difficulty losing weight despite effort
- Weight regain after prior weight loss
- Increased hunger, cravings, or reduced satiety
- Weight changes related to stress, sleep, hormones, or medications
- Weight concerns associated with insulin resistance, prediabetes, PMOS, or metabolic syndrome
- Desire for a more medically guided and sustainable approach
How Obsidian Supports You
Our approach may include:
- Comprehensive metabolic assessment
- Review of weight history and prior attempts
- Lab review and cardiometabolic risk assessment
- Body composition testing when appropriate
- Resting metabolic rate testing when appropriate
- Nutrition and lifestyle planning
- Medication review
- Medication evaluation when clinically appropriate
- Ongoing tracking and care plan adjustments
This is not a generic diet plan. Your care is guided by your history, goals, labs, symptoms, body composition, lifestyle patterns, and long-term health risks.
Why Weight Regain Happens
Weight regain is common and does not mean a person has failed. Long-term weight maintenance can be difficult because the body may adapt after weight loss, and ongoing support is often needed.
At Obsidian, we help patients build a plan that can adjust over time rather than relying on short-term restriction.
Our goal is to help you better understand your body, protect metabolic health, preserve strength and function, and create a plan that is realistic enough to continue.
Medication Support When Appropriate
Medication is not required to work with Obsidian. However, for some patients, medication may be considered as part of a comprehensive care plan. Lifestyle changes remain foundational, while medication may be considered as an additional tool when clinically appropriate.
Any medication discussion is individualized and based on clinical history, risk factors, labs, goals, contraindications, availability, and safety.
Start With a Comprehensive Metabolic Assessment
Your first step is a Comprehensive Metabolic Assessment. This visit helps us understand your weight history, metabolic health, lab patterns, body composition needs, lifestyle factors, and goals before recommending a care plan.
