| Key Points from this Post – A weight loss plateau, where weight loss stalls despite continued effort, is a normal and common phase in a weight loss journey, not a sign of failure. – Research suggests that while plateaus eventually occur with any method, they might typically happen around 12 months with diet restriction alone, whereas interventions like GLP-1 medications could extend the time to plateau, possibly to around 24 months, partly by influencing appetite regulation. – Overcoming a plateau involves reassessing and making adjustments to factors like calorie intake, exercise routine (especially adding strength training and variety), sleep, stress levels, and seeking professional guidance if needed. I personally take and recommend BIOptimizer’s Magnesium Breakthrough to aid with sleep. |
Weight Loss Encouragement Emails
Hello, my friends! Elizabeth here, and I want to talk about something that can feel incredibly frustrating on a weight loss journey: the dreaded weight loss plateau. You’re doing everything right – making mindful food choices, moving your body, feeling great – and then, the scale just… stops. It’s like hitting a wall, and it can feel so disheartening after all your hard work. But please know, it’s a completely normal part of the process, and it doesn’t mean you’ve failed.
We often have questions about when this might happen and why. While everyone’s journey is unique, some fascinating research sheds light on the timing of weight loss plateaus under different weight loss approaches, including the newer GLP-1 medications.
What Research Tells Us About Weight Loss Trajectories
There’s a really interesting systematic review and meta-analysis published in Obesity Reviews (which is what this link points to – https://onlinelibrary.wiley.com/doi/10.1111/cob.12734, if you’re curious about the science!) that looked at the trajectories of weight loss in adults. While the full details of every study included are complex, related research using mathematical modeling, building on this understanding, has offered some valuable insight into when weight loss might typically stall depending on the intervention.
This modeling work suggests that with traditional approaches, like focusing purely on calorie restriction through dietary changes, a weight loss plateau might commonly occur around 12 months. This is often because as we lose weight, our bodies are incredibly efficient at adapting. Our metabolism can slow down (a decreased resting metabolic rate), and we might even experience increased hunger as our bodies try to return to their previous set point. It’s a natural physiological response, not a sign you’re doing anything wrong!
GLP-1s and the Weight Loss Plateau Question
Now, many of you might be wondering about GLP-1 medications, which have become a significant tool in weight management for many like me. These medications, like semaglutide (Ozempic) and tirzepatide (Zepbuond), mimic a natural hormone called glucagon-like peptide-1 (GLP-1). GLP-1 plays a role in regulating blood sugar and, importantly for weight loss, it affects our appetite and makes us feel fuller, which can help reduce calorie intake.
So, do you still hit a weight plateau when using GLP-1s? Yes, my friends, it’s still possible. While GLP-1s can be incredibly effective in promoting weight loss and helping you consume fewer calories (and many other benefits), the body’s adaptive mechanisms are still at play. However, the good news is that the research, particularly the modeling studies related to the systematic review mentioned earlier, suggests that GLP-1s can potentially extend the time until a plateau occurs compared to diet alone.
These models indicate that with GLP-1 receptor agonists, a weight loss plateau might be seen closer to 24 months. This is thought to be partly because these medications can help to weaken that strong appetite feedback control circuit that kicks in as you lose much weight. By helping to manage hunger and reduce the sensation of hunger, GLP-1s can support a sustained calorie deficit for a longer period, leading to additional weight loss before a stall.
“Higher doses of tirzepatide (10/15 mg), younger age, and female sex were more likely to reach a weight plateau later“

It’s important to remember that GLP-1s are a tool, and they work best when combined with healthy lifestyle changes. They aren’t a magic bullet and hitting a weight loss stall while on them is not uncommon. Factors like dietary choices, activity level, sleep, and stress can still influence your progress.
Understanding Why Weight Loss Plateaus Happen
Beyond the body’s natural adaptation and metabolic changes, several factors can contribute to hitting a weight plateau, whether you’re using medication or relying on lifestyle changes alone:
- Metabolic Adaptation: As you lose body weight, your body needs fewer calories for basic functions. Your basal metabolic rate (BMR) can decrease, meaning you burn less energy at rest.
- Decreased Energy Expenditure: As you weigh less, you burn fewer calories doing the same exercise routine or daily activities. You might also unconsciously move less throughout the day because you require less energy to carry around a lighter body weight.
- Dietary Creep: Sometimes, without realizing it, portion sizes might gradually increase, or you might become a little less strict with tracking your calorie intake or making healthy food choices. Even small changes can add up and reduce your calorie deficit.
- Lack of Variety in Exercise: Your body can become very efficient at performing the same physical activity. If you’ve been doing the same exercise plan for a while, your body might not be challenged in the same way, and you might burn fewer calories.
- Muscle Loss: If you’re losing weight rapidly and not incorporating strength training, you might be losing some lean muscle mass along with fat loss. Muscle burns more calories at rest than fat, so a loss of muscle can further contribute to a slower metabolism.
- Lifestyle Factors: Poor sleep, high stress levels (and the associated increase in stress hormones like cortisol levels), and inadequate hydration can all negatively impact your weight loss progress and contribute to a stall.
How to Navigate and Overcome a Weight Loss Plateau
Hitting a plateau can feel like an abrupt halt, but it’s a chance to reassess and make adjustments. Think of it as a normal part of the long haul of weight management. Here are some strategies that can help you push through:
- Re-evaluate Your Food Intake: This is often the first place to look. Are your portion sizes accurate? Are you still tracking your calorie intake? Sometimes, we become a little more relaxed as we get comfortable on our weight loss journey. Consider using a food diary or app again for a week or two to get an accurate picture of how many calories you’re consuming. Focus on nutrient-dense, healthy foods and ensure you’re getting enough protein and fiber, which can help with satiety. Avoid empty calories that don’t provide much nutritional value.
- Adjust Your Calorie Deficit (Carefully): Since your metabolism may have slowed with weight loss, you might need to slightly decrease your daily calorie intake to re-establish a calorie deficit. However, don’t drastically cut calories. Aim for a small, sustainable reduction. Consulting with a registered dietitian or healthcare provider can be incredibly helpful here to ensure you’re meeting your nutritional needs. Crash diets are not the best way to overcome a plateau and can be detrimental to your overall health and mental health.
- Shake Up Your Exercise Routine: If you’ve been doing the same workouts, introduce some variety. Try a new class, a different type of cardio, or incorporate more strength training. Building muscle can help boost your metabolism and improve body composition. Aim for a combination of cardiovascular exercise and strength training in your exercise plan. Increasing your physical activity changes can make a big difference.
- Increase Intensity or Duration of Exercise: If you’re already exercising, consider increasing the intensity or duration of your workouts to burn more calories and challenge your body in new ways.
- Prioritize Sleep: Lack of enough sleep can disrupt hormones that regulate hunger (like the hunger hormone ghrelin) and satiety, making it harder to stick to your plan. Aim for 7-9 hours of quality sleep each night. Address poor sleep habits and create a relaxing bedtime routine. I personally find that taking a magnesium supplement has helped me get a better night’s sleep. I take and recommend BIOptimizer’s Magnesium Breakthrough.

- Manage Stress: High stress levels can lead to increased cortisol, which can promote fat storage, particularly around the abdomen. Find healthy ways to manage stress, such as meditation, yoga, deep breathing exercises, or spending time in nature.
- Stay Hydrated: Drinking enough water is crucial for many bodily functions, including metabolism. Sometimes, thirst can be mistaken for hunger. Ensure you’re drinking enough water throughout the day.
- Consider Strength Training: If you haven’t already, incorporate strength training into your exercise routine. Building lean muscle mass helps increase your resting metabolic rate, which means you burn more calories even when you’re not exercising. This is a key component for long-term weight loss and weight maintenance.
- Be Patient and Persistent: Plateaus are temporary. It’s important to stay consistent with your healthy habits and not get discouraged. Your body is adjusting, and with consistent effort and perhaps some adjustments, you can often break through the stall.
- Seek Professional Support: If you’re struggling to overcome a plateau, don’t hesitate to reach out to healthcare professionals. A registered dietitian can help you fine-tune your diet plan. A certified personal trainer can help you develop an effective exercise plan. If you have underlying health conditions that might be impacting your weight, discuss them with your doctor. For those using GLP-1s, talk to your healthcare provider about your experience with the medication and the plateau; they may consider adjusting the dosage or exploring other strategies like transitioning you from Ozempic to Zepbound.
Final Thoughts on Weight Loss Plateaus
Remember, your weight loss journey is just that – a journey. There will be ups and downs, progress stalls, and moments where you need to adjust your course. Hitting a weight plateau is a very common experience, one of the most common reasons for frustration, but it is not a sign of failure. It’s a natural part of how our amazing bodies adapt. By understanding why plateaus happen and implementing sustainable changes to your lifestyle, you can navigate these periods and continue moving towards your weight loss goals and a healthy weight. Keep up the hard work, focus on building healthy lifestyle habits for the long term, and remember that your overall health and well-being are what truly matter in the long run. You’ve got this!

Disclaimers: Friends, I am not a medical professional, nor do I pretend to be one on the internet. This information is for educational purposes only, gathered from trusted sources and my personal experiences. Always consult with your healthcare provider before making any changes to your medication or lifestyle. This post has links included that are affiliate links. Countess of Shopping & her furbabies will be compensated when you make a purchase by clicking through the links at no cost to you. This post is sponsored by BIOptimizers.




