The Medical Mystery Behind Stubborn Weight Gain: 10 Conditions You Should Know

Read time : 2 mins 50 sec

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!

Hypothyroidism

This medical condition we have heard about it all day, every day. When your 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 like a bear prepping for hibernation! Unfortunately, hypothyroidism also has other side effects, such as hair loss, constipation, and skin disorders. 

 Polycystic Ovary Syndrome (PCOS)

 Sure, PCOS 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. It's like that multiple uninvited party guests who won't leave! 

 Cushing's 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.

 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. Read all about the need for proper sleep for your weight loss journey here

 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. But many people have overcome this weight gain and have had a successful weight loss journey with depression; click here to read the interview.

Genetic disorders

That is a topic on its own to discuss and something to consider for children two years and younger that are obese—genetic disorders such as Down syndrome, Prader-Willi syndrome, and Bardet-Biedl syndrome. 

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. For example, one study found that people with obstructive sleep apnea (OSA) gained an average of 16 pounds in the year leading up to their diagnosis. This 16 pounds weight gain was significantly more than people without OSA who had the same body mass index (BMI).

Heart Failure

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!

Menopause

During menopause, women may notice that they gain weight, particularly around their abdomen. The weight gain is due to a combination of hormonal changes, aging, and lifestyle choices.

Estrogen levels decline during menopause, which can lead to an increase in abdominal fat storage, as estrogen helps to keep fat from accumulating around the middle. Additionally, as women age, they tend to lose muscle mass and gain fat. And because muscle tissue burns more calories than fat tissue, a loss of muscle mass can lead to weight gain.

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. It's like cortisol is a hoarder, and your body is the storage unit!

There you have it, folks! 10 potential medical reasons for unexpected weight gain. But remember, if you're struggling with weight issues, it's always best to consult your doctor. We, doctors, are detectives for your body!

Remember, gaining a few pounds isn't the end of the world, and there's more to health than the scale says. But understanding what might be behind those extra pounds is the first step to taking control. 

Dr. Gopi Vora

Board Certified by the American Osteopathic Board of Internal Medicine and Diplomate of the American Board of Obesity Medicine.

She specializes in Obesity Medicine in adults.

Previous
Previous

Deciphering Weight Loss: A Guide to Medical Terms in Weight Loss Part-2

Next
Next

Exploring Phentermine: The Potential Key to Weight Loss