Breaking through the plateau: tips for continued weight loss with GLP-1 treatment

by | Nov 18, 2024

It’s finally happened – the dreaded weight loss plateau.

You’re a few months into your weight loss journey, and the road has been pretty smooth so far. You might have had a few bumps early on, as your body adjusted to medication, but for the most part you’ve been steadily losing weight and watching your waistline shrink. And then one day you run into what appears to be a dead end. Your clothes aren’t getting any looser. The scales refuse to budge. You’re doing everything right, but it feels like you’re up against an invisible wall. You’ve hit the dreaded weight loss plateau.

But don’t panic. Plateaus can be frustrating — especially when you’ve been taking GLP-1 medications and getting results that might seem almost magical — but they’re something that happens to nearly everyone during the process of losing weight. Hitting a plateau doesn’t mean you’ve failed, and it doesn’t mean you can’t or won’t go on  to successfully lose more weight. It just means that you might need to get to know your body a bit better and fine-tune your approach before you can continue.

Why we plateau: Your body’s sneaky trick for holding onto the pounds

You know losing weight is a good thing. That’s why you’re on this journey, after all; you made a conscious decision to make a positive change. The problem is that while your brain might know this, your body doesn’t. All your body knows is that you’re steadily losing weight — and it doesn’t like it. Why? It comes down to evolution.

In a world where every possible type of food is available in all seasons, it’s hard to imagine ever truly going hungry. But the reality is that for most of human history, having enough food — or even any food at all — was often far from a sure thing. From our hunter-gatherer days till relatively modern times, we went through cycles of feast and famine, and our bodies evolved to hold onto the calories we took in during times of plenty to sustain us through the times when food was scarce or nonexistent. 

So, when you lose weight rapidly or have a calorie deficit for an extended period of time, your body thinks that you’re going through a period of famine. It worries that there might not be enough food to keep you going, and it has no idea how long you might have to rely on the energy you currently have stored as fat. And so, not knowing that this is all intentional, it fights tooth and nail to hold onto as much of it as possible for as long as possible. 

Your metabolism slows down in an effort to save energy. Hormones fly, sending the message to slow things down and burn fewer calories wherever possible. Your body also tries to send out hunger signals and get you to eat more, and though GLP-1 medications do a great job of tuning those signals out, they have little effect on the overall metabolic slowdown. So what can you do to break through the plateau?

Take stock of your diet: Have your eating patterns evolved with your body?

Part of the path to sustainable weight loss is changing the eating habits that contributed to your being overweight in the first place. Hopefully you’ve made positive changes that you can adhere to long-term, which will help you maintain your new weight when you reach your ultimate goal. But here’s something you might not have thought about: as your body shrinks, you need fewer calories. So the meal plan that was perfect for you three months or 20 pounds ago might not be ideal anymore, and it just might be contributing to the stall in your progress. 

So take a good look at what you’re eating, when, and why. Is the amount of energy you’re taking in appropriate for your new size, or do you need to shave off a few more calories? Track your food intake for a week — it’s easy to let excess calories sneak in when you’re not paying attention. A handful of nuts here, a few “just one bite” moments, and you’ve gone from a calorie deficit and the weight loss that goes with it to a calorie excess and a weight loss plateau. 

Of course it’s not just about calories; it’s also about getting the most bang for your nutritional buck. Focus on nutrient-dense foods—lean proteins, plenty of veggies, healthy fats, and whole grains. And if you’ve been in the habit of mindlessly snacking, slow down. Pay attention to your meals, savor the flavors, and listen to your body’s hunger cues. That kind of mindful eating can make a world of difference in breaking through a plateau.

Your GLP-1 Dosage Plan: Consistency is Key

Let’s talk about staying on schedule with your GLP-1 meds for a second. Consistency is key here. If you’ve been a little lax about taking your medication at the same time every day or you’ve missed a few doses here and there, that could be part of the problem. These medications work best when they’re used regularly and as directed, so make sure you’re staying on track.

Sometimes, though, it’s not just about consistency—it might be time for a dosage adjustment. As your body changes, so does its response to medication, and that might mean tweaking the dosage to keep seeing results. This isn’t something you should be doing on your own, though. Schedule a chat with your provider, and let them help you navigate any adjustments.

Remember, medications like semaglutide and tirzepatide are powerful allies in your weight loss journey, but they’re not magic. They won’t override every physiological trick your body uses to maintain its current weight, especially as you get closer to your goal. But they do make it easier to keep hunger in check and manage blood sugar levels, which means they’re still working, even if the scale tries to tell you they’re not.

And remember, teamwork makes the dream work. GLP-1s can work wonders when paired with other approaches like behavioral therapy or additional medications. It’s about creating a personalized plan that addresses your unique needs and challenges—so don’t be afraid to mix and match.

Shaking Up Your Workout Plan

Give your workout a wake-up call!

If the word “exercise” makes you groan, you’re definitely not alone. So if you’ve found an exercise routine that works for you, it might be tempting to stick to it just because it’s comfortable. Unfortunately, that might also be contributing to your plateau. You see, as your body adapts to your differing calorie intake, it also adapts to repetitive workouts, which means you burn fewer calories over time — and that can stall your weight loss. 

So start mixing things up on the physical activity front. If you’ve been focused on cardio, add some strength training into the mix. Building muscle boosts your resting metabolic rate, which means you’ll burn more calories even when you’re not working out. If you’re not a fan of the gym — and don’t worry, you’re in good company if so — that’s fine. Find something you actually enjoy and do that. There’s a lot more to exercise than lifting weights at the gym;  go dancing. Or hiking. Or swimming. Get a bike and start exploring your city on two wheels. Do whatever works for you, and that you can stick to long-term. Just don’t get stuck in a rut of doing the same thing every day.

Stress Less, Sleep More

They don’t get the same level of attention as diet and exercise, but stress and sleep can both play a big role in weight loss and gain.

Stress triggers stress hormones that make your body want to hold onto fat, and poor quality or insufficient sleep puts your body into a state of chronic stress. Plus, stress and sleep deprivation lead to food cravings and weaker willpower.

If you’re stressed out or scraping by on just a few hours per night, that might be a factor in why you’ve plateaued. Find ways to destress and unwind, don’t take your phone to bed, and make sure you’re getting a solid eight hours per night.

Focus on Victories Away From Your Scale

While tracking your weight is certainly important, it’s not the be-all, end-all of all things. In fact, your scale might even be lying to you in a way, especially if you’ve got a good fitness program going on. Maybe you’re at a point where you’re losing fat but gaining muscle. Because muscle weighs more than fat, this can give you a skewed picture of where you really are with your progress. 

So don’t fixate on the scale; pay attention to other changes in your body and how you’re feeling. Are your clothes looser? Do you look slimmer in the mirror, even though the scale says you haven’t budged this week? Maybe you’re simply finding you have more energy and endurance. These are all victories worth celebrating, even if the scale isn’t cooperating. Track your body composition, take measurements, or monitor fitness levels instead. You’ll be amazed at the progress you’re making that the scale just can’t capture.

Break Through Your GLP-1 Treatment Weight Loss Plateau

If there’s one thing to keep in mind, it’s that weight loss isn’t linear. Every journey will have its ups and downs, its stalls, and maybe even the occasional backward step. But that doesn’t mean you’re not moving forward. It just means that sometimes, progress looks different from what we expected.

Patience, persistence, and being kind to yourself are vital here. It’s not about chasing quick fixes — it’s about building sustainable habits that will support you for the long haul. 

So keep going. Adjust your approach, fine-tune your plan, and stay the course. Eventually, the plateau will break, and you’ll be back on track. And when you do finally reach that finish line, you’ll know that every struggle, every setback, and every moment of doubt was worth it.

You’ve got this.

Learn more about Claya’s personalized wellness coaching for your weight loss journey.

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