101 | “I’m Barely Eating—Why Can’t I Lose Weight?” The Hidden Factors at Play

It’s a struggle every clinician has heard: “I barely eat, but I can’t lose weight.” So, what’s really going on? In this episode, I sit down with registered dietitian Sarah Allison, RDN to unpack the hidden factors behind why patients feel this way—and why simply “eating less” isn’t the answer.
We explore:
✅ The metabolic slowdown that happens with chronic dieting
✅ How underreporting calories and forgotten foods affect weight loss
✅ The impact of sleep, stress, and exercise on metabolism
✅ Why meal plans aren’t the solution (and what to do instead)
✅ How to reframe the weight loss conversation with patients
If you’ve ever struggled to help patients who insist they’re barely eating but seeing no progress, this episode is a must-listen.
Resources
Obesity Medicine Nutrition Course Waitlist
Episode 33 | End Emotional Eating
Connect with Sarah | Instagram
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Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.