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Struggling to lose fat where it matters most? Here’s the hard truth. If you’re wondering why the fat—especially around your belly—isn’t budging, even in a calorie deficit, you’re not alone. But the answer isn’t always more restriction. Eating too little can actually stall fat loss. Chronic stress? It spikes cortisol, which loves to cling to belly fat. And those “harmless” snacks or sauces? They add up fast. Your metabolism might’ve adapted, your workouts might not be pushing you hard enough, and yes—plateaus are part of the process. Intermittent fasting won’t undo poor nutrition, and no, you can’t spot-reduce fat. The uncomfortable truth? Sustainable fat loss demands smart training, quality sleep, consistent nutrition, and—most of all—patience. Do it right, or stay stuck.

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Dr Sarah Barenbaum discusses medication-induced weight gain. https://www.medscape.com/viewarticle/how-do-you-approach-medication-induced-weight-gain-2025a10008jg?src=soc_yt -- TRANSCRIPT -- Hi. My name is Dr Sarah Barenbaum. Today, I’m going to be talking about medication-induced weight gain. Medications, both prescription and over the counter, commonly cause weight gain, and they can also make it really hard for people to lose weight. Anytime you see a patient, it’s important to do a thorough medication reconciliation, and don’t forget to ask them about over-the-counter medications. Some common classes of medications that cause weight gain include certain diabetes medications such as insulin or sulfonylureas, certain antidepressants, atypical antipsychotics, antiepileptics, mood stabilizers, antihistamines, hormonal contraceptives, glucocorticoids, and beta-blockers. Within all of these classes of medications, there are options that are weight losing or weight neutral, meaning they can help with weight loss or not have any impact on weight. Even though it might be an appropriate choice for weight, it doesn’t mean it will be the right medication for the other condition. How do you approach medication-induced weight gain? It’s important to choose weight-losing and weight-neutral medications when possible. Use a shared decision-making model with the patient. If you must start a medication that can cause weight gain, the patient needs to know they’re about to start a medication that could have an impact on their weight so that they can decide with you this is the right thing for them. Never, ever discontinue a medication prescribed by another provider without discussing it with that other provider. Patients should not stop their own medications because of weight gain, because this could be unsafe. If a weight-promoting medication must be used, try to use the lowest dose for the shortest amount of time to mitigate any weight gain. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/how-do-you-approach-medication-induced-weight-gain-2025a10008jg?src=soc_yt

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