Why am I not losing weight in a calorie deficit? 10 possible reasons

6 min read

Written by: 

Kathleen Ferraro

Reviewed by: 

Raagini Yedidi, MD

Updated:  Oct 13, 2025

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Reviewed By

Raagini Yedidi, MD

Raagini Yedidi, MD, is an internal medicine resident and medical reviewer for Ro.

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Key takeaways

  • A calorie deficit should, in theory, lead to weight loss, but factors like tracking errors, water retention, metabolism shifts, or health conditions can stall progress.

  • Lifestyle factors (like stress, sleep, and medications) can make it harder to see results even if you’re technically in a calorie deficit.

  • If you’ve been in a calorie deficit for weeks with no weight loss, a healthcare provider can help identify what’s going on and explore solutions.

Here's what we'll cover

Here's what we'll cover

Key takeaways

  • A calorie deficit should, in theory, lead to weight loss, but factors like tracking errors, water retention, metabolism shifts, or health conditions can stall progress.

  • Lifestyle factors (like stress, sleep, and medications) can make it harder to see results even if you’re technically in a calorie deficit.

  • If you’ve been in a calorie deficit for weeks with no weight loss, a healthcare provider can help identify what’s going on and explore solutions.

You’re eating less, moving more, and — at least on paper — burning more calories than you’re taking in. Yet the scale refuses to budge. Wondering why you’re not losing weight in a calorie deficit can feel like a frustrating math problem that doesn’t add up. 

The idea behind a calorie deficit is simple: When your body doesn’t get enough energy from food, it turns to stored energy (fat, muscle, or both). Over time, this gap between calories in and calories out should translate into weight loss

But biology isn’t as tidy as the textbook equation makes it sound. Hormones, hydration, stress, and even the way you measure your food can all change how a calorie deficit plays out in real life.

If you’ve been in a calorie deficit for weeks with no weight loss, it doesn’t necessarily mean your body is broken or that you’re doing anything “wrong.” It usually means there’s more going on beneath the surface. Below, we’ll dig into 10 reasons why weight loss can stall in a calorie deficit.

Why am I not losing weight in a calorie deficit?

If you’re in a calorie deficit but not losing weight, it’s usually not because the concept “doesn’t work.” The real issue is that many factors — some in your control, some not — can mask or slow progress.

Sometimes it’s as simple as human error, like underestimating how many calories you’re eating. Other times, it’s your body adapting to the deficit or holding on to water weight. Health conditions, hormones, and medications can also play a role.

Below, we’ll walk through the most common reasons people don’t lose weight in a calorie deficit, plus what you can do about each one.

1. You’re not tracking calories as accurately as you think.

What’s going on: Even the most diligent food logging can miss the mark. Research suggests people tend to underreport calorie intake without realizing it. For instance, a splash of cream in your coffee, cooking oil left unmeasured, or portion sizes estimated instead of weighed can all add up to hundreds of “invisible” calories a day. 

On the flip side, fitness trackers and machines often overestimate how many calories you burn during exercise. That’s because they base numbers on broad averages rather than your individual specs, which can make your deficit look bigger than it really is.

What to do: Try tracking as precisely as possible for a week or two using a food scale, measuring cups, or a nutrition-tracking app. You don’t have to do this forever, but getting a reality check on your baseline can help you spot hidden calories. 

2. Your weight is fluctuating due to water retention.

What’s going on: Day-to-day changes can lead to water retention, which can mask fat loss. In fact, one large study found that weight naturally fluctuates by about 0.35% within a single week.

For example, eating more carbs than usual can lead your body to store extra glycogen, which binds to water, temporarily increasing your weight. Stress and hormonal changes can also shift water balance, leading to weight fluctuations without any meaningful change in body fat.

What to do: Focus on trends over time, not a single weigh-in. In fact, studies suggest that frequent self-weighing is associated with greater long-term weight loss. 

3. Your metabolism adapts to lower calorie intake.

What’s going on: When you eat less, your body doesn’t sit back and burn the same number of calories. It adapts. This process, called adaptive thermogenesis, means your metabolism can slow down in response to calorie restriction as your body becomes more energy-efficient. Over time, this slows weight loss, even if you’re technically in a deficit.

What to do: Building or maintaining muscle through strength training can help offset metabolic slowdown, since muscle tissue burns more calories than fat at rest. Prioritizing protein intake and avoiding excessively low-calorie diets can also support your metabolism while still keeping you in a manageable deficit.

4. You’re losing fat but not seeing it on the scale.

What’s going on: The scale tells you total body weight, not what that weight is made of. If you’re new to exercise or adding more resistance training, you might be building lean muscle while losing fat. Muscle is denser than fat, so even if your body composition is improving, the number on the scale might stay the same or creep up. This process, called body recomposition, can make it look like your calorie deficit isn’t working when, in reality, your body is getting leaner and stronger.

What to do: Don’t rely only on the scale. Track other metrics, like waist circumference, how your clothes fit, progress photos, or even strength gains in the gym. 

5. You’re not getting enough sleep.

What’s going on: Research shows that poor sleep disrupts hunger and fullness hormones, ramps up cravings for high-calorie foods, and even reduces how many calories you burn at rest. Altogether, those changes can stall weight loss, even when you’re sticking to your calorie deficit.

What to do: Adults should aim for seven to eight hours of sleep per night. Good sleep hygiene — like a consistent bedtime and limiting screens before bed — can also help. 

6. You’re stressed.

What’s going on: Chronic stress can mess with weight loss in more ways than one. Elevated levels of the stress hormone cortisol are linked to increased appetite, more cravings for high-fat and high-sugar foods, and greater fat storage around the midsection. Stress can also disrupt sleep and reduce motivation for exercise — two factors that make it harder to maintain a calorie deficit and contribute to weight gain

What to do: Small daily practices — like mindfulness, breathing exercises, or setting boundaries — can help you manage stress. Exercise is also a proven stress-buster, so staying active can pull double duty. 

7. Your medications may be affecting your weight.

What’s going on: Prescription medications that influence appetite, fluid balance, and how your body stores fat can all make it harder to lose weight, even if you’re in a calorie deficit. That doesn’t mean the medicine isn’t important (often it’s essential), but it may explain why the scale isn’t moving as expected.

Common culprits include the following medications or medication classes: 

  • Antidepressants

  • Antipsychotics

  • Insulin

  • Corticosteroids

  • Beta-blockers

  • Epilepsy medication

What to do: Never stop a prescribed medication on your own. If you suspect your meds are affecting your weight, talk with your healthcare provider. They may recommend changing your dosage or trying a different treatment.

8. An underlying health condition is at play.

What’s going on: Certain medical conditions that disrupt hormones that regulate appetite and fat storage, slow your metabolism, or increase water retention can make weight loss more difficult, even if you’re carefully maintaining a calorie deficit. Some of the most common examples include

What to do: If you’ve been in a calorie deficit and not losing weight despite consistency, it may be worth talking to your healthcare provider to check for underlying health issues.

9. Your calorie deficit is too aggressive.

What’s going on: It may sound counterintuitive, but slashing calories too hard can backfire. Severe restriction can trigger intense hunger, low energy, and cravings that make it harder to stick with your plan. It can also increase the loss of lean muscle mass, which in turn lowers your resting metabolic rate and slows weight loss. In some cases, overly aggressive dieting leads to cycles of restriction and overeating that can cancel out the deficit altogether.

What to do: Aim for a moderate calorie deficit. Typically, 500 to 750 calories below your daily needs is a sustainable range for most people.

10. Alcohol is sabotaging your efforts.

What’s going on: Alcohol is calorie-dense (it contains about seven calories per gram) and adds up quickly, especially when mixed with sugary beverages. A couple of drinks can easily wipe out a calorie deficit for the day without leaving you full or nourished. 

Alcohol can also disrupt sleep, and moderate to heavy drinking has been linked to higher levels of body fat.

What to do: If you drink, keep it moderate and mindful. Swapping high-calorie cocktails for lighter options (like spirits with soda water), setting a drink limit, or skipping alcohol during the week (or altogether) can help protect your deficit. 

When to speak with a healthcare provider

If you’ve been in a calorie deficit for weeks with no weight loss and you’ve already ruled out common culprits like tracking errors, water retention, or sleep, it may be time to visit a healthcare provider. Stalled progress can signal an underlying condition, a medication side effect, or simply the need for a more personalized plan.

A qualified provider can run tests for underlying conditions, review your medications, and help you set realistic, sustainable goals. Weight-loss medications likeWegovy may also be an option for some. These GLP-1 medications target appetite-regulating pathways in the brain, making it easier to eat fewer calories without constant hunger.

Through Ro Body, you can connect with licensed healthcare providers, explore whether medication is right for you, and get ongoing support with healthy habits.

Ro makes GLP-1s simple, from coverage to care

Bottom line

A sustained calorie deficit with no weight loss can be discouraging, but it usually comes down to a handful of common (and fixable) reasons. Here are the big takeaways:

  • Calorie deficits work in principle, but not always perfectly in practice. Hidden calories, wearable overestimates, or water weight can mask progress on the scale.

  • Your body adapts. Metabolism can slow, hormones can shift, and lifestyle factors like stress or poor-quality sleep can hinder progress.

  • It’s not always under your control. Medications and medical conditions can affect weight loss. And sometimes the “problem” isn’t an inability to lose fat at all — it’s muscle gain or normal weight fluctuations.

  • Support is available. If you’ve been in a deficit for weeks without results, a healthcare provider can help identify barriers and explore options, including weight loss medications when appropriate.

Frequently asked questions (FAQs)

DISCLAIMER

If you have any medical questions or concerns, please talk to your healthcare provider. The articles on Health Guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment.

Wegovy Important Safety Information: Read more about serious warnings and safety info.

GLP-1 Important Safety Information: Read more about serious warnings and safety info.

What’s included

Provider consultation

GLP-1 prescription (if appropriate)

Insurance coverage & paperwork handled

Ongoing care & support

Tools to track progress

Please note: The cost of medication is not included in the Ro Body membership.