10/05/2026
“I’m in a calorie deficit, but I’m not losing weight. It must be my hormones.”
Before jumping to that conclusion, make sure the deficit actually exists. A calorie target in an app is an estimate, not proof that you’re burning more than you eat.
Cooking oils, dressings, drinks, snacks, portions and weekends all count. You can be putting in real effort and still underestimate your intake.
In a small study published in the New England Journal of Medicine, 10 participants who reported being unable to lose weight on very low calorie diets underestimated their intake by an average of 47% and overestimated their physical activity by 51%. That doesn’t describe everyone, but it shows how far our estimates can drift from reality.
And yes, hormone conditions are real. They can affect hunger, energy expenditure and fluid retention, making progress harder and sometimes hiding fat loss on the scale.
But having a hormonal condition does not automatically make fat loss impossible. A large U.S. study found hypothyroidism in 4.6% of participants, with most cases classified as subclinical. That is not the percentage of people who cannot lose weight.
Before assuming your hormones are preventing progress, review your intake, activity and consistency. Look at weight trends over several weeks, because short term changes in water weight can be misleading. If you have symptoms or persistent unexplained difficulty, get evaluated.
Be honest with your habits and take your health seriously. Both matter.
References 📚:
1. Lichtman et al., NEJM, 1992: Ten participants underestimated calorie intake by 47% on average. Small study, not representative of everyone.
2. Hollowell et al., JCEM, 2002: Hypothyroidism affected 4.6%, mostly subclinical. This does not mean they couldn’t lose weight.
3. American Thyroid Association: Once thyroid levels normalize with treatment, weight loss ability is comparable to people without thyroid disease.