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

EPISODE · Mar 5, 2025 · 31 MIN

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

from Exam Room Nutrition: Where Busy Clinicians Learn About Nutrition · host Colleen Sloan, PA-C, RDN

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 patientsIf you’ve ever struggled to help patients who insist they’re barely eating but seeing no progress, this episode is a must-listen. ResourcesObesity Medicine Nutrition Course WaitlistEpisode 33 | End Emotional EatingConnect with Sarah | InstagramAny Questions? Send Me a MessageSupport the showConnect with Colleen:InstagramLinkedInSign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week.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. 

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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 ✅ Wh...

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

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