EPISODE · Jun 25, 2026 · 22 MIN
Episode 86: Why Can't I Lose Weight No Matter What I Do? | Metabolic Rehab Type 1
from The Advanced Women’s Health Podcast · host The Advanced Women’s Health Podcast
If you've ever felt like you're doing everything right and still can't lose weight, this episode is for you.In This Episode, We Answer:Why can't I lose weight no matter what I do?Is my metabolism broken?How does insulin resistance affect weight?What labs should I get to understand my metabolism?Why do I crave sugar so badly?Key Takeaways:Insulin is a storage hormone, not just a number on a lab. When it stays high all the time, your body can't access stored fat for energy, no matter how little you eat.Feeling hangry between meals (that hungry, shaky, angry combination) often isn't actual low blood sugar. It's your brain sensing it can't access fuel efficiently, which creates a stress response on its own.A standard ferritin test can miss anemia entirely if you're also inflamed. Ask your doctor for a full iron panel, not just ferritin alone.Resources Mentioned:Advanced Metabolic Rehab system: advancedwomenshealth.caAdvanced Men's Health (partner support): advancedmenshealth.caFinally Lose It: A professional woman's guide to stop dieting, fix your hormones and overcome weight loss resistanceRelated Episodes coming next in this series: Metabolic Rehab Type 2: Fat and InflammationMetabolic Rehab Type 3: Perimenopause and Visceral FatMetabolic Rehab Type 4: Stress, the Liver, and WeightConnect With Us:Website: advancedwomenshealth.caAdvanced Men's Health (partner support): advancedmenshealth.caInstagram: @drsarah_nd | @advancedwomenshealthBook an appointment: advancedwomenshealth.caLeave a review: wherever you're listening, it helps other women find this episode.Quick Answers (FAQ):Q: Why can't I lose weight no matter what I do? A: Weight loss is driven by hormones, not just calories. If insulin stays elevated even after fasting overnight, your body never gets the signal to burn stored fat. We go deeper into this at 12:04.Q: Is my metabolism broken? A: Probably not broken, but it may be stuck communicating the wrong message. Insulin tells your body whether to store or burn fuel. When that signal stays stuck on "store," weight loss becomes hard regardless of effort. We go deeper into this at 08:34.Q: What labs should I get to understand my metabolism? A: A fasting glucose and HbA1c only show part of the picture. A two-hour insulin and glucose challenge test, plus markers like uric acid and free fatty acids, show what's actually happening when you eat. We go deeper into this at 17:55.Q: Why do I crave sugar so badly? A: When your body can't efficiently access stored fuel between meals, your brain senses a shortage and pushes you toward quick energy, usually sugar or refined carbs. We go deeper into this at 13:58.
What this episode covers
If you've ever felt like you're doing everything right and still can't lose weight, this episode is for you.In This Episode, We Answer:Why can't I lose weight no matter what I do?Is my metabolism broken?How does insulin resistance affect weight?What labs should I get to understand my metabolism?Why do I crave sugar so badly?Key Takeaways:Insulin is a storage hormone, not just a number on a lab. When it stays high all the time, your body can't access stored fat for energy, no matter how little you eat.Feeling hangry between meals (that hungry, shaky, angry combination) often isn't actual low blood sugar. It's your brain sensing it can't access fuel efficiently, which creates a stress response on its own.A standard ferritin test can miss anemia entirely if you're also inflamed. Ask your doctor for a full iron panel, not just ferritin alone.Resources Mentioned:Advanced Metabolic Rehab system: advancedwomenshealth.caAdvanced Men's Health (partner support): advancedmenshealth.caFinally Lose It: A professional woman's guide to stop dieting, fix your hormones and overcome weight loss resistanceRelated Episodes coming next in this series: Metabolic Rehab Type 2: Fat and InflammationMetabolic Rehab Type 3: Perimenopause and Visceral FatMetabolic Rehab Type 4: Stress, the Liver, and WeightConnect With Us:Website: advancedwomenshealth.caAdvanced Men's Health (partner support): advancedmenshealth.caInstagram: @drsarah_nd | @advancedwomenshealthBook an appointment: advancedwomenshealth.caLeave a review: wherever you're listening, it helps other women find this episode.Quick Answers (FAQ):Q: Why can't I lose weight no matter what I do? A: Weight loss is driven by hormones, not just calories. If insulin stays elevated even after fasting overnight, your body never gets the signal to burn stored fat. We go deeper into this at 12:04.Q: Is my metabolism broken? A: Probably not broken, but it may be stuck communicating the wrong message. Insulin tells your body whether to store or burn fuel. When that signal stays stuck on "store," weight loss becomes hard regardless of effort. We go deeper into this at 08:34.Q: What labs should I get to understand my metabolism? A: A fasting glucose and HbA1c only show part of the picture. A two-hour insulin and glucose challenge test, plus markers like uric acid and free fatty acids, show what's actually happening when you eat. We go deeper into this at 17:55.Q: Why do I crave sugar so badly? A: When your body can't efficiently access stored fuel between meals, your brain senses a shortage and pushes you toward quick energy, usually sugar or refined carbs. We go deeper into this at 13:58.
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Episode 86: Why Can't I Lose Weight No Matter What I Do? | Metabolic Rehab Type 1
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