MY WEIGHT LIVE Podcast: The Role of the Brain in Weight Loss


The My Weight– What To Know podcast covers all aspects of what it takes to lose weight and keep it off. We talk to psychologists, dietitians and physicians about strategies and treatments available for reaching our best weight in a sustainable way.

On this episode, we’re talking about the role of the brain and our hormones in weight loss, and how we can prevent weight regain, with Endocrinologist Dr. Domenica Rubino.


1. When we lose weight, the brain thinks that we’re starving, and it goes into survival mode. It works to regain weight by:

  • Slowing our metabolism (so we burn fewer calories).
  • Increasing hunger hormones and decreasing the hormones that make us feel full.

2. Struggling with weight is not a failure of willpower – your weight is NOT your fault. Obesity is about physiology (the two mechanisms above that make us regain weight), so don’t blame yourself.

3. There are two fundamental treatments that target this physiology:

  • Medications.
  • Bariatric surgery (like gastric bypass).

With surgery and/or medications, you are actually changing the hormones in your body.

4. Seeking medical attention is the right step for many trying to lose weight because a physician can:

  • Address co-existing conditions (sleep apnea, arthritis, pre-diabetes, etc.).
  • Determine if medication or another medical treatment could help you.
  • Help you figure out how to optimize your overall quality of life.

5. For most, maintenance is harder than the weight loss phase. Given the strength of physiology, understand that weight loss requires ongoing, chronic management of some kind. This is not a weakness, this is reality!

6. Be an advocate for yourself at the doctor’s office.

To find a weight management physician in Canada near you, click here.

To sign up for our free online class that covers the basics of how to reach a healthier weight, click here.