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Common Barriers to Staying on Therapy – and How to Overcome Them

Staying consistent with obesity treatment can be challenging. Life gets busy, progress can slow, and it’s normal for doubts to creep in. The good news: there are proven strategies to overcome these obstacles, and experts say support makes all the difference.

Obstacle #1: Feeling Like You Have to Do It Alone

Many people assume that managing obesity is a solo mission — but it’s not. Obesity is a chronic medical condition, and chronic conditions require ongoing support.

As weight expert Dr. Megha Poddar explains, “Different people need different forms of support… It just depends on what the challenge is and who is the best person to help you overcome those barriers. But like all chronic diseases, obesity is a team sport.”

A strong support system often includes:

  • A primary healthcare provider
  • A pharmacist
  • A dietitian or nutritionist
  • A therapist or counselor
  • A community or coaching group
  • Supportive friends and family

Dr. Poddar emphasizes the importance of knowing your care team: “The importance of understanding who your health care provider is and who can help your health care provider with giving you all the tools that you need. Because it’s not just a doctor that’s going to treat your obesity, it really does require a community of support.”

Obstacle #2: Hitting a Plateau and Feeling Discouraged

Weight plateaus are a natural part of treatment — but they can feel frustrating. Many people begin to question whether their medication is still working. According to pharmacist Khalid Bhatti, it’s crucial to look beyond the number on the scale: “When talking to patients who have plateaued on medication, it’s very important to let them know that it’s not just the weight that we’re looking at as a parameter.”

Even when weight loss slows or pauses, the medication may still be providing other meaningful benefits. Bhatti explains it this way, “Weight loss may have stopped or plateaued temporarily, but if we look at other factors, if we look at their blood results, their quality of life, their knee pain, whatever it may be, all of those factors may still be improving.”

He adds: “So we like to use a variety of different things to let them know that, hey, this medication is still being successful for you.”

Obstacle #3: Underestimating the Value of Non-Scale Victories

Energy levels rising. Sleep improving. Blood sugar stabilizing. Being able to walk longer or climb stairs more comfortably. These changes matter — sometimes even more than the amount of weight lost.

Tracking these wins helps you stay connected to progress when the scale stalls. This is where your healthcare team plays a major role: they can help you identify improvements you may not notice on your own.

Obstacle #4: Not Having the Right Support Structure in Place

Long-term treatment success depends heavily on ongoing follow-up. Regular visits with your healthcare team help ensure your medication dose is appropriate, your goals are realistic, and you’re supported through challenges. Reaching out is not a sign of weakness – it’s an essential part of chronic disease management.

Obstacle #5: Feeling Discouraged By Setbacks

Almost everyone experiences moments when staying on therapy feels difficult. Setbacks can happen for many reasons: stress, family responsibilities, health changes, or emotional struggles. Remember: treatment isn’t about perfection. It’s about persistence and having the right tools and people around you.

The Bottom Line

Obesity treatment is most successful when it’s approached with support and patience. Plateaus don’t mean failure, and you don’t have to manage this journey alone. With the guidance of your care team and a focus on all the ways your health is improving, staying on therapy is a lot more manageable.

Diet and exercise alone aren’t enough to help many people reach a healthier weight. Medical treatments are needed to address the biological changes happening in our bodies that can drive weight regain. To find a physician near you who specializes in weight management, click here.

This article was sponsored by Novo Nordisk Canada. All content is created independently by My Weight – What To Know with no influence from Novo Nordisk.

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