003 Why am I not Losing Weight? & Dichotomous thinking

by reeger on July 15, 2013


Female feet on scales003 Weight Loss Surgery Podcast

Reeger Cortell, FNP-C

Welcome and THANK YOU for listening!

In this episodes:


How clinicians seek to answer the question, “Why am I not losing weight?” or “Why am I not losing enough weight?”

It’s not all about the number on a scale.

Sometimes it’s the composition of fat loss to muscle loss that changes.

Does the person have a disassociation, or in the words of podcaster John Bucanas from Let’s Reverse Obesity, a “fat-atude,” that prevents them from seeing their weight loss?

How might the persons age, gender, height, co-morbid diseases, and medications be impacting their weight loss?

How is the person doing in regards to nutrition, hydration, vitamins, and exercise? Is there room for improvement?

Does the person have realistic expectations regarding how much weight they hope to lose?

Are they experiencing a poor primary or secondary response to surgery? If so, is the poor response due to functional adaptations or structural changes? How might this be determined?

Follow-up with your bariatric surgical team is important!


What is Dichotomous thinking and how might it influence a persons weight loss success and weight loss maintenance?


5 Actionable writing exercises to help you move beyond dichotomous thinking, and into a more supportive thought process.

#1: Starting TODAY: write down all the reasons WHY you deserve to be healthy, happy, and attain the goals you set out for yourself.

#2: Write down how far you have come and all the successes, both big and small, you’ve had, along the way. Do not judge, just write.

#3: Write down your future goals, but this time break them down into manageable steps. Make your goals specific, measurable, and realistic. For example, “today, I will exercise for 30 min, I will take my vitamins, I will drink 64oz of water,” etc.

#4: Write down challenges you face, on a regular or even infrequent basis, that traditionally have sidelined your efforts. Come up with a realistic action plan on how to successfully navigate through the situation the next time. What you will do, other than give up? Start with the affirmations of: “I have not failed. I will not give up. I will acknowledge what happened. I will seek solutions for the next time, and I will move on.”

#5: Write down your fears, all of them, identify them, acknowledge them. But do not stop there.

Next, and most importantly, Write down counter-arguments to all your fears, why your fears are not your truth, how your fears do not own you, they do not define you, and they do not deserve the lions-share of your attention.

By doing this you turn on the light in your mind and heart, just like when you were a child and your parents turned on the light to show you there really was no monster under your bed. The more often you turn on the light in your mind and heart, and the brighter you let that light shine, the less your imaginary fears can take hold of you.

You are the sum and total of your strengths, not your fears.

And remember, success is not an event, it is a process: A process you deserve to be a part of and absolutely can accomplish!

In Peace and with connection,


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