Why can I not lose weight?
Not a diagnosis: a head start. These are the three drivers most worth checking first, based on what the evidence says gets missed most often.
Audit the invisible
Liquid calories, weekend creep and "healthy" snacks hide half the story. A journal finds them.
Muscle is the engine
Dieting without protein and strength work loses muscle, lowering the very burn you need.
Rule-outs that matter
Thyroid, PCOS and some medications genuinely move the needle. Test, then strategise.
TSH, HbA1c; medication review
1. Start a two-minute note so the pattern becomes visible.
2. Take the test list above with you so you can explain the pattern clearly.
3. Read the evidence: Retatrutide: The Triple Agonist That Changes Everything About Weight Loss Drugs.
Education, not diagnosis, and never a replacement for your GP or pharmacist. Reference ranges and guidance vary; sudden, severe or worsening symptoms need 111, or 999 in an emergency. By Hussain Sharifi · independent, affiliate-free health research.