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4 Reasons Being Obese Isn't Your Fault (Plus Expert Solutions)
Obesity is one of the most misunderstood conditions. If you struggle with your weight, you know that there’s much more to the problem than meets the eye, yet you live with the stigma and others’ cruel judgment.
At The Endocrine Center in Houston, Texas, we want you to know this simple truth: Obesity is a disease, not a failure of willpower. It results from a complex interaction of genetic, hormonal, environmental, and behavioral factors — some of which you can control, and some you can’t.
Fortunately, as endocrinologists, we specialize in identifying and treating the underlying causes of obesity. Here’s what you need to know about why obesity isn’t your fault and how we can help you achieve a healthier weight.
Understanding the reasons behind obesity
When approaching obesity, it’s essential to move beyond the idea that it’s always the result of overeating or lack of exercise. Several factors beyond your control can contribute to weight gain.
1. Genetics and predisposition
Research has shown that genetics influences up to 75% of obesity cases. If you have family members who struggle with obesity, you may have inherited genes that affect your metabolism, appetite regulation, or fat storage.
For example, thrifty genes helped ancient generations store fat during times of food scarcity, but these same genes are less useful in today’s sedentary, high-calorie environment. And certain gene variants can influence how your body processes food or signals fullness, making it more difficult to lose weight.
While genetics play a role, they don’t dictate your fate. By working with our team of experts, you can address environmental and biological factors that amplify the effects of your genetic predisposition.
2. Hormonal imbalances
Hormones play a big role in weight management. Disrupted hormones can lead to weight gain or make weight loss particularly challenging. Three of the most common hormonal contributors are:
Hypothyroidism is a condition that occurs when your thyroid gland doesn’t produce enough hormones to regulate your metabolism, leading to fatigue and weight gain. We offer hormone replacement therapy to bring your thyroid function back into balance.
Polycystic ovary syndrome (PCOS) disrupts hormone levels in women, often leading to weight gain, irregular periods, and insulin resistance. Our individualized treatment plans include medications, lifestyle changes, and hormone therapy to alleviate PCOS symptoms.
Elevated cortisol levels can cause Cushing syndrome, an adrenal disease that could lead to weight gain in your belly and fatigue.
3. Environmental and societal factors
Modern lifestyles are full of unseen obstacles that contribute to obesity, including:
- Ultra-processed foods high in sugar and unhealthy fats and low in nutrients
- Sedentary lives with limited physical activity, making it harder to burn excess calories
- Sleep deprivation and stress, which disrupt hunger-regulating hormones and increase cravings for high-calorie foods
Addressing each of these factors with our guidance can help you achieve a healthier weight.
4. Set point theory
Your body has an internal “set point” that determines the amount of fat it tries to maintain. For people with obesity, this set point may be elevated due to genetic and environmental influences, making it difficult to lose weight without triggering extreme hunger and fatigue. Fortunately, treatments can help reset your body’s set point over time.
Health conditions related to obesity
Obesity can increase your risk of developing several severe health conditions, including diabetes, heart disease, and sleep apnea. At The Endocrine Center, our team specializes in addressing these complications, along with their root causes. We focus on comprehensive care that supports your health, not just your weight.
For example:
- Diabetes management can improve glucose control and prevent complications
- Thyroid screenings help ensure your metabolism is functioning properly
- Nutritional counseling supports sustainable habits that promote overall well-being
No matter the cause of your obesity, our team is here to support you with tailored treatment options.
During your consultation, we conduct thorough evaluations, including blood tests, physical exams, and a review of your medical history. This helps us pinpoint the specific causes of your obesity and any related complications.
Obesity is a lifelong condition, requiring consistent care, so we monitor your health, adjust treatments as needed, and provide ongoing encouragement.
Achieving a healthy weight is about more than lowering the numbers on a scale. With the right medical support, you can improve your overall health, energy levels, and quality of life. If you’re ready to take the first step toward tackling obesity and its underlying causes, call or request an appointment online at The Endocrine Center today.
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