You work out almost every day of the week, you follow a well-balanced diet, and you watch your calories. So why is it that you can’t shed those depressing excess fat? If despite your best efforts your weight still does not budge, you could have an underlying medical condition.

Polycystic ovary syndrome or PCOS

This condition not only negatively affects a woman’s fertility, but it can also contribute to obesity. Women suffering from PCOS have insulin resistance, and this means it is more difficult for them to use insulin. This elevates the circulating insulin levels which subsequently causes fat to get stored in the abdomen.

Testosterone decline

There is a decline in the level of testosterone in the blood as one becomes older. Lower than normal levels of testosterone is associated with persistent fatigue, diminished muscle or bone mass, sexual dysfunction, and abdominal obesity.

Underactive thyroid

People suffering from mild hypothyroidism may feel nothing unusual. However, as hypothyroidism progresses, they will feel worn out quite easily, sweat at night, feel intolerant to cold, and have difficulty focusing. Your thyroid gland is responsible for metabolism, body temperature, and perspiration so if you have an under active thyroid, losing weight can be challenging.

How to lose weight despite these conditions

Diet - Modifications to your diet can help you slim down even though you have any of these underlying disorders. For instance, since Polycystic ovary syndrome is related to insulin resistance, reducing carbohydrate intake while increasing protein consumption may produce desired results. Men experiencing low testosterone can include foods that contain mono- or polyunsaturated fats, including avocados and raw nuts, in their diet since these are crucial to testosterone production. For underactive thyroid patients, reducing consumption of goitrogenic foods and vegetables, foods made with gluten and wheat, and simple carbs is important to losing weight.

Exercise - Individuals with hypothyroidism and PCOS can shed pounds by adhering to a regular exercise program. Aerobic exercises such as walking, swimming, and dancing are excellent options. Hypothyroid sufferers can also benefit from doing 10,000 steps daily, if energy allows. Weight training can also be beneficial for this group. This may not be the case if you've got PCOS though, as weight lifting coupled with your higher than normal testosterone levels can result to big, bulky muscles. Men who suffer from lower than normal testosterone can shed pounds by doing high-intensity interval training and strength training. Quick, intense exercise, and not aerobic exercise, is more effective in increasing testosterone levels. Learn more about hyperthyroidism in women here.

Speak with your health care provider - It is vital that you speak about your weight loss plans with your health care provider before starting them. They can prescribe medicines or treatments, or suggest modifications to your diet and activities to help you lose weight effectively and safely.