Achieving and maintaining a healthy weight without medication

Nov 24, 2025 | Blog

Let’s cut to the chase. Weight management is not about quick-fix pills or miracle diets that promise rapid transformations. It’s about understanding your body, establishing sustainable habits, and learning to enjoy the journey.

At Omnia Telehealth, we understand the frustration that comes with one-hit-wonder diets and temporary solutions. You’re not alone in your search for something that sticks. In this comprehensive guide, we’ll take an honest look at what really works for long-term weight management. Let’s start with the foundation.

Your metabolism is not the enemy

Contrary to popular belief, your metabolism is not intentionally working against you. Think of it more like an individualized engine. Some of us have more powerful motors (higher metabolic rates), while others are built with smaller, more fuel-efficient ones.

Factors like age, genetics, body composition, and hormone levels determine your metabolic rate. It’s normal for metabolism to slow down as we age due to muscle loss. Muscles burn more calories than fat, even at rest, which is why preserving and building muscle mass is key.

But here’s the good news. You can positively influence your metabolism through lifestyle changes. Resistance and strength training exercises increase muscle mass and, therefore, rev up your calorie-burning engine.

Nutrition: It’s not all-or-nothing

Eating for weight management is not about perfection; it’s about balance. Focus on whole foods like lean proteins, whole grains, fruits, and vegetables while moderating high-calorie items.

A simple guideline to keep in mind is the USDA’s MyPlate plan: Fill half your plate with fruits and vegetables, about a quarter with whole grains, and the remaining quarter with protein. And, yes, we said half your plate should be fruits and vegetables. Don’t fear them, they won’t turn into broccoli spikes overnight.

The less discussed truth? The average American adult consumes 17 teaspoons of sugar daily, way over the recommended limit by the American Heart Association. That sneaky sweet stuff lurks in so many products, even some misleadingly labeled “healthy” foods.

Reading nutrition labels will become your best friend. Instead of reaching for sugary drinks, swap them for water infused with lemon. And when that sugar craving hits, reach for a whole piece of fruit instead of juice.

Movement: Not a gym membership

Weight management is not synonymous with a strict gym regimen. Consistency is more important than intensity when it comes to exercise. The Centers for Disease Control and Prevention (CDC) recommend at least 150 minutes of moderate-intensity aerobic activity per week, plus strength training exercises twice a week.

Find physical activities that fit your lifestyle and preferences. Dance, swim, play a sport, or take daily brisk walks. Building the habit is crucial, even if it starts with small, manageable steps.

Your mind has a role to play

Weight management is as much a mental game as it is a physical one. Emotional eating can be a major obstacle to your progress. Stress, boredom, and even sadness can drive us toward the comfort of food, even when we’re not hungry.

Identifying these emotional triggers is the first step to gaining control. Start by setting realistic, achievable goals. Most health experts agree that 1 to 2 pounds (0.45 to 0.9 kg) of weight loss per week is a safe and sustainable target.

Losing 20 pounds in a month might sound appealing, but trust us when we say it’s a recipe for failure and disappointment. Try using the SMART framework: Set goals that are Specific, Measurable, Achievable, Relevant, and Time-bound.

Mindful eating can also transform your relationship with food. Sit down at the table without distractions, savor each bite, and listen to your body’s cues. Chew slowly, relishing each mouthful. Aim to stop when you’re comfortably full rather than stuffed.

Seeking help when you need it

You don’t have to do this alone. Omnia Telehealth can connect you with registered dietitians that will help you with personalized meal plans based on your preferences and lifestyle.

We all have unique challenges and blocks when it comes to weight management. Sometimes the hurdles are emotional. Omnia Telehealth also offers therapists that can work with you via telehealth to resolve issues such as stress, anxiety, or past trauma that manifest through eating behaviors. Cognitive behavioral therapy has been found to be especially effective.

Accountability partners or support groups can also be a powerful tool to help with weight management. Weighting is easier when you have someone in the same boat to share your journey with.

Frequently asked questions

Can I lose weight without taking medication or supplements?

Yes, it is entirely possible to lose weight without the need for medication or supplements. While these products can assist in weight management for some individuals, particularly when dealing with specific medical conditions, most people can find success through changes in nutrition, physical activity, and behavior. Balanced eating, regular exercise, and sustainable lifestyle shifts are the cornerstone of lasting weight loss.

How do I know if my metabolism is slow?

Symptoms that may suggest a slower metabolism include difficulties losing weight even when exercising and watching what you eat, low energy levels or feeling sluggish most days, and a tendency to feel colder than others. However, having a truly slow metabolism is less common than people think. Consider working with a nutritionist or doctor via telehealth to learn more about your unique metabolic requirements and what you can do about them.

What’s the best diet for long-term weight management?

Surprise: there is no one best diet for every person. The most effective and healthy eating plan for you is the one that you can maintain over time. In general, a sustainable approach should be high in vegetables, include lean proteins, whole grains, and fruits while avoiding excessive processed and sugary foods. Remember, it’s not about being perfect but sustainable.

How much exercise do I really need to lose weight?

The CDC guidelines recommend at least 150 minutes of moderate aerobic exercise per week and two days of strength training exercises. However, even small amounts of activity are better than none at all, so start where you are and gradually build up. You do not need to kill yourself at the gym to be healthy and achieve a healthy weight.

Why do I keep hitting weight loss plateaus?

Plateaus are normal in any weight loss journey. As your body adapts to changes, you’ll often see a leveling off in weight loss. It can be frustrating but know that it is common. To overcome plateaus, you might need to reassess your portion sizes, change up your workout routine, or consult with a professional nutritionist or dietitian through telehealth to adjust your plan.