You’re eating less, watching your portions, tracking your calories—and yet the number on the scale refuses to budge. Sound familiar?
Being in a calorie deficit but not losing weight is one of the most frustrating things to experience on a weight loss journey. It feels like you’re doing everything right, but getting nothing in return. The good news? You’re not alone, and there are several valid (and fixable) reasons this might be happening.
Let’s explore what could be going on, and what you can do about it.
First Things First: What Is a Calorie Deficit?
A calorie deficit simply means you’re consuming fewer calories than your body needs to maintain its current weight. When sustained over time, this should lead to weight loss.
In theory, it's a straightforward formula:
Calories in < Calories out = Weight loss
But in practice, our bodies are far more complex. Hormones, sleep, stress, exercise, and even how you track your food all influence the outcome. So if you’re in a calorie deficit but not losing weight, there’s usually more going on under the surface.
1. You’re Not in as Much of a Deficit as You Think
Let’s be honest—tracking calories is tricky. Portion sizes get underestimated, drinks and snacks are forgotten, and labels aren’t always accurate.
Even small miscalculations (like underestimating olive oil or peanut butter) can add up fast and wipe out your intended deficit.
What to do:
- Use a digital food scale for a few days to check your portions
- Double-check the calorie values in your tracking app
- Be honest about any “forgotten” extras like milk in tea, condiments, or bites off someone else’s plate

2. Your Body Is Retaining Water
One of the most common reasons people don’t lose weight in a calorie deficit is water retention. Your body can hold onto water for all sorts of reasons:
- A tough workout (especially strength training)
- Hormonal fluctuations (hello, bloating)
- A salty meal the day before
- Increased stress or poor sleep
This doesn’t mean you’re not burning fat—it just means the scale is being stubborn in the short term.
What to do:
- Track progress over weeks, not days
- Pay attention to how your clothes fit and how you feel
- Use non-scale methods too, like photos or measurements
3. You’ve Lost Fat, But Gained Muscle
If you’re exercising more while eating in a calorie deficit—especially if you’ve added strength training—there’s a good chance you’re gaining lean muscle while losing fat. This is a great thing! But it might mean the scales stay the same even though your body is changing.
Muscle takes up less space than fat, so you might look and feel slimmer without seeing a major drop in weight.
What to do:
- Celebrate non-scale victories
- Take progress photos
- Measure your waist, hips, and thighs for a clearer picture
4. You’re Not Eating Enough
Yes, it’s possible to be in too much of a deficit. When you drastically cut calories, your body may slow down your metabolism to conserve energy—a survival response known as “adaptive thermogenesis.”
Symptoms include low energy, poor sleep, mood swings, and yes—slowed or stalled weight loss.
What to do:
Make sure you’re eating enough to support basic function and movement
- Consider a “refeed” day or short diet break
- Focus on nutrient-dense foods rather than just eating less
5. Stress and Sleep Are Sabotaging Your Progress
High stress and poor sleep can throw your hormones out of balance, especially cortisol—the “stress hormone.” Cortisol increases hunger, encourages fat storage (especially around the belly), and interferes with recovery and mood.
What to do:
- Aim for 7–9 hours of quality sleep each night
- Add calming routines like walking, journaling, or short meditations
- Cut back on doomscrolling and caffeine before bed

You Might Benefit From Medical Support
If you’ve been in a calorie deficit for weeks and still aren’t losing weight—or if you’re feeling mentally and physically drained—it may be time to speak to a professional.
Some people benefit from additional support, including weight loss injections like Mounjaro or Wegovy, which can help regulate appetite and support sustainable fat loss under medical supervision.
At Manchester Weight Loss Clinic, we work with patients who’ve tried every diet under the sun and still struggle to see results. It’s not always your fault—your metabolism, hormones, and even medication history all play a part.
We’re Here to Help You Get Back on Track
If you’re in a calorie deficit but not losing weight, don’t panic—and definitely don’t give up. Weight loss is rarely as simple as eat less, move more. Sometimes, you need support, guidance, and a plan that works for your unique body.
At Manchester Weight Loss Clinic, we offer personalised support that combines evidence-based treatments with real-world advice. Whether it’s fine-tuning your nutrition, exploring medical weight loss options, or just helping you stay motivated, we’re here to help.
Contact us or book a consultation today.
This blog was written on behalf of Manchester Weight Loss Clinic by Pharmacy Mentor.
