Dr. Sara's Top 10 Plateau Busters


Special Bonus: Download my Top 20 Plateau Busters below

When people follow The Hormone Reset Diet, they lose up to 15 pounds. We know this statistic from extensive and scientifically rigorous pre-surveys and post-surveys, performed on the thousands of people who have completed the program. However, this means that 50% of those who follow the diet lose more than 15 pounds, and 50% lose less. If you find yourself on the lower end of the weight loss spectrum, please don’t fret. It usually means that something in your body, mind, or spirit needs a little extra love and attention. I want to help guide you to the most common 10 culprits, and to break through your weight loss plateau.

There’s a good chance that there is a hormone issue occurring that needs one-on-one support with a health professional. Please contact your clinician, or work with one of the smart people that I’ve trained in my methods by clicking here.

Now, onto my top PLATEAU BUSTERS!

    1. Get your hormones checked. Work one-on-one with an enlightened hormone expert to get them into the optimal range. Many of those who go through my Detox program find that they only lose 2 pounds. They then get thyroid support, do the detox again, and lose 15 pounds. Hormone imbalances (estrogen, insulin, leptin, cortisol, thyroid, growth hormone, testosterone) that don’t resolve with the Detox need one-on-one care. Get tested.


Are one of these top 10 culprits to blame for your weight loss plateau?


  1. Redial in your carbs. Are you sure you’re getting 25-49 net carbs each day? Are you getting 35 to 45 grams of fiber? This is extremely important for weight loss and resetting estrogen, leptin, and insulin. Use sparkspeople.com to calculate your carbs and fiber if you haven’t already done this. Measure your macronutrients every day for the next 3 days. People with thyroid or adrenal issues, or those who are pregnant, trying to conceive or postpartum, or those who are highly stressed need more carbohydrates. People with diabetes, pre-diabetes, neurological conditions benefit from fewer carbohydrates. Aim for 10-15% of your calories each day from carbohydrates, and see how you do. Try dropping lower if you are experiencing a weight loss plateau. Read more in Why We Get Fat by Gary Taubes and The Paleo Cure by Chris Kresser.
  2. Your age by weight chart. This is an exercise that I’ve found to be very helpful. Make a chart of your weight over your lifetime – a graph with your weight on the Y axis, and your age on the X axis. My weight has varied as an adult from 115 in high school to 200 pounds when I was pregnant with baby #1 (yikes!). My age ranges from 18 to 47. My weight has gone up and down a lot, and it’s good to graph it. The next step is to go back and indicate what was happening in your life that was associated with the weight gain and loss. For me, breakups always seemed to cause weight loss, and then I’d fall in love again, eat like my new boyfriend, and get fat. That stopped about 10 years ago, thank goodness. Now my weight goes up if I sit more, cut corners on exercise and working up a sweat, cut back on yoga, or if I have wine every night. Sadly, my liver and sleep can’t handle alcohol very well. Analyze your graph, not just the past 2 or 3 weeks and see what the linkages are between your weight and what was happening in your life. This can yield some important insights that may help you break through a plateau. I’ll tell you what helps me break a plateau: I exercise at least an hour per day, six days per week and break a sweat. Sometimes it’s JUST DANCE on the Wii with my younger daughter, sometimes it’s a hike after dinner with my husband, where we’ll sprint a few times, and sometimes it’s weight training at the gym. It’s definitely giving up the booze for 3 or more weeks. I just gave it up for 3 months and lost 15 pounds. It’s also sitting less – I set my iPhone to get me out of a chair, every 50 minutes to do 12 push-ups or a plank pose. I also practice yoga 5 days per week, sometimes just for 21 minutes but enough to reset my nervous system.
  3. leaky-gut-sara-gottfriedHeal your gut. Many of you have chronic constipation, gas, bloating, discomfort, and weight loss resistance – but you don’t know that it’s your gut that’s the root cause. You must heal this. It’s probably not the shake or the fiber; it’s more likely that you have leaky gut and/ or dysbiosis1. Again, work with a functional medicine expert one-on-one for this problem. In the meantime, start learning about it and start to heal it.
  4. Carb intolerance. This is related to that last plateau buster, and can cause gas, bloating, and weight loss resistance. Carbohydrate intolerance is pretty common and usually directed toward a certain group of foods called FODMAPS. FODMAP is an abbreviation for Fermentable Oligosaccharides, Disaccharides, Monosaccharides And Polyols. low-fodmapThese are short-chain carbohydrates, which are not completely absorbed by the gut and can be easily fermented by gut bacteria.2 Because these carbohydrates aren’t completely absorbed by the gut, they exert an osmotic effect and increase fluid movement into the colon. This can cause symptoms of irritable bowel syndrome such as pain, gas, and diarrhea. Carbohydrate intolerance is almost always a sign of messed-up gut flora. When carbohydrates remain undigested in the small intestine, they provide food for bad gut bacteria, and when bad gut bacteria are killed by the immune system, they release toxins. Those toxins can cause all kinds of symptoms ranging from brain fog and depression to leaky gut, skin conditions like psoriasis and eczema, and weight loss resistance. If you are sensitive to FODMAPS, a low- FODMAP food plan can help.
  5. Exercise. Weight is determined 75% by food and 25% by exercise, although this may vary based on your genetics. For instance, the exercise component is higher in my sisters and husband than it is in me. This means that you need to dial in the food, but that’s not the entire story. Sweat more. Mix up your exercise routine. If you’re overweight or obese or ill, get the green light first from your doctor, but push yourself with exercise, if possible. Walk after dinner. It’s an important cleansing process after eating. Do burst training as I’ve described in The Hormone Reset Diet, and Younger. Try chi walking, or a barre fitness class either in person, which is best, or online.
  6. Heavy metals like mercury and lead can lead to weight loss resistance. Work with a functional medicine clinician to test your heavy metal burden.
  7. Infections such as parasites and yeast overgrowth can also cause weight loss resistance. Work with a functional medicine clinician to get your stool tested.
  8. Try hypnosis. I mentioned this previously. Check out my favorite program that I do most mornings during my quiet time. (SaraGottfriedMD.com/hypnosis).
  9. You may have additional food intolerances: eggs, nightshades, tyramine, etc. You may need to give these up.

      Want to learn more? Order Dr. Sara’s new book – about this topic and so much more – entitled, Younger: A Breakthrough Program to Reset Your Genes, Reverse Aging, and Turn Back the Clock 10 Years.