You’ve waved goodbye to cookies, chips, and everything else that comes in a shiny wrapper, but the scale refuses to budge. It can be disheartening when cutting out processed foods doesn’t translate into immediate weight loss.

While eliminating junk food is an essential first step, weight loss often requires more nuanced adjustments. Studies, including a 2019 publication in Cell Metabolism, reveal that processed foods can lead to increased calorie consumption — about 500 extra calories daily compared to whole, unprocessed diets. While cutting out junk food is a commendable step, achieving sustainable weight loss requires a holistic approach.

But sometimes, ditching junk food isn’t enough. Here are five key reasons why your weight loss journey may be stalling, and how you can get back on track.

1. Your Sleep Schedule Is Sabotaging Your Goals

The connection between sleep and weight is often overlooked but crucial. Both too much sleep (over 9 hours) and too little (under 5 hours) can disrupt your body’s production of appetite-regulating hormones, such as leptin and ghrelin. This hormonal imbalance can increase cravings and overeating, particularly for high-calorie foods.

Additionally, poor sleep can leave you feeling fatigued, making it harder to stick to exercise routines.

How to Fix It: Aim for 7–8 hours of quality sleep per night. Establish a consistent bedtime routine and minimize screen time before bed to improve sleep hygiene.

2. Liquid Calories Are Sneaking Into Your Diet

You may have switched to a "healthier" drink lineup, but beverages like fruit juices, sugary coffee drinks, and wine can contain hidden calories that derail progress. Even organic fruit juices, often marketed as healthful, are loaded with sugar and lack the fiber found in whole fruits.

How to Fix It: Stick to water, unsweetened tea, black coffee, or sparkling water. To manage hunger, drink two cups of water 30 minutes before meals—a strategy backed by research in the Journal of Natural Science, Biology and Medicine. Treat calorie-laden drinks as occasional indulgences rather than daily staples.

3. Meal Timing Is Working Against You

When and how often you eat can significantly influence weight loss. Skipping meals can lead to overeating later, while constant grazing throughout the day can result in unnoticed calorie overload.

Studies show that front-loading your calories, with a substantial breakfast and lighter evening meals, promotes greater weight loss. Research published in the journal Obesity found that individuals consuming larger breakfasts lost twice the weight compared to those who favored bigger dinners.

How to Fix It: Stick to eating every 3.5 to 4 hours during a 10–12-hour daytime window. This approach stabilizes blood sugar and encourages fat reserves to be used for energy between meals.

4. You’re Overcompensating for Exercise

Exercise is a cornerstone of weight loss, but it’s easy to overestimate the calories burned and indulge in post-workout treats. That post-spin class protein shake or granola bar may negate your calorie deficit if not balanced within your daily intake.

How to Fix It: Plan snacks strategically. If your workout falls within two hours of a meal, skip the extra snack and refuel during your regular meal. If you need a snack, opt for small, protein-rich options like Greek yogurt or a handful of nuts.

5. Water Intake Is Falling Short

Water plays an underrated role in weight loss. Staying hydrated helps control hunger and reduces the temptation to reach for sugary drinks. Dehydration, on the other hand, can be mistaken for hunger, leading to unnecessary snacking.

How to Fix It: Drink 2–6 cups of water daily to satisfy thirst without adding calories. Carry a reusable water bottle as a visual reminder to stay hydrated throughout the day.

What Other Factors Can Hinder Weight Loss

Sitting for long hours, whether at a desk or on the couch, can slow your metabolism and disconnect your body’s natural hunger cues. Incorporating even short bursts of activity, like three 10-minute walks daily, can reignite your metabolism.

Stress often leads to comfort eating, favoring calorie-dense, nutrient-poor foods. Mindfulness practices, such as meditation or journaling, can help address the emotional triggers behind overeating.

Medical conditions, genetics, or hormonal imbalances can also impede weight loss. If your efforts yield no results, consult a healthcare professional for tests or guidance tailored to your needs.

Weight loss isn’t linear, and small, consistent adjustments are more effective than drastic overhauls. By identifying and tackling these hidden barriers, you can set yourself up for lasting success on your health journey.

Ultra-Processed Diets Cause Excess Calorie Intake and Weight Gain. Cell Metabolism. 2019

Effect of excessive water intake on body weight, body mass index, body fat, and appetite of overweight female participants. J Nat Sci Biol Med. 2014

Earphones have slipped into almost every part of daily life. They power music, calls, podcasts, workouts, and long online meetings. What often goes unnoticed, however, is the steady rise of a silent and irreversible condition linked to their misuse: noise-induced hearing loss.

According to the World Health Organisation, more than one billion young people worldwide are at risk of hearing damage due to unsafe listening habits involving earphones and similar devices. Health experts say this is no longer a distant concern but a growing reality, with similar listening patterns being seen across India as well.

What Is Noise-Induced Hearing Loss?

Noise-induced hearing loss, or NIHL, occurs when loud sounds damage the delicate hair cells inside the inner ear. These hair cells play a critical role in transmitting sound signals to the brain. Once damaged, they do not recover or regenerate.

Dr Vinayak Kurle, Consultant ENT at Aster RV Hospital, Bangalore, explains that prolonged exposure to loud audio is one of the most common causes. “The inner ear has a limited number of hair cells. When they are exposed to excessive noise, especially over long periods, the damage can be permanent,” he says.

The generally accepted safe listening level is 85 decibels. Exposure to sound above this level for extended durations significantly increases the risk of hearing loss. Many personal audio devices can easily cross this threshold, especially at higher volume settings.

Early Warning Signs You Should Not Ignore

Hearing damage often develops gradually, which makes it easy to overlook early symptoms. Some of the first signs include:

• Ringing or buzzing in the ears
• A blocked, muffled, or distorted sense of hearing
• Difficulty understanding speech, particularly in noisy environments
• Ear discomfort after long listening sessions
• Increased sensitivity to everyday sounds

Dr Kurle notes that many people dismiss these signs as temporary fatigue. “Ignoring early symptoms delays diagnosis and allows the damage to progress,” he says.

Why Delayed Action Can Be Harmful

Untreated hearing loss affects far more than just hearing. Over time, it can contribute to social withdrawal, low mood, reduced concentration, and a decline in work performance. Studies have also linked hearing impairment to cognitive decline when left unaddressed.

What makes NIHL especially concerning is that the damage builds slowly. By the time people realise something is wrong, hearing loss is often already permanent.

How To Protect Your Hearing?

The good news is that noise-induced hearing loss is largely preventable with simple, consistent habits. Avoiding exposure to loud noise remains the most effective step. When loud environments cannot be avoided, protective options such as earplugs, earmuffs, or noise-filtering devices can reduce risk.

Noise-cancelling earphones can also help, as they reduce the need to raise volume in noisy surroundings. Following the WHO’s 60–60 rule is another practical safeguard. This means listening at no more than 60 percent volume for no longer than 60 minutes at a time.

Experts also advise limiting total daily earphone use, keeping volume below 80 decibels, taking regular listening breaks, and scheduling periodic hearing tests. At the first sign of symptoms such as ringing or muffled hearing, consulting an ENT specialist is crucial.

“Hearing loss does not happen overnight,” Dr Kurle says. “It develops quietly over time. Healthy listening habits today are the only way to protect hearing in the long run.”

Preserving hearing requires awareness, restraint, and timely action. In a world filled with constant sound, listening safely may be one of the most important health choices we make.

Due to rising obesity levels, sedentary lifestyles, and a rapidly aging population, type 2 diabetes has become far more common than it was a few decades ago. While high-income countries saw a decline in diabetes-related deaths between 2000 and 2010, this trend reversed from 2010 to 2016. As a result, there has been an overall 5 percent rise in premature deaths linked to diabetes since 2000.

What is especially concerning is that type 2 diabetes is now increasingly diagnosed in children, largely driven by poor diet, excess weight, and lack of physical activity. Beyond its well-known effects on the heart, kidneys, eyes, and nerves, diabetes is also associated with long-term conditions affecting the brain, including dementia.

This raises an important question: how exactly are diabetes and dementia connected? To understand this better, we spoke to Dr Prabhojit Mohanty, Psychiatrist, Sexologist, and De-addiction Specialist, who shared insights on the link.

What Is Diabetes?

Diabetes is a long-term metabolic disorder in which blood sugar levels remain consistently high. This happens either because the pancreas does not produce enough insulin or because the body is unable to use insulin properly. Insulin plays a crucial role in helping glucose enter cells to be used as energy. When this process is disrupted, sugar builds up in the bloodstream, gradually causing damage to vital organs such as the heart, eyes, kidneys, and nerves.

The two main forms are Type 1 diabetes, an autoimmune condition that requires lifelong insulin therapy, and Type 2 diabetes, which is linked to insulin resistance and influenced by lifestyle and genetic factors, according to the Cleveland Clinic.

What Is Dementia?

Dementia refers to a group of symptoms marked by a significant decline in cognitive abilities that interferes with everyday functioning. It affects memory, thinking, reasoning, and decision-making. Dementia is not a single disease but an umbrella term for conditions caused by different underlying disorders, the most common being Alzheimer’s disease.

As dementia progresses, symptoms become more severe, affecting mood, behavior, and the ability to carry out routine activities, often leading to increased dependence on others. Early diagnosis can help slow progression and improve quality of life, as noted by the Alzheimer’s Association.

Diabetes And Dementia: What Is The Link?

An expanding body of research points to a clear association between diabetes and dementia. Large-scale studies and meta-analyses indicate that individuals with diabetes face nearly a 59 percent higher risk of developing dementia compared to those without the condition. This increased risk applies to both Alzheimer’s disease and vascular dementia and tends to rise the longer a person lives with diabetes. From a clinical perspective, several mechanisms are involved. Persistently high blood sugar levels and insulin resistance cause damage to both small and large blood vessels. Over time, this harms the brain’s microvasculature, reducing blood supply and raising the likelihood of strokes and vascular dementia.

Dr Prabhojit Mohanty explained, “When diabetes occurs alongside hypertension, the danger becomes even greater. Both conditions speed up damage to blood vessels in the brain. High blood pressure weakens vessel walls and contributes to plaque formation, which further limits blood flow to the brain. From a biological standpoint, insulin has roles beyond regulating sugar. When the brain becomes resistant to insulin, it affects neuron health, communication between brain cells, and how the brain uses glucose, increasing vulnerability to neurodegenerative conditions such as Alzheimer’s disease.”

Scientists have also introduced the idea of “type 3 diabetes” to describe Alzheimer’s disease as a condition driven by insulin resistance within the brain itself. According to this theory, impaired insulin signalling in neural tissue plays a role in the buildup of amyloid plaques and tau tangles, which are defining features of Alzheimer’s disease. People with diabetes often also struggle with high blood pressure and abnormal cholesterol levels. Together, these factors further raise the risk of dementia and significantly affect the quality of life of both patients and their caregivers. Detecting diabetes early, maintaining good control of blood sugar and blood pressure, and adopting healthier lifestyle habits can go a long way in protecting cognitive function with age.

In simple terms, there is strong clinical and biological evidence showing a clear and well-established connection between diabetes and dementia.

People using injectable weight loss drugs may need long-term medical and lifestyle support, researchers have warned, after a large study found that weight is regained far more quickly than with traditional diet and exercise plans. Scientists at the University of Oxford found that people taking medications such as semaglutide (Wegovy) and tirzepatide (Mounjaro) lose weight while on treatment, but typically regain it within around 20 months after stopping the injections.

The study also showed that improvements in blood sugar control, cholesterol levels, and blood pressure fade once the drugs are discontinued, leaving patients back at their original health markers. By comparison, people who lose weight through structured diet and exercise programmes tend to maintain the loss for longer, close to four years on average, although most eventually regain weight as well.

Health Gains Reverse After Treatment Ends

The findings come alongside separate research from University College London and the University of Cambridge, which suggests that people prescribed newer weight loss drugs could face risks such as nutrient deficiencies and loss of muscle mass. Under current NHS rules, Wegovy can only be prescribed for up to two years, while Mounjaro has no set time limit.

Most people using these medications pay for them privately, due to strict NHS eligibility criteria. Research indicates that around half stop treatment, often because of cost, side effects, or because they feel they have reached their target weight.

The Oxford analysis, published in the British Medical Journal, reviewed 37 studies involving more than 9,000 participants. On average, people stayed on medication for 10 months and were followed up for eight months after treatment ended.

Across all weight loss drugs, participants lost an average of 8.3 kg during treatment, but regained 4.8 kg within a year, returning to their starting weight within about 1.7 years. Those taking Wegovy or Mounjaro lost nearly 15 kg, but regained around 10 kg in the first year after stopping. Based on projections from one year of data, full weight regain occurred within roughly 1.5 years. Measures linked to heart and metabolic health, including blood glucose and cholesterol, also returned to baseline within about 1.4 years.

Experts Say Obesity Requires Ongoing Care

Professor Susan Jebb, professor of diet and population health at the University of Oxford and an adviser to ministers and the NHS on obesity, said the findings were clear. “What we’ve shown is that weight regain after medication is common and happens quickly. The benefits for blood sugar and cholesterol closely track weight changes, so when weight comes back, those benefits disappear too.”

She noted that weight regained after medication happens almost four times faster than after behaviour-based programmes, regardless of how much weight was initially lost. Professor Jebb said long-term solutions may be necessary, whether through ongoing medication, behavioural support, or a combination of both.

“Obesity is a chronic, relapsing condition,” she said. “It’s reasonable to expect that treatment may need to continue for life, much like medicines for high blood pressure. We should think of this as long-term treatment for a long-term condition.”

She added that combining diet and exercise programmes with drug treatment helps people lose more weight initially. However, once medication stops and appetite returns, those strategies alone often fail to prevent regain. In contrast, people in behavioural programmes without drugs may practice these habits more consistently, which could explain why weight regain is slower.

Professor Jebb said it is clear that some form of ongoing intervention is needed if the benefits of weight loss drugs are to last. Some patients try tapering doses or using medication intermittently, while others rely on lifestyle support alone, but she said evidence on what works best remains limited.

Sam West, a postdoctoral researcher at the University of Oxford and co-author of the study, said: “People on medication lose more weight than those in behavioural programmes, but they regain it about four times faster.”

The researchers also questioned whether long-term drug treatment is cost-effective for the NHS. They concluded that since obesity is a long-term, relapsing condition, extended use of weight management medications may be needed to maintain health benefits.

Concerns Over Nutrition and Muscle Loss

Separate findings published in Obesity Reviews highlighted gaps in nutritional guidance for people taking semaglutide and tirzepatide. Dr Marie Spreckley from the University of Cambridge said many patients receive little structured advice on diet quality, protein intake, or micronutrient needs, despite significant appetite suppression.

“If nutritional care isn’t built into treatment,” she said, “there’s a real risk of trading one health problem for another, through avoidable nutrient deficiencies and unnecessary muscle loss.”

An NHS spokesperson said that while these drugs are a valuable addition to weight loss treatment, they are not a quick fix. “They must be combined with lifestyle and behavioural support, including advice on healthy eating and physical activity, to help people maintain weight loss over time,” the spokesperson said.