There are many reasons why patients can experience weight gain in addition to lifestyle factors.
Dr. Jill Northrup

Issues with weight gain?
There are many reasons why patients can experience weight gain in addition to lifestyle factors. This can include hormonally-mediated weight gain (reproductive, thyroid, glucose control, and stress hormones), mood/mental health issues, insomnia, smoking/alcohol/substance use, gastrointestinal concerns, autoimmune disorders, fatty liver, and medications, among others.
Identifying the root cause of weight gain through a comprehensive intake and further investigations, such as blood work, can help to determine the best course of treatment.
Common screening lab work for patients with weight gain concerns includes:
- CBC
- Fasting insulin/glucose and HbA1c
- Thyroid panel
Practitioners may also examine reproductive hormones, liver enzymes, and/or inflammatory markers and antibody testing as part of a further investigation.
Patients also learn how to establish a healthy lifestyle, including nutritional and exercise habits, stress management strategies, and techniques to improve sleep quality.
Supplementation can also be used as an additional tool, depending on the root cause.
- Chromium and herbal supplementation with Berberine can improve glucose control
- Desiccated thyroid, selenium and an anti-inflammatory diet can support thyroid health
- Ashwagandha and other herbal adaptogens can improve resistance to stress
- Cimicifuga, Vitex and phytoestrogenic foods can be used to support reproductive hormonal concerns
Acupuncture, Especially for individuals who find high levels of stress contribute to their weight gain, acupuncture can be a great adjunctive tool for stress management that can be done in-office.