How to Start Your Weight Loss Journey
From an expert in primary care
More than two in five adults in the United States have obesity, according to the CDC. Weight gain can be overwhelming, but a clear, step-by-step plan can make it easier to start your weight loss journey.
Dr. Krishna Pulivarthi, a primary care provider board-certified in internal medicine and obesity medicine, explains three important ways he can help people begin their weight-loss journey.
By taking small, manageable steps, people can build healthier habits, overcome challenges and work toward their weight-loss journey. These changes can help improve overall well-being and reduce the risk of health problems associated with obesity.
Early identification and education are key to preventing weight gain and obesity-related complications. When patients understand their risks, they’re more likely to take meaningful steps toward better health.
1. Judgement-Free Learning
According to the CDC, obesity is a complex, chronic disease that can result from many contributing factors. These can include stress, not getting enough sleep, not having safe places to be active, not being able to afford healthy food and some medical problems.
The first step in losing weight is learning. It's important to understand how weight affects your health - not just to learn about eating and exercise. When you talk to a doctor about weight, the visit should feel personal and kind, without any judgement.
When patients feel informed rather than judged, they’re more likely to engage in their
care. Education is the foundation of trust.
2. Weight Evaluation
When someone is ready to start losing weight, a full check-up can help plan what to do next. This plan is sometimes called a "framework." According to the National Library of Medicine (NIH), a framework shows the overall picture - It helps track what is being done, why it matters and what results are being seen.
This check-up often includes looking at something called BMI, which stands for body mass index. According to the CDC, BMI is one way to help understand an individual's health and see if they may be at risk for long-term diseases.
Our role as providers is to guide, not overwhelm. A clear framework helps patients
feel seen, supported and equipped to take control of their health.
3. Weight Management
Weight loss management can be difficult and looks different for everyone. For some, lifestyle changes are enough. For others, medications or even surgery may be appropriate.
It's imporant to contact your primary care physician if you need assistance on taking the next steps in managing your weight. According to the CDC, losing a small amount of weight can help lower your blood pressure, improve your blood sugar and make your cholesterol levels better.
Health journeys aren’t one-size-fits-all. A thoughtful, structured approach allows
us to personalize care while staying grounded in the latest evidence.
Losing weight isn’t easy, but with the right support and a plan that fits your life, it’s possible. Small steps can lead to big changes and better health.