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Weight Management

A Working Checklist for Rate of Weight Loss

Rate of Weight Loss: what is worth doing, what is worth avoiding, and when to stop and see a doctor.

Dr Amara Nwosu, PhD, RD Editor-in-chief and registered dietitian 3 min read 5 views
A Working Checklist for Rate of Weight Loss

How quickly weight can be lost in a way that is safe and likely to be sustained. Faster loss is easier to achieve and harder to keep, and the rate that holds is the one you are still following in a year.

Key takeaways

  • Commonly advised rate: 0.5-1kg (1-2lb) a week
  • Typical daily deficit for that rate: 500-600 calories
  • Most useful single change: Set the first target at 5 per cent of your current weight.
  • Commonest mistake: Aiming for more than about 1kg a week outside medical supervision.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

Do

  • Set the first target at 5 per cent of your current weight
  • Keep resistance training in the plan to protect lean mass
  • Write the maintenance plan before you reach the target
  • Judge progress on several weeks of data, not single readings

Do not

  • Aiming for more than about 1kg a week outside medical supervision
  • Cutting protein while cutting calories
  • Treating a bad week as a failed attempt

The numbers behind the list

The reasoning behind both lists, in numbers.

Published figures for Rate of Weight Loss
MeasureFigure
Commonly advised rate0.5-1kg (1-2lb) a week
Typical daily deficit for that rate500-600 calories
Clinically meaningful loss5-10 per cent of body weight
Protein while in a deficitoften advised at 1.2-1.6g per kg
Resistance trainingat least 2 days a week to protect lean mass

If you change one thing

Set the first target at 5 per cent of your current weight. It heads the list. If you take nothing else from this page, take that.

Where to go next

When to speak to a doctor

See a GP before starting if you have type 1 or type 2 diabetes, take insulin or medication that can cause low blood sugar, are pregnant or breastfeeding, or have a history of an eating disorder. Unintentional weight loss should always be assessed. Very low calorie diets belong under clinical supervision only.

Where this comes from

  • NHS — Start the NHS weight loss plan
  • NICE — Obesity: identification, assessment and management

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Dr Amara Nwosu

Editor-in-chief and a registered dietitian of fourteen years. Spent six of them in NHS outpatient clinics, which is where she learned that the advice people actually follow beats the advice that is technically optimal.

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