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Evidence-based strategies for lasting weight loss

Written by Julie Vuksic, RDN, CDCES, NBC-HWC | Sep 1, 2026, 12:24:33 AM

To best personalize your weight maintenance plan, it can be helpful to first identify your own keys to success. Looking back on your weight-loss journey, ask yourself: What lifestyle changes have you made that have contributed to your weight loss to date? It can be helpful to look at your past records, logs, notes, and goals to review and assess.

Set time aside to reflect on your goals

  • How do you define long-term maintenance and success?
  • How often has it been helpful for you to step on the scale?
  • What is your average daily step count?
  • How many ounces of water do you drink daily?
  • What has your meal pattern looked like?
  • Meal planning routine?
  • Weekly exercise goals?
  • Average hours of nightly sleep?
  • Support network?
  • Accountability tools?
  • Strategies to support consistency with your exercise, meal planning, and sleep when you need a plan B?
  • When lapses have occurred, what steps have been key to your bouncing back?

Pick evidence-based strategies to maintain your weight

1. Continue monitoring your weight

Look for trends rather than reacting to day-to-day fluctuations. Address 3-5 lb gains early rather than waiting for them to add up to a larger sum.

💡Why it works: Monitoring can provide early feedback so small adjustments can prevent significant gain.

2. Maintain a high level of physical activity

Exercise becomes even more important in weight maintenance than during weight loss. Evidence suggests aiming for:

  • 200-300 minutes/ week of moderate intensity activity, or roughly 8-12,000 steps per day for many people
  • Include 2-3 resistance training sessions per week

💡Increasing daily energy expenditure, exercise can help to preserve muscle mass, improve insulin sensitivity, and potentially regulate appetite.

3. Eat enough protein
  • Eat 1.2-1.6 grams of protein per kilogram of body weight per day across meals and snacks. Example: 1.2g x 65kg = 78g protein per day
  • Aim for 20-35 grams of protein per meal and pair protein with fiber for snacks
4. Prioritize fiber-rich foods

A 2026 review concludes that eating fiber helps your body produce its own natural GLP-1, a special helper chemical that signals to your brain that you are full and helps your body handle sugar.

  • Aim for 25-38 grams per day

💡How it helps: Fiber increases fullness, but it does not pack in many calories. Fiber supports your body’s own GLP-1 production and may even complement GLP-1 therapy, signaling your brain you’re not hungry anymore.

To learn more about the science behind higher fiber intake, read the Standards of Care in Diabetes by the American Diabetes Association.

5. Aim for structured meals

Successful maintainers often:

  • Eat breakfast consistently
  • Have regular meal routines

💡Consistency tends to reduce impulsive food choices.

6. Set your environment for success

Behavioral research shows that the environment influences eating. Helpful strategies include:

  • Keep healthy foods visible
  • Grocery shop with a list
  • Meal prep
  • Store treats out of sight, plan to enjoy them in moderation. Rigid all-or-nothing thinking is associated with a greater risk of regain.
  • Avoid buying large packages of highly tempting foods if they lead to overeating
7. Get enough sleep
  • Adults who consistently get 7-9 hours of sleep generally maintain a healthier weight.

Poor sleep can increase hunger hormones, reduce satiety, increase cravings and lower motivation for exercise.

8. Manage stress

Develop healthy coping strategies without relying on food.

  • Walking
  • Call a friend
  • Journaling
  • Meditation
  • Hobbies
  • Getting out in nature
  • Stretching
9. Plan for lapses
  • Resume routines. Remember, 9amHealth’s philosophy is “It’s a new day,” and that can be every day.
  • Recognize sabotaging thoughts and refute them: “I’ll start on Monday”
  • View setbacks as temporary rather than as failures
10. Continue to self-monitor

People who keep weight off often continue to track the following periodically as needed. Monitoring doesn’t have to be daily or forever; it can become a tool to use when needed.

Use a self-tracking device, such as your phone or a smart watch, to track automatically. Examples of self-monitoring are:

  • Track food
  • Count protein
  • Track daily steps
  • Log exercise
  • Review progress weekly or monthly
11. Choose medications that are right for you

GLP-1 medications such as semaglutide (Wegovy) and tirzepatide (Zepbound) are generally considered long-term treatments for weight management, as stopping medication can lead to weight regain. Once a sustainable weight is reached, your provider can partner with you to individualize your treatment to find the lowest effective long-term dose, should you choose, while continuing healthy nutrition, physical activity, and behavioral strategies.

Maintaining your progress is about continuing the healthy habits that supported your weight loss and building on your progress and wins.

Focus on consistent, sustainable habits such as regular physical activity, balanced nutrition, self-monitoring, quality sleep, and stress management. Address small weight changes early and plan for lapses without giving up. Focus on progress, not perfection!

Utilize your 9amHealth Care Team to personalize your long-term maintenance plan. Schedule your visit with a provider and your dietitian for ongoing support.

Create your own habit tracker or download ours here. Put it in a place where it’s always visible to you.