Does it work?

Is what you’re doing to overcome your difficulty losing weight having the desired effect?

Are you targeting what’s most important for you to change about yourself and your ways in order to lose your unwanted weight?

Have you carefully considered what standards you are using to measure outcome success? For example, are you only using number of extra pounds lost? What about other measures of outcome success like clothes fitting better, feeling better physically and emotionally, changes in pattern of eating, not feeling full, and health benefits like lower blood pressure and lower cholesterol.

What effect sizes are you using for measures of success? Do you have to have great big effects for what you are doing? Or can you accept small successes and use them to stay motivated to lose weight? 

As you can see, there’s much more to the weight-loss process than dieting and exercise. How you are going about the process of weight loss itself is a determining factor of how successful you’ll be in shedding those extra pounds.