Skip to content
  • Find your doctor
  • Explore our services
  • Specialties
    • Gynecology
    • Pediatrics
    • Internal Medicine
  • Health Hub
  • About Us

Logo
  • Find your doctor
  • Explore our services
  • Specialties
    • Gynecology
    • Pediatrics
    • Internal Medicine
  • Health Hub
  • About Us
011 4391999

069 618098

Why Diets Don’t Work Long-Term and What Sustainable Eating Looks Like in Everyday Life

  • The Trap of Crash Diets
  • What is Happening in our Bodies: Hormones and Starvation
  • Specifics of the Female Body: Why Does the Scale Fluctuate so Much?
  • Sustainable Eating: How to Lose Weight Without Starving
  • Key Steps for Success in Real Life
  • You Don't Have to Go Through This Alone
Share this article
Facebook Instagram Twitter LinkedIn

You’ve probably tried to diet at least once in your life. You started out motivated, cut out sweets, bread, and dinner, counted every bite, and the scale showed a lower number. But what happened a few months later? If the weight came back, you are not alone.

This cycle of losing and regaining weight is known as the yo-yo effect. In this blog, we will debunk the myths surrounding quick fixes, explain how your body truly reacts to starvation, and show you how to build a healthy relationship with food that lasts a lifetime.

The Trap of Crash Diets

When we want a “beach bod” or results “for a wedding,” we usually resort to so called crash diets. Whether it’s a rigorous keto diet without a trace of carbs, a juice cleanse, the “cabbage soup diet,” or extreme fasting, they all share one common trait: they drastically restrict your intake of calories and nutrients.

“The statistics are quite harsh. Research shows that between 80% and 95% of people who lose weight on restrictive diets regain it within one to five years,” says endocrinologist Dr. Neda Crnjak.

The reason isn’t a lack of willpower on your part. The problem is biology. Extreme diets demand perfection and immense sacrifice, leading to psychological fatigue. Once you “break” a rule and have a slice of cake, the resulting guilt often pushes you to give up entirely, adopting the mindset of, “Since everything is ruined, I might as well eat whatever I want.”

What is Happening in our Bodies: Hormones and Starvation

Evolutionarily, our bodies are programmed to survive, not to be “beach body ready.” When you suddenly deprive it of calories, your body registers this as a threat (starvation) and triggers the following defense mechanisms:

  • A spike in ghrelin (the hunger hormone): Your body increases the secretion of the hormone that signals your need to eat. That’s why you constantly think about food while on a diet.
  • A drop in leptin (the satiety hormone): Your brain has a harder time registering that you are full, meaning you need a larger amount of food to feel satisfied.
  • An increase in cortisol (the stress hormone): A chronically low calorie intake puts stress on the body, which can lead to muscle breakdown and make it harder to lose fat deposits.

The result? Your metabolism slows down to conserve energy, leaving you constantly hungry and tired.

Specifics of the Female Body: Why Does the Scale Fluctuate so Much?

One of the biggest mistakes you can make is weighing yourself every day and tying your mood to the number on the scale. This is especially important for women.

The female body goes through complex hormonal changes every month. The number on the scale can fluctuate 1 to 3 kilograms within days, and the reasons are completely natural:

  • Water retention: During the luteal phase of your cycle (right before menstruation), the body naturally retains more fluids.
  • Hormones: Changes in estrogen and progesterone can cause slower bowel movements.

Salt and carbohydrate intake: Every gram of carbohydrates you store in your muscles for energy (glycogen) binds to about 3 grams of water.

Sustainable Eating: How to Lose Weight Without Starving

The secret to lasting weight loss doesn’t lie in extremes, but in a mild caloric deficit and consistency.

1. Calculating the BMR (Basal Metabolic Rate)

The basal metabolic rate (BMR) represents the number of calories your body burns at complete rest (to keep your heart beating, lungs breathing, and organs functioning).

The most commonly used formula for a rough estimate is the Mifflin–St Jeor equation, but the easiest way is to use free online TDEE (total daily energy expenditure) calculators. TDEE calculates your BMR plus the calories you burn through daily activities and workouts.

2. A Long-Term, Mild Caloric Deficit

To lose weight, you need to consume fewer calories than you burn, but do so with moderation, not drastically! Subtract just 300 to 500 calories from your TDEE. This allows for weight loss with minimal hunger, all while preserving your muscle mass.

3. A Healthy Rate of Weight Loss

Forget about “5 kilos in 5 days.” The medically recommended and sustainable rate of weight loss is 0.5 to a maximum of 1 kg per week. Anything faster than that usually means you are losing water and muscle, not fat.

Key Steps for Success in Real Life

For a diet to be sustainable, it must become your lifestyle, not a punishment:

  • Consistency over speed: It is better to stick to 80% of your plan year-round than to be 100% perfect for a month before giving up entirely.
  • Nutrient density: Make sure you are getting enough macronutrients (proteins, healthy fats, complex carbohydrates) and micronutrients (vitamins and minerals from vegetables and fruits). Protein will keep you full and preserve your muscles.
  • Physical activity: Find a type of movement you enjoy. You don’t have to go to the gym if you don’t like it; a brisk walk, swimming, dancing, or cycling all count. Activity helps your heart, joints, and mood; it isn’t just for “burning off your lunch.”
  • Listen to your body: Practice mindful eating. Eat when you are physically hungry, and stop when you are about 80% full. If you are craving a square of chocolate, eat it with enjoyment, not guilt.

“Sustainable eating does not involve cutting out entire food groups or having meals that leave you hungry. It is about finding a balance where you nourish your body with what it needs, while occasionally feeding your soul with what you love,” advises Dr. Neda Crnjak.

You Don't Have to Go Through This Alone

If you are tired of the yo-yo effect, struggling with excess weight, or simply don’t know where to start with implementing healthy habits, professional and medical support is the best first step. At Primea, our team of doctors and experts is here to listen to you and provide clear, science-backed guidelines.  Schedule a consultation at Primea and let us help you build a healthy relationship with food that truly lasts.

Recommended Blogs

Food as an Ally, Not a Punishment
June 9, 2026

Food as an Ally, Not a Punishment

Most of us grew up hearing about "good" and "bad" food, and diets that require iron-clad discipline. Over time, we learned to feel guilty after every sweet treat, turning meals into a source of stress
Thyroid Ultrasound: A Small Organ with a Big Impact
May 25, 2026

Thyroid Ultrasound: A Small Organ with a Big Impact

Although a thyroid ultrasound is usually not part of a routine physical exam, its diagnostic value is significant. This small, butterfly-shaped organ located in the front of the neck is highly sens

We’re Here For You

Have a question or need help scheduling an appointment?
Give us a call at 011 4391999
Call
Email support

Stay in Touch with Primea

Subscribe and stay up to date with healthcare insights, expert advice and Primea news, all delivered straight to your inbox.
Back To Top

Welcome to Primea, a next-generation clinic located in the heart of Belgrade, where innovation meets care. Our mission is to make quality healthcare simple, digital and patient-centred.

Address
Landmark Residence (Old Depo)
Bulevar Kralja Aleksandra 142, Vračar
Email
info@primea.rs
Phone
011 4391999
069 618098
Opening Hours
Monday – Friday
7:30 - 20:00
Saturday – Sunday
9:00 – 17:00

INFORMATION

  • About Primea
  • Career at Primea
  • Contact Us

NAVIGATE

  • Find your doctor
  • Explore our services
  • Price List
  • Health Hub
  • About Us

© 2026 Primea. All rights reserved.

Cookies Policy

Back To Top

Welcome to Primea, a next-generation clinic located in the heart of Belgrade, where innovation meets care. Our mission is to make quality healthcare simple, digital and patient-centred.

Address
Landmark Residence (Old Depo)
Bulevar Kralja Aleksandra 142, Vračar
Email
info@primea.rs
Phone
011 4391999
069 618098
Opening Hours
Monday – Friday
7:30 - 20:00
Saturday – Sunday
9:00 – 17:00

INFORMATION

  • About Primea
  • Career at Primea
  • Contact Us

NAVIGATE

  • Find your doctor
  • Explore our services
  • Price List
  • Health Hub
  • About Us

© 2026 Primea. All rights reserved.

Cookies Policy