Weight Management

Weight loss and weight maintenance are complex matters, and most people struggle to find success in achieving and keeping their target weight. Failed weight loss and maintenance efforts can most often be attributed to short-term or “quick-fix” approaches to what is now understood to be a chronic condition. To be successful in weight loss and maintenance, it is necessary to shift our understanding of overweight and obesity and apply both short and long-term, lifestyle-based interventions to achieve and maintain weight management goals. Weight loss and maintenance need not seem like such a huge challenge and can readily be achieved with ongoing monitoring and support from your dietitian/nutritionist.

Important Weight Management Concepts

  • Is your environment working for or against your weight loss goals?
  • What is meant by nutrition density, diet quality, and calorie density?
  • What factors impact your metabolism and metabolic rate?
  • Does the calorie balance equation work for everyone?
  • What components of food can promote or inhibit weight loss and management?
  • Does the timing and spacing of meals matter?
  • Cooking, Eating Out, Shopping, and Snacking Tips
  • Key lifestyle factors that affect body weight
  • Many other topics will be covered in your tailor-made educational process.

The Risks of Being Overweight

Weighing more and having more body fat puts you at risk for a variety of diseases and health problems, including. But not limited to:

  • Coronary Heart Disease
  • High Blood Pressure
  • Type 2 Diabetes
  • Gallstones
  • Breathing Problems
  • Sleep Problems
  • Certain Types of Cancers

Weight Gain Risk Factors

There are a number of risk factors associated with weight gain, overweight, and obesity. Generally, weight gain and obesity are caused by a combination of:

Genetics – Peoples’ inherited genes affect how their body burns and stores fat, but genetic predisposition to weight gain can usually be overcome with appropriate dietary intervention and healthy lifestyle behaviors.

Family Lifestyle – Upbringing can be a factor in becoming overweight or obese, as many family members have the same eating and exercise habits. An individual who has one or more overweight or obese parents is more likely to become overweight themselves. It is often helpful to assess family behaviors that may need to be adjusted to enable an individual to become successful in weight management.

Inactivity – Physical activity provides an enormous metabolic advantage for weight management that exceeds the usual understanding of “just burning calories”. Individuals who are inactive are more likely to experience problems with appetite control, have a slower metabolic rate, leading to weight gain. A physically active lifestyle offers a number of metabolic benefits that promote maintenance of a healthy weight as well as a reduction in risk for developing a chronic disease such as diabetes, heart disease, or even cancer.

Poor Nutrition & Unhealthy Eating Habits – Eating calorie-dense foods which lack nutrients—such as many fast foods—avoiding fruits of vegetables, skipping meals, excessive snacking, drinking high-calorie, sugar-laden beverages, and eating oversized portions are all contributors to weight gain.

Quitting Smoking – People who smoke tobacco products and who quit smoking are at risk for gaining weight. Nonetheless, the detrimental effects of smoking on health far exceeds the risk of moderate weight gain caused by smoking cessation. It remains prudent to quit smoking in the pursuit of improved overall health. A healthy diet matched with calorie and nutrient requirements as well as increased physical activity can help to prevent weight gain when you stop smoking.

Pregnancy – Metabolic and hormonal changes during pregnancy can contribute to excessive weight gain. Some women find it difficult to lose excess weight after giving birth which can contribute to becoming overweight or even develop into obesity.

Lack of Sleep – Insufficient sleep can cause metabolic and hormonal changes that can lead to increased appetite – often for high-calorie or high-carbohydrate foods. Appetite regulatory problems and dietary changes associated with poor sleep habits can, in turn, contribute to weight gain.

Some Medications – Certain antidepressants, anti-seizure medications, diabetes medications, antipsychotics, steroids, and beta-blockers are known to contribute to problems with appetite regulation as well as weight gain unless taken with a healthy diet and regular exercise.

Age – As people age, hormonal changes, reduced activity levels, and diminishing muscle mass can all lead to a slower metabolism and lower daily energy requirements, promoting weight gain. Age-related changes can be compensated for with increased physical activity and maintaining an adequate nutrient intake through adopting a healthy, balanced diet.

Social and Economic Issues – It is often true that eating a healthy, balanced, whole-food diet can seem to be more expensive than eating a poor quality diet composed of calorie-dense, low-nutrient foods. Also, associating frequently with overweight or obese friends and family members can increase the likelihood of an individual becoming overweight or obese.

Medical Problems – There are many medical problems and conditions which lead to decreased activity levels, promoting weight gain, but there are also certain medical causes of obesity, including Prader-Willi syndrome, Cushing’s, and others.

Medical Nutrition Therapy and Weight Management

Even if you have one or more of the risk factors listed above, your weight can be managed effectively through medical nutritional therapy and lifestyle changes to help lower the risks of weight-related health issues. Anne Till Consulting dietitians/nutritionists are well trained to assess your unique physiology, family history, nutritional requirements, and lifestyle habits, and developing a custom-tailored strategy for making changes to your diet, eating habits, activity levels, and lifestyle to promote long-term success.

This targeted, life-course approach to weight management is based on scientific evidence and the current best-practice guidelines. Losing weight and maintaining your target weight can seem like a huge challenge, but the dietitians and nutritionists at Anne Till Consulting take the guesswork out of healthy eating, exercise, and lifestyle alterations.


In my endeavor to lose weight and become a healthier eater I met Ms Avril. Even when I’ve wanted to give up, she has stood by my side and motivated me not to quit. Words cannot Express my gratitude for her and her ability to guide me  to get on the right track. Love you Avril and thanks […]

— JD

Thank you, Avril! I appreciate your depth of knowledge, no-judgement approach, and kind support 🙂

— DP – Raleigh, NC

I recently had myriad symptoms that left my doctors scratching their heads. Among them was extreme GI distress my GI doc could not explain or provide any solutions to overcome. I finally decided that I should see a dietician to determine if there was something I could change in my diet. In my first appointment […]

— Mandy M.

I have been working with Avril over at Anne Till Consulting for somewhere around 2 years if memory serves me right. I started seeing Avril after I had my twins. I was gaining weight and could not understand why – I already ate healthy and hadn’t changed a thing in my diet. After meeting with […]

— Rachel P. – Fuquay Varina, NC

I have been seeing Avril Rowerdink since May 2020 after realizing how unhappy I was with my body. Not only am I down nearly 20 pounds since then, but Avril has been a huge part of my weight loss journey and confidence booster. She has given me the knowledge to eat healthier and find foods […]

— Rachael C. – Cary, NC

I have been working with Avril for a month now and so far I have lost 15 pounds! The diet I’m following is easy to understand and even my blood work came back a lot better by changing my lifestyle and working with her diet. She is extremely helpful, professional, and I definitely recommend her!

— Henry A. – Cary, NC

I have been seeing Avril Rowerdink, now for over a year. She has been very knowledgeable and very helpful to guiding me to achieve my goals. I have lost 13lbs. I do feel much better she help me set realistic plans for me to follow. Now I eat healthy which is significant to help with […]

— Robert D. – Fuquay Varina, NC

  I have been seeing Avril Rowerdink, RD, LDN, CES, and I am so amazed and informed than ever before. She “dummied” it down for me so that I am more aware of what I’m putting into my body. I am so excited about this new adventure to a healthy me with the help of […]

— Nikki R, Cary NC

Anne impressed me immediately in our first session.  She listened intently and made me feel at ease, explaining what she believed might be my roadblocks.  Finally, someone was listening!

— Barb – Apex, NC, USA

Anne is a wonderful, knowledgeable and passionate speaker. As part of LexisNexis’ employee wellness program and “Heart Health” awareness series in conjunction with the American Heart Association, I asked Anne to speak to my employee community on nutrition and health. Anne provided an engaging conversation on top tips for sustained health, informing my team on […]

— Jesse A., VP and Managing Director – LexisNexis

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