When you step on the scales and see a sudden change, it can be tempting to think you have lost or gained fat overnight. In reality, these fluctuations are often down to water weight. Understanding how water weight works, and how it differs from fat loss, is important if you want sustainable results. At Vivo Pharmacy, we want to break down the myths about how you can lose water weight, explain what is actually safe, and why focusing on long-term fat loss, with or without prescription medication, is the real goal.
How Water Weight Works
Water weight refers to the extra fluid that your body holds onto in tissues and blood vessels. It can fluctuate daily depending on diet, activity levels, hormones and even the weather. Foods high in salt or carbohydrates can cause your body to retain more fluid, as can dehydration, surprisingly enough. This is why you might feel bloated after a takeaway or notice that your clothes fit differently from one day to the next.
Sweating It Out at the Gym
One of the most common misconceptions about how you can lose water weight is that you simply need to sweat it out. While an intense gym session or sauna visit might make the scales drop temporarily, this is almost entirely down to fluid loss. The moment you drink water again, your weight will return to its previous level. Sweating excessively without replacing fluids can also be dangerous, leading to dehydration and electrolyte imbalances.

Skipping Water to Reduce Water Weight
Another myth is that drinking less water will help you hold onto less of it. In fact, the opposite is true. If your body senses it is not getting enough fluids, it will hold onto what it has, increasing water retention. Staying hydrated helps regulate your fluid balance and can actually reduce bloating over time. Water also supports digestion, metabolism and appetite control, which are all important for fat loss.
Short-Term Fixes vs Sustainable Changes
There are safe ways to reduce water retention, such as moderating salt intake, staying hydrated, and eating more potassium-rich foods like bananas and spinach. For some people, medical conditions such as heart, kidney or liver issues can cause significant water retention, and in these cases, treatment needs to be supervised by a healthcare professional.
However, it is important to remember that losing water weight is not the same as losing fat. Sustainable fat loss comes from a consistent calorie deficit combined with healthy eating and activity habits. If you are aiming for lasting changes to your body composition, the focus should be on reducing fat mass while maintaining lean muscle, not chasing short-term drops on the scales.
The Role of Prescription Medication
At Vivo Pharmacy, we offer prescription weight loss medication such as Mounjaro, Wegovy, Orlistat and Saxenda for people who meet medical criteria. These medications are designed to support fat loss, not simply shift water weight. They work by reducing appetite, altering fat absorption, or improving blood sugar control, helping you stick to a calorie-controlled diet more effectively.
By targeting fat rather than fluids, these treatments help create lasting changes when combined with dietary adjustments and regular physical activity. While water weight might fluctuate along the way, the overall trend is towards sustainable fat loss rather than quick but temporary results.

When to Seek Professional Advice
If you experience persistent or severe swelling, sudden changes in weight, or other symptoms such as shortness of breath, it is important to seek medical advice as this could be a sign of an underlying health issue. Similarly, before starting any weight loss medication, a consultation is necessary to ensure it is safe and suitable for your needs.
Pharmacists and healthcare providers can also help you create a realistic and safe plan for managing water retention alongside your long-term fat loss goals. This could include reviewing your current diet, identifying foods that may contribute to bloating, and discussing the role of prescribed medication if appropriate.
Achieve the Results You Want
Losing water weight may make the scales move quickly, but it is rarely a lasting solution. Many popular short-term methods are either ineffective or can be harmful if done to excess. Staying hydrated, eating a balanced diet low in processed foods, and being consistent with healthy habits will help keep water retention under control naturally.
If your goal is to make a long-term change to your body composition, focusing on fat loss is key. This might mean looking at lifestyle adjustments, increasing physical activity, and for some people, considering medically approved weight loss treatments.
At Vivo Pharmacy, we can guide you through safe, effective options that put your health first while helping you achieve the results you want. Reach out today or book a weight loss consultation at our Coniston Pharmacy branch for tailored advice.

This blog was written on behalf of Vivo Pharmacy by Pharmacy Mentor.
