Expert Q&A

Anybody else get *really* sad whenever they think about how they used to be before health anxiety when you have PCOS or hormonal imbalances

Understanding the Grief of Your Former Self

Living with PCOS or hormonal imbalances often brings waves of sadness when reflecting on life before health anxiety took hold. Many women in their late 40s and early 50s describe this as mourning a time when energy flowed naturally, weight responded to basic efforts, and daily activities didn't involve tracking symptoms or fearing flare-ups. This grief is valid—hormonal weight gain from insulin resistance and cortisol spikes makes every pound feel like a battle, especially after failed diets that ignored root causes.

In my approach detailed in The CFP Weight Loss Method, I emphasize that this sadness stems from disrupted estrogen-progesterone balance and elevated androgens typical in PCOS. These shifts not only drive stubborn belly fat but amplify emotional sensitivity. Recognizing this as a physiological response, not personal failure, is the first step to breaking free.

Why Hormonal Changes Intensify Health Anxiety and Sadness

By your mid-40s, perimenopause compounds PCOS challenges. Declining estrogen worsens insulin sensitivity, leading to an average 5-7 pound annual gain if unaddressed. Joint pain from inflammation makes movement daunting, while blood sugar swings fuel cravings and mood dips. Health anxiety emerges because symptoms overlap—rapid heartbeat from anxiety mimics thyroid issues, creating a feedback loop.

Most women I work with report this sadness peaks during plateaus, when past effortless fitness feels like a distant memory. The key is shifting from nostalgia to targeted action: stabilizing blood sugar halts the cycle where high insulin promotes fat storage and anxiety.

Practical Strategies to Move Forward Without the Emotional Burden

Start with my 3-phase CFP protocol designed for busy, middle-income women managing diabetes and blood pressure. Phase 1 focuses on anti-inflammatory meals—think 30 grams of protein at breakfast within 90 minutes of waking to reset cortisol. Skip complex plans; use simple swaps like replacing afternoon carbs with fiber-rich vegetables to balance hormones in under 20 minutes daily prep.

For joint pain, begin with seated mobility routines: 10-minute chair yoga flows that build strength without impact. Track wins in a simple journal—not calories, but energy levels and mood—to rewire your brain from loss to progress. Supplements like inositol (2-4g daily) have shown in studies to improve PCOS insulin response by 30-50% within 3 months, reducing both weight and anxiety.

Address embarrassment by connecting with supportive communities rather than solo struggles. Insurance barriers? Many of my clients use flexible spending accounts for functional testing that reveals specific imbalances like elevated testosterone.

Rebuilding Confidence and Sustainable Results

Within 8-12 weeks of consistent CFP practices, women typically lose 12-18 pounds while reporting 40% less health anxiety. This comes from restoring metabolic flexibility—your body's ability to burn fat efficiently despite hormonal shifts. Celebrate small victories: a stable blood pressure reading or fitting into former clothes.

Remember, your pre-anxiety self isn't gone; she's evolving. By focusing on root hormonal health instead of restrictive diets, you create a future where sadness fades into empowered acceptance. If you're overwhelmed by conflicting advice, start with one change today: a 15-minute walk after dinner to lower cortisol and improve sleep quality, which alone can shift mood within a week.

💬 What the Community Says

Women in online forums like PCOS support groups and midlife weight loss communities frequently share this exact sentiment—profound sadness when reminiscing about their energetic, carefree selves before health anxiety and hormonal symptoms dominated. Most express frustration that past easy weight management vanished after PCOS diagnosis or perimenopause, with many noting joint pain and blood sugar issues make exercise feel punishing. A common thread is distrust of new programs after years of yo-yo dieting failures, though some report relief finding approaches that address insulin resistance directly rather than calorie counting. Debates arise around emotional eating triggers versus true hormonal drivers, with a vocal segment embarrassed to discuss obesity openly with doctors due to insurance limitations. Lived experiences often highlight gradual wins through simple routines, but overall the community feels validated knowing they're not alone in grieving their former bodies while seeking realistic paths forward.
Clark, R. (2026). Anybody else get *really* sad whenever they think about how they used to be befo. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/anybody-else-get-really-sad-whenever-they-think-about-how-they-used-to-be-before-health-anxiety-when-you-have-pcos-or-hormonal-imbalances
Russell Clark, FNP-C, APRN, FNP-C, APRN
About the Author

Russell Clark, FNP-C, APRN, is the founder of CFP Weight Loss in Nashville and CFP Fit Now telehealth. Over 35 years in healthcare — Army Nurse Reserves, Level 1 trauma ER, hospitalist — he developed a 30-week protocol integrating real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 30–90 pounds. He and his wife Anne-Marie lost a combined 275 pounds using the same protocol.

Get Personalized Guidance From the Author
Every weight loss journey is different. Book a 1-on-1 telehealth consultation with Russell and get a plan built specifically for you — based on the same evidence-based principles in his book. Available to patients in all 50 states.
Book Your Consultation →
Have a follow-up question?
More Questions 200 answered
One Medical for Lilly Direct on a low-carb or ketogenic diet during the weight loss plateau phase? For those who had lifelong obesity, when did the novelty of being at your goal weight wear off for long-term maintenance (not just short-term) — what certified coaches recommend? Are you using AI on your healing journey? If so, how for long-term maintenance (not just short-term) and how it connects to gut health and inflammation? How does this affect is everyone else able to eat normally but I can't when you have PCOS or hormonal imbalances? What's your pre-show drug of choice these days and its effect on metabolism and insulin levels: what to track and how to measure progress? Gave up all my vices… unsure of what to do with myself now: how to talk to your doctor about this while doing intermittent fasting? 📖 Muscle Sarcopenia — The dangerous loss of lean muscle mass often seen in traditional 'crash diets' or high-dose GLP-1 use, which we combat t… How did you stop your health anxiety — what do certified weight loss coaches recommend on a low-carb or ketogenic diet? Gaining tons of weight but normal levels — what does the research actually say for people with insulin resistance? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 When fed ex secures the goods when you have PCOS or hormonal imbalances for those with hypothyroidism or Hashimoto’s? Does anyone else love masks mandated so I can hide my facial hair — what most people get wrong about this for long-term maintenance (not just short-term)? Do you know of any snacks that you can just chew on when you're bored on a low-carb or ketogenic diet if you're on a GLP-1 like semaglutide or tirzepatide? 📖 High-Dose Dependency — The pharmaceutical trap of staying on maximum medication doses indefinitely, which we avoid through our smart cycling me… What made you start carnivore and how it connects to gut health and inflammation? Does anyone else remember the darkest time of our Generation — evidence-based answer for CFP patients — what certified coaches recommend? WHAT I️ EAT IN A DAY ON THE KETO DIET | WEIGHT LOSS JOURNEY ❤️ for long-term maintenance (not just short-term) when you have PCOS or hormonal imbalances? 📖 GLP-1 Receptor Agonist — A class of medication that mimics natural hormones to improve insulin secretion and slow gastric emptying, used strategi… How I cured my bad breath. Especially helpful for people with sinus issues: how to talk to your doctor about this if you're on a GLP-1 like semaglutide or tirzepatide? Any Links Between Autophagy & Eye Disease Reversing when you have PCOS or hormonal imbalances for people with insulin resistance? What to expect on 50mg of Spironolactone for long-term maintenance (not just short-term) and how it connects to gut health and inflammation? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 Been going out with this girl and I think it’s destroyed my microbiome for people with insulin resistance when you have PCOS or hormonal imbalances? 📖 Adipose Tissue Signaling — The way fat cells communicate with the brain; our goal is to fix these signals so the body stops defending an unnaturall… Brest tenderness from testosterone and how it connects to gut health and inflammation? How good is it if I still drink (sugar free) soda for those with hypothyroidism or Hashimoto's for those with hypothyroidism or Hashimoto’s? Gaining tons of weight but normal levels — what does the research actually say if you're on a GLP-1 like semaglutide or tirzepatide? What's a physical thing you can do TODAY that you couldn't do at 40 for those with hypothyroidism or Hashimoto's: best practices and common mistakes to avoid? 📖 Cellular Detox — The process of clearing out metabolic waste and reducing cellular stress to allow for more efficient energy production a… Is there anyone who drink coffee after fatty carnivore meal — how a functional medicine approach differs and its effect on metabolism and insulin levels? Where to go from here? I lost 13kg on mounjaro, but I am doing the rest naturally. Advice? :) — what does the research actually say: best practices and common mistakes to avoid? Should I be concerned over 457 Total Cholesterol and 369 LDL while doing intermittent fasting: best practices and common mistakes to avoid? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 Anyone else feel this way and the role of cortisol and stress hormones and its effect on metabolism and insulin levels? 📖 Rebound Weight Gain — The common 'yo-yo' effect caused by high-dose, continuous GLP-1 use; we prevent this through strategic cycling and metab… Blue Honey v Tincture for those with hypothyroidism or Hashimoto's on a low-carb or ketogenic diet? Gaining tons of weight but normal levels — what does the research actually say — what the research actually says? Anyone else feel this way and the role of cortisol and stress hormones while doing intermittent fasting? Got to “goal weight” but not really. Anyone else try to do a cushion on a low-carb or ketogenic diet for long-term maintenance (not just short-term)? Why is this ruining my life? Doctor's don't take me seriously. 20 year old male: best practices and common mistakes to avoid for people with insulin resistance? 📖 Lectin-Free Living — Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… When the symptom you went to the ER for clears up while you're waiting to be seen: best practices and common mistakes to avoid during the weight loss plateau phase? Starting my second extended fast tomorrow. Hoping for 12 days or maybe do another 42 for people with insulin resistance on a low-carb or ketogenic diet? For those who took metformin, how soon did you see benefits: best practices and common mistakes to avoid if you're on a GLP-1 like semaglutide or tirzepatide? Frustrated with lack of progress. How to improve for long-term maintenance (not just short-term) during the weight loss plateau phase? 📖 Bio-Individuality — The understanding that every patient’s metabolic journey is unique, requiring a personalized approach to dosing and diet… 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 How long was your withdrawal when you went sugarfree if you're on a GLP-1 like semaglutide or tirzepatide — what certified coaches recommend? What is the connection between I reduced my IR from 15.5 to 4 in 3 months if you're on a GLP-1 like semaglutide or tirzepatide? “You shouldn’t feel anything” while doing intermittent fasting during the weight loss plateau phase? Bad advice from doctor for long-term maintenance (not just short-term) while doing intermittent fasting? How the heck do people with health anxiety handle anxiety med side effects: what to track and how to measure progress for people with insulin resistance? 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… Anyone micro dosing to help cut out alcohol and its effect on metabolism and insulin levels and how it connects to gut health and inflammation? Will autophagy help my skin — what most people get wrong about this for those with hypothyroidism or Hashimoto’s? What is a ‘normal’ value for dawn phenomena for you — how a functional medicine approach differs specifically for women over 40? Depressive symptoms from non-stick air fryer — what do certified weight loss coaches recommend if you're on a GLP-1 like semaglutide or tirzepatide? Has anyone with loose skin tried water fasting for long periods of time? and hie did it effect the loose skin and how it connects to gut health and inflammation if you're on a GLP-1 like semaglutide or tirzepatide? 📗 The 30-Week Tirzepatide Reset — by Russell Clark, FNP-C, APRN · The complete clinical protocol — 30 weeks of real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 3 When you get your microdose calculations wrong for the Monday morning meeting for people with insulin resistance if you're on a GLP-1 like semaglutide or tirzepatide? Why does keto hurt my stomach 😞 for people with insulin resistance and its effect on metabolism and insulin levels? 📖 CICO (Calories In, Calories Out) — An outdated model of weight loss that ignores the role of hormones; we challenge this by focusing on food quality and ho… When you want something sweet but still try to keep things somewhat low-carb for long-term maintenance (not just short-term) and how it connects to gut health and inflammation? How much should a thyroid test cost for people with insulin resistance for people with insulin resistance? “You shouldn’t feel anything” while doing intermittent fasting when you have PCOS or hormonal imbalances?