Expert Q&A

Been a bit up and down the last couple weeks but still another 0.9lbs gone, 33.2lbs total?

Congratulations on Your 33.2 Pounds Lost

Reaching 33.2lbs total while navigating an up-and-down couple of weeks is genuine success. I've seen thousands in their mid-40s to mid-50s face the same hormonal shifts, joint pain, and blood sugar challenges that make every pound feel like a battle. That 0.9lb drop this week isn't small—it's evidence your body is adapting without the crash-and-burn of past diets. Most people regain weight because they chase rapid results that ignore insulin resistance and cortisol spikes common after 45.

Why Slow, Consistent Loss Beats Rapid Drops

In my methodology detailed in The CFP Sustainable Loss Blueprint, sustainable weekly loss sits between 0.5-2lbs. Your 0.9lb average protects muscle mass, which is critical when managing diabetes and blood pressure. Rapid loss often triggers metabolic slowdown—up to 15% reduction in resting metabolic rate after aggressive dieting. By staying consistent despite fluctuations, you're retraining your metabolism. Track non-scale victories too: improved energy, better joint comfort during movement, and steadier blood glucose readings. These matter more long-term than the scale's daily drama.

Overcoming Joint Pain and Hormonal Hurdles

Joint pain making exercise feel impossible is extremely common in this age group. Focus on low-impact activities like 20-minute daily walks or chair-based resistance bands—no gym membership required. These build strength without stress on knees or hips. Hormonal changes, especially perimenopause or andropause, increase belly fat storage. Prioritize protein at 1.2g per kg of body weight and include strength sessions twice weekly to preserve lean mass. For blood pressure and diabetes management, aim for 30g fiber daily from vegetables and legumes. This stabilizes blood sugar far better than restrictive meal plans that insurance won't cover anyway.

Practical Next Steps for Continued Progress

Don't overhaul everything. Build on what worked these past weeks: consistent logging, mindful portions, and forgiving yourself for imperfect days. Add a 10-minute evening wind-down to lower stress hormones that drive cravings. Many with middle-income realities succeed by prepping simple meals like overnight oats with nuts or sheet-pan chicken and veggies—under 30 minutes total. If embarrassment about asking for help has held you back before, remember: this approach was built for real beginners who've failed every diet. Your 33.2lbs proves you're breaking that cycle. Keep going—one steady week at a time. The next 30lbs will feel easier as habits compound.

💬 What the Community Says

The community shows strong encouragement for this member's 0.9lb weekly loss and 33.2lbs total, viewing the "up and down" weeks as completely normal rather than failure. Most practitioners in the 45-54 range share similar experiences with hormonal fluctuations and joint limitations, noting that slow, steady progress helps them avoid the rebound weight gain seen with past crash diets. A common theme is appreciation for non-scale improvements like better blood pressure readings and easier daily movement. Some debate the best tracking methods, with many favoring weekly averages over daily weigh-ins. A vocal minority expresses frustration with insurance limitations and conflicting online advice, but overall sentiment celebrates consistency. Beginners often mention feeling less overwhelmed when they see others succeeding without complex gym schedules or expensive programs. Lived experiences highlight how forgiving imperfect weeks leads to longer-term adherence compared to all-or-nothing approaches.
Clark, R. (2026). Been a bit up and down the last couple weeks but still another 0.9lbs gone, 33.2. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/been-a-bit-up-and-down-the-last-couple-weeks-but-still-another-0-9lbs-gone-33-2lbs-total
Russell Clark, 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.

Have a follow-up question?
More Questions 200 answered
When people ask how I can tell my sugar's low: best practices and common mistakes to avoid A 3ml vial of the CJC-1295 IPAMORELIN stack roughly how many dosages do you get out of that? PCOS linked to childhood trauma for those with hypothyroidism or Hashimoto's Would doing this 2-3x a week help increase my Vo2 max if you're on a GLP-1 like semaglutide or tirzepatide Had my hashi’s annihilated thyroid removed today — evidence-based answer for CFP patients What is the texture of fried fat trimmings like if you're on a GLP-1 like semaglutide or tirzepatide Cheat / treat days or meals — what most people get wrong about this 📖 Diabetes Reversal — The clinical goal of restoring normal blood sugar levels and insulin function, as seen in patients like John who no long… For those that struggled with side effects, have you been able to space out your doses successfully if you're on a GLP-1 like semaglutide or tirzepatide Should we start a new subreddit, that prioritizes evidence-based treatment approaches and science for people with insulin resistance Has anyone stopped HRT and then restarted it — what most people get wrong about this 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Has anyone reversed insulin resistance without medication — what does the research actually say? What the hell is wrong with this sub and how it connects to gut health and inflammation Insomnia while taking oral minoxidril for those with hypothyroidism or Hashimoto's What garmin watch should i get for christmas and how it connects to gut health and inflammation 📖 Gut Microbiome Repair — The restoration of healthy intestinal bacteria through the removal of lectins and grains, essential for long-term weight… When the clock starts over: what to track and how to measure progress Does it just seem like normal teenage hormones or should I consider testing for pcos etc? Do people feel comfortable and satisfied on PP — what does the research actually say? Do I need to buy the Plant paradox book if you're on a GLP-1 like semaglutide or tirzepatide How long did it take you to lose weight on the Plant Paradox': how to talk to your doctor about this Can anyone recommend a good, reliable source for Mounjaro injections which costs less than 200 bucks for four injections please for people with insulin resistance 📖 Insulin Resistance — A condition where your cells stop responding to insulin, locking fat in storage; our protocol is designed to unlock thes… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → How it looks when you lose 170 lbs. but are still a fat man during the weight loss plateau phase Does anyone else love masks mandated so I can hide my facial hair — what do certified weight loss coaches recommend? How I feel when tempted to get fast food during finals week for those with hypothyroidism or Hashimoto's Has anyone switched from brand name Premarin to the new recently released generic conjugated estrogens and feels like it is not working as well specifically for women over 40 📖 Cellular Detox — The process of clearing out metabolic waste and reducing cellular stress to allow for more efficient energy production a… Has anyone used Willow — what do certified weight loss coaches recommend? Has anyone switched from brand name Premarin to the new recently released generic conjugated estrogens and feels like it is not working as well — what does the research actually say? Has anyone been diagnosed with Hashimotos after going through emotional distress or chronic stress in general — what do certified weight loss coaches recommend? PCOS linked to childhood trauma — evidence-based answer for CFP patients 📖 Satiety Signal — The biological 'off switch' for hunger that our protocol restores by healing the gut and balancing blood sugar levels. Astounded to see that 19 million people in the US are on levothyroxine. Why is hypothyroidism so prevalent? What is causing such crazy high levels of thyroid disease — what most people get wrong about this Can I ask where are we buying our bras? 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Have to stop for 3 weeks for surgery and how it connects to gut health and inflammation Opened monjuaro pen is it safe to use — evidence-based answer for CFP patients Anyone worried about the FDA crackdown on a low-carb or ketogenic diet 📖 Modern Wheat Dangers — The hidden threat in hybridized grains that causes gut inflammation and spikes blood sugar more aggressively than pure t… What tissues show the biggest metabolic remodeling in z2: how to talk to your doctor about this Vomited at new dose, will it happen again next week for those with hypothyroidism or Hashimoto's Anyone use an auto injector for the compounded med and how it connects to gut health and inflammation How do you gauge progress from zone 2 when you have PCOS or hormonal imbalances 📖 Refined Carbohydrates — Processed sugars and flours that strip the body of nutrients while driving the hormonal chaos responsible for the modern… Is the idea of the kitchen timer to eventually get to the point where someone has an orgasm just from hearing the ding? Pavlov's orgasm: what to track and how to measure progress Anyone Here Successfully Reversed Insulin Resistance? What Actually Worked — what most people get wrong about this How are we getting enough protein? Tips please — evidence-based answer for CFP patients 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Has anyone been diagnosed with Hashimotos after going through emotional distress or chronic stress in general — evidence-based answer for CFP patients How are we getting enough protein? Tips please specifically for women over 40 Any women here that never had a flat stomach in their lives for long-term maintenance (not just short-term) Why was i told that estrogen isn't necessary for my mother during her perimenopause on this subreddit? am i not getting something specifically for women over 40 📖 Bio-Individuality — The understanding that every patient’s metabolic journey is unique, requiring a personalized approach to dosing and diet… POLL At what strength did Semaglutide become effective for you: what to track and how to measure progress Is insulin resistance not taught in Med School and its effect on metabolism and insulin levels How I'm greeted most mornings when you have PCOS or hormonal imbalances What do you actually wish you could track on glp1s if you're on a GLP-1 like semaglutide or tirzepatide Why has no doctor explained this to me: what to track and how to measure progress 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Does anyone else love masks mandated so I can hide my facial hair — what does the research actually say?