Expert Q&A

Been hard stuck around 260lbs since August despite doing OMAD so I decided to start strength training 4 days a week beginning in October to body recomp on a low-carb or ketogenic diet

Understanding Your Weight Loss Plateau

At 260lbs, hitting a weight loss plateau after months on OMAD (one meal a day) is extremely common, especially in your 40s and 50s. Your body has adapted to the severe calorie restriction by lowering metabolic rate. Adding strength training four days a week while staying low-carb or ketogenic is smart for body recomposition, but progress stalls when insulin resistance, cortisol spikes, and age-related hormonal shifts aren't addressed. In my book The Metabolic Reset Protocol, I explain how these factors create a 'set point' your body defends fiercely after repeated dieting failures.

The Role of Hormones and Insulin in Your Stall

Hormonal changes around perimenopause or andropause make fat loss harder, particularly around the midsection. Even on ketogenic eating, hidden carbs or excessive protein can keep insulin elevated, blocking fat burning. OMAD works initially by improving insulin sensitivity, but after August, your thyroid likely down-regulated. Strength training helps preserve muscle, which burns 6-10 calories per pound daily at rest, yet without proper recovery, cortisol from overtraining raises blood sugar and halts progress. Track fasting glucose; anything over 95 mg/dL signals the issue. Many with diabetes or high blood pressure see this exact pattern.

Optimizing Strength Training and Nutrition for Recomp

Focus your four weekly sessions on compound lifts: squats, deadlifts, bench presses, and rows, 3-4 sets of 6-10 reps. This builds muscle without excessive joint stress—crucial if knee or back pain makes exercise feel impossible. On ketogenic days, aim for 20-30g net carbs, 1.6g protein per kg of lean mass, and fill the rest with healthy fats. Break OMAD into a 6-8 hour eating window twice weekly to prevent metabolic slowdown. Walk 8,000 steps daily; it costs nothing and improves insulin sensitivity better than intense cardio. Measure waist weekly instead of scale weight—recomp shows in inches lost, not pounds.

Breaking Through with Sustainable Changes

Implement a 5-day ketogenic cycle followed by two higher-carb refeed days (50-100g from vegetables and berries) to reset leptin. Prioritize 7-9 hours sleep and stress management like 10-minute meditation to lower cortisol. If insurance won't cover programs, these free adjustments work. In The Metabolic Reset Protocol, clients in similar situations lose 2-4lbs of fat monthly while gaining muscle. Start small: one change per week. You'll overcome the embarrassment of past failures by building consistency that fits your busy schedule without complex meal plans. Results compound when you stop fighting your body's signals and work with them.

💬 What the Community Says

The community shows mixed experiences with long-term OMAD combined with strength training on keto. Many in the 45-55 age group report similar stalls around 250-270lbs after 3-4 months, often blaming cortisol, thyroid adaptation, or undiagnosed insulin resistance. A vocal group praises body recomposition results, noting tighter clothes and better strength despite the scale not moving, especially those managing diabetes or blood pressure. Beginners frequently feel overwhelmed by conflicting advice on protein intake versus staying in ketosis. Joint pain is a recurring theme, with users adapting workouts to bands or bodyweight. Most agree measuring ketones, glucose, and waist circumference helps more than daily weigh-ins. A minority warns against indefinite OMAD, sharing burnout stories, while others celebrate small non-scale victories like improved energy. Overall, practitioners emphasize patience and tweaking recovery over drastic changes.
Clark, R. (2026). Been hard stuck around 260lbs since August despite doing OMAD so I decided to st. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/been-hard-stuck-around-260lbs-since-august-despite-doing-omad-so-i-decided-to-start-strength-training-4-days-a-week-beginning-in-october-to-body-recomp-on-a-low-carb-or-ketogenic-diet
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.

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