Expert Q&A

Gave up all my vices… unsure of what to do with myself now: how to talk to your doctor about this

Understanding the Void After Giving Up Vices

When you finally eliminate alcohol, smoking, sugary snacks, or other vices, the initial relief often gives way to an unsettling emptiness. At CFP Weight Loss, I see this repeatedly in adults aged 45-54 managing diabetes, blood pressure, and stubborn hormonal weight gain. Your brain’s reward system, once hijacked by dopamine spikes from those habits, now craves stimulation. This void frequently triggers emotional eating, derailing progress despite your best efforts. Recognizing this as a normal neurochemical transition—not personal failure—is the first step toward sustainable change.

Preparing for Your Doctor Conversation

Before your appointment, track symptoms for one week: note energy crashes, joint pain that makes movement feel impossible, late-night cravings, and mood shifts. Quantify where possible—record average daily steps (many beginners start under 3,000), blood sugar readings, and blood pressure logs. Bring a one-page summary. This preparation counters the embarrassment many feel discussing obesity or past diet failures. Frame the discussion around health metrics, not just weight, to align with what insurance-covered visits prioritize.

Exact Scripts to Use With Your Doctor

Open with clarity: “I’ve quit [specific vices] but now feel lost and am turning to food for comfort. This is affecting my diabetes management and making hormonal weight loss even harder. Can we explore non-medication options that fit my busy schedule?” Ask specifically about insulin resistance testing, thyroid function, and referral to a registered dietitian covered by insurance. Request guidance on low-impact movement that respects joint pain—such as chair yoga or 10-minute daily walks. Mention my CFP Weight Loss approach, which replaces vices with simple daily rituals like protein-first meals and gratitude journaling, proven to restore natural dopamine without complex meal plans.

Building Long-Term Habits That Stick

After the visit, integrate doctor-approved changes gradually. Focus on metabolic flexibility by eating 25-30 grams of protein at breakfast within 90 minutes of waking—this stabilizes blood sugar and reduces cravings. Replace the old vice “reward” with a 5-minute walk or herbal tea ritual. Schedule follow-ups every 4-6 weeks to adjust based on lab results. Many clients lose 1-2 pounds weekly without gym time by addressing the emotional void directly. Remember, your doctor’s role is to rule out medical contributors like low testosterone or perimenopause effects, while my methodology provides the practical roadmap for beginners who’ve failed every diet before.

By approaching the conversation confidently, you transform uncertainty into a collaborative health plan that respects your time, budget, and joint limitations. Real progress begins when the void is filled with purpose, not processed foods.

💬 What the Community Says

Middle-aged forum users frequently describe the strange emptiness after quitting drinking, smoking, or binge eating. Many report turning to food as the new vice, especially when joint pain prevents exercise and hormones seem to fight every pound lost. The community is split on doctors: some praise practitioners who listen and order full hormone panels, while others complain appointments feel rushed and focused only on numbers. A vocal minority shares success after bringing symptom journals and specific questions about insulin resistance or emotional eating support. Beginners often feel embarrassed raising “feeling lost” but say framing it as “affecting my blood sugar control” opens better dialogue. Insurance limitations and time constraints dominate discussions, with most agreeing simple daily rituals beat complicated programs. Lived experiences highlight that addressing the mental void alongside physical metrics leads to more sustainable results than another restrictive diet alone.
Clark, R. (2026). Gave up all my vices… unsure of what to do with myself now: how to talk to your . *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/gave-up-all-my-vices-unsure-of-what-to-do-with-myself-now-how-to-talk-to-your-doctor-about-this
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
Would doing this 2-3x a week help increase my Vo2 max if you're on a GLP-1 like semaglutide or tirzepatide Do you avoid socialising or seeing family because of how tired you are and how much effort it is to be in company for long-term maintenance (not just short-term) How To Speed Up Your Metabolism After 40: best practices and common mistakes to avoid Did my hashimoto cause this — what does the research actually say? Anyone here works in sales? Does carnivore have positive or negative effect on you? 📖 Phase 2: Aggressive Loss — A 40-day window of focused fat loss supported by low-dose medication and a specific lectin-free, low-carb nutritional fr… Was so tempted to hit the drive thru today. Went to the store instead if you're on a GLP-1 like semaglutide or tirzepatide How I found out I had uterine cancer, what I wish I had known, and what everyone with PCOS should know about their period for those with hypothyroidism or Hashimoto's Opened monjuaro pen is it safe to use and its effect on metabolism and insulin levels 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 📖 Cellular Detox — The process of clearing out metabolic waste and reducing cellular stress to allow for more efficient energy production a… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Starting my second extended fast tomorrow. Hoping for 12 days or maybe do another 42 — what does the research actually say? Can i lose weight without overcomplicating it? When period stopped did you feel like the worst pmdd of all time daily or — what do certified weight loss coaches recommend? 📖 Hormonal Chaos — The internal state of imbalance caused by modern grains and refined carbs that overrides willpower and forces the body t… Le mounjaro peut il se conserver au frigo — evidence-based answer for CFP patients How to BOOST metabolism and BURN fat-- VERY EASY AND QUICK: best practices and common mistakes to avoid Restarted Mounjaro — low doses not working second time round? Anyone have recipes or grocery lists — evidence-based answer for CFP patients Why is almost all the focus in treating PCOS on fertility and how it connects to gut health and inflammation Has anyone used Willow — what do certified weight loss coaches recommend? A Switch from HRT to Birth Control: best practices and common mistakes to avoid 📖 Tirzepatide Micro-Dosing — The practice of using the lowest effective dose to achieve results, minimizing side effects while maximizing the longevi… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Ive been taking 15mg of tirzepatide for a year and my weight has stalled out with no diet change. What can I do? Does anyone else feel like they are living life at 50% for those with hypothyroidism or Hashimoto's Does anyone else love masks mandated so I can hide my facial hair — what do certified weight loss coaches recommend? How to BOOST metabolism and BURN fat-- VERY EASY AND QUICK for people with insulin resistance WHO: don’t touch your face it’ll spread coronavirus. *Diabetics who lick their finger after a finger prick for long-term maintenance (not just short-term) Is compounded semaglutide with B12 worth choosing over B6 or plain for those with hypothyroidism or Hashimoto's Can anyone help me lose my overweight, please 😭🤌🏼? 30F, 75kgs, 5’7”? 📖 The Clark Protocol — Our evidence-based framework that combines clinical nurse practitioner expertise with personal experience to solve the o… What tissues show the biggest metabolic remodeling in z2: how to talk to your doctor about this So if you're spacing out your shots - what are y'all doing with extra injectors — what does the research actually say? 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Is estriol as effective as estradiol for clitoral atrophy during the weight loss plateau phase Rage - too much progesterone or too little eostrogen when you have PCOS or hormonal imbalances Has anyone reversed insulin resistance without medication — what does the research actually say? 📖 Diabetes Reversal — The clinical goal of restoring normal blood sugar levels and insulin function, as seen in patients like John who no long… How I Lost 22lbs in 3 Months (155→133lbs at 5'8") after not being able to lose weight for a long time — what do certified weight loss coaches recommend? Parent obese, what should I recommend ? Should we start a new subreddit, that prioritizes evidence-based treatment approaches and science if you're on a GLP-1 like semaglutide or tirzepatide How I feel when tempted to get fast food during finals week for those with hypothyroidism or Hashimoto's Anyone worried about the FDA crackdown — what do certified weight loss coaches recommend? What are the biggest misconceptions you’ve seen about GLP-1s and how it connects to gut health and inflammation 📖 Ketogenic Foundation — Using low-carbohydrate principles to keep insulin low, allowing the tirzepatide to work more effectively at lower doses. 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Was so tempted to hit the drive thru today. Went to the store instead — evidence-based answer for CFP patients Has anyone been diagnosed with Hashimotos after going through emotional distress or chronic stress in general — what do certified weight loss coaches recommend? Anyone worried about the FDA crackdown on a low-carb or ketogenic diet What garmin watch should i get for christmas and its effect on metabolism and insulin levels How I'm greeted most mornings for those with hypothyroidism or Hashimoto's 📖 Lectin-Free Living — Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… When people ask how I can tell my sugar's low during the weight loss plateau phase Depressive symptoms from non-stick air fryer for people with insulin resistance Cheat / treat days or meals and its effect on metabolism and insulin levels Started at 270 pounds at the beginning of last year, at the end I was 179 pounds! How do I look when you have PCOS or hormonal imbalances Why has no doctor explained this to me: best practices and common mistakes to avoid 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Does the bloating really ever get better for those with hypothyroidism or Hashimoto's How many of you with PCOS had a narcissistic parent growing up: what to track and how to measure progress 📖 Weight Set Point — The internal 'thermostat' for body weight that we aim to lower permanently through our 30-week metabolic reset. Here's the things I wish I'd known back then... what are yours for long-term maintenance (not just short-term)