Expert Q&A

Going for my first 36 hours. Any tips — evidence-based answer for CFP patients

Preparing for Your First 36-Hour Fast

I’ve guided thousands of patients in their 40s and 50s through their initial extended fasts. A 36-hour fast means going from dinner one day until breakfast two days later, creating a strong metabolic reset. For complete beginners managing diabetes, blood pressure, and joint pain, preparation prevents the rebound weight gain you’ve seen with past diets.

Begin the day before by eating a moderate-carb, high-protein dinner rich in healthy fats. This stabilizes blood glucose and reduces the intensity of hunger signals during the fast. According to my methodology in The CFP Solution, front-loading nutrients this way supports insulin sensitivity and eases the transition into fat-burning mode.

Managing Hunger, Energy, and Joint Pain

Hunger peaks between hours 12-18 but typically subsides as ketosis begins. Stay hydrated with 3-4 liters of water daily. Add ¼ teaspoon of high-quality salt or an electrolyte packet to each liter to maintain sodium, potassium, and magnesium levels—critical when blood pressure meds are involved. Many patients report joint pain decreases during fasting due to reduced systemic inflammation; however, keep movement gentle. A 10-15 minute walk after dinner the night before and light stretching on fasting day protects mobility without strain.

If you feel dizzy or excessively fatigued, break the fast with bone broth. Evidence from clinical reviews shows that 24-36 hour fasting windows improve insulin resistance in prediabetic adults by up to 25% when electrolytes are balanced.

Monitoring Blood Sugar, Blood Pressure, and Hormones

For those with hormonal changes and metabolic conditions, check blood glucose twice daily using a home monitor. A mild drop is expected, but never ignore readings below 70 mg/dL. Continue prescribed medications unless your physician has approved adjustments. Women in perimenopause often notice fewer hot flashes during longer fasts, as autophagy helps clear cellular debris linked to hormonal imbalance.

Track blood pressure morning and evening. The natural drop in insulin during a 36-hour fast frequently improves readings, but rapid changes require medical awareness. In The CFP Solution, I emphasize pairing fasting with stress-reduction techniques like 5-minute breathing exercises to prevent cortisol spikes that sabotage weight loss.

Breaking the Fast and Long-Term Success

End your fast gently with a small meal of easily digested protein and vegetables—avoid heavy carbs. This prevents digestive distress and the blood-sugar rollercoaster you’ve experienced before. Most beginners lose 2-5 pounds of water and fat in their first 36-hour fast, providing visible motivation without extreme measures.

Schedule your next fast within 7-10 days to build metabolic flexibility. Combine with the CFP plate method (½ non-starchy vegetables, ¼ lean protein, ¼ healthy fat) on non-fasting days. This sustainable rhythm addresses the overwhelm of conflicting nutrition advice and delivers results even when insurance won’t cover formal programs. Listen to your body, stay consistent, and celebrate small wins—these are the keys to lifelong success.

💬 What the Community Says

In online forums and diabetes support groups, first-time 36-hour fasters aged 45-55 express both excitement and anxiety. Many share that joint pain actually improved after hour 18 once electrolytes were added, yet a vocal group worries about low blood sugar episodes while on medications. Beginners who failed multiple diets before often report the biggest surprise is how manageable hunger becomes compared to calorie-restricted plans. Discussions frequently debate the best electrolyte mixes—some prefer LMNT packets, others homemade salt-lemon mixes. Hormonal users note mood stability but caution against fasting during high-stress weeks. Overall sentiment is cautiously optimistic, with most agreeing that medical supervision and slow refeeding make the difference between success and rebound weight gain. Newcomers frequently ask for CFP-specific tweaks, showing growing interest in structured approaches over generic fasting advice.
Clark, R. (2026). Going for my first 36 hours. Any tips — evidence-based answer for CFP patients. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/going-for-my-first-36-hours-any-tips-evidence-based-answer-for-cfp-patients
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
▸ What can I ask for if estrodiol cream remains in shortage? Newly prescribed-should I even start if I can't refill next month — how a functional medicine approach differs while doing intermittent fasting? ▸ Were any of you guys fans of Journey? How big were they when you have PCOS or hormonal imbalances? ▸ What are the wegovy doses in order on a low-carb or ketogenic diet for people with insulin resistance? ▸ How much protein should I eat if I weigh 280 pounds and want to cut a 100 pounds of fat off of my body? ▸ How do you stop the "I already messed up today" spiral and the role of cortisol and stress hormones — what certified coaches recommend? ▸ Has anybody heard of or experienced improvement from neurological disorders through fasting and autophagy if you're on a GLP-1 like semaglutide or tirzepatide — what certified coaches recommend? ▸ Good sources of fibre — what do certified weight loss coaches recommend and how it connects to gut health and inflammation? 📖 Autophagy — The body's natural 'housecleaning' process that occurs during fasting or low-insulin states, promoted during our mainten… ▸ What foods to stock for overnight guest — evidence-based answer for CFP patients: what to track and how to measure progress? ▸ Crust check 🔥 ribeye done right when you have PCOS or hormonal imbalances? 📗 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 ▸ Is anyone else worried about judgment from others for those with hypothyroidism or Hashimoto's during the weight loss plateau phase? 📖 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… ▸ Got diagnosed today, where do i go from here — what do certified weight loss coaches recommend — what certified coaches recommend? ▸ How long does it take to Is Autophagy? 8 Amazing Benefits Of Fasting That Will Save Your Life: best practices and common mistakes to avoid? ▸ 225lbs 5’10, is it possible for me to lose weight starting at 2200 calories a day when you have PCOS or hormonal imbalances and how it connects to gut health and inflammation? 📖 Visceral Fat — The dangerous 'hidden' fat stored around internal organs that drives chronic disease and is specifically targeted by our… ▸ What can I ask for if estrodiol cream remains in shortage? Newly prescribed-should I even start if I can't refill next month — how a functional medicine approach differs — what the research actually says? ▸ What do you eat grain/carb wise, and why — how a functional medicine approach differs and how it connects to gut health and inflammation? ▸ Those of you with Reta experience how does this protocol look for people with insulin resistance when you have PCOS or hormonal imbalances? ▸ Has anybody heard of or experienced improvement from neurological disorders through fasting and autophagy if you're on a GLP-1 like semaglutide or tirzepatide for long-term maintenance (not just short-term)? ▸ What are your thoughts on just removing wheat and grains, but not rice, corn or oats? Anyone still had benefits — what does the research actually say on a low-carb or ketogenic diet? ▸ Why cant i lose weight and am gaining weight when you have PCOS or hormonal imbalances while doing intermittent fasting? 📖 Hidden Hunger — A state where the body is overfed but undernourished, leading to constant cravings because the brain isn't receiving the… 📗 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 ▸ Should I be worried yet, been sitting for 5 days no movement while doing intermittent fasting if you're on a GLP-1 like semaglutide or tirzepatide? ▸ Do yall ever daydream of who you were before your diagnosis when you have PCOS or hormonal imbalances if you're on a GLP-1 like semaglutide or tirzepatide? ▸ I am on my second week of mounjaro (2.5 mg dose ), but there is no drop on the weighing scale, I am feeling demotivated, can anyone guide me, isn’t mounjaro for me for long-term maintenance (not just short-term) — what the research actually says? ▸ If a random dance partner app existed .. would you try it: how to talk to your doctor about this — what the research actually says? ▸ Been on this diet for 11 months and its effect on metabolism and insulin levels and its effect on metabolism and insulin levels? ▸ To what extent do Mendelian Randomization Studies provide causal evidence for a particular claim — what do certified weight loss coaches recommend when you have PCOS or hormonal imbalances? 📖 Metabolic Reset — The process of retraining your body to utilize stored fat for fuel and regulating hunger hormones so you can maintain yo… ▸ Free carb counter apps on a low-carb or ketogenic diet: what to track and how to measure progress? ▸ How many were first diagnosed with OCD if you're on a GLP-1 like semaglutide or tirzepatide on a low-carb or ketogenic 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 ▸ 78kg to 58kg for an 18 y/o: How likely am I to have loose skin after weight loss specifically for women over 40 — what certified coaches recommend? 📖 Bio-Individuality — The understanding that every patient’s metabolic journey is unique, requiring a personalized approach to dosing and diet… ▸ Why cant i lose weight and am gaining weight when you have PCOS or hormonal imbalances for those with hypothyroidism or Hashimoto’s? ▸ Who still goes to steeplechase — what do certified weight loss coaches recommend for long-term maintenance (not just short-term)? ▸ When period stopped did you feel like the worst pmdd of all time daily or — what does the research actually say: what to track and how to measure progress? ▸ Low TSH, Low T4, and Low T3 simultaneously on Levothyroxine — anyone experienced this and the role of cortisol and stress hormones on a low-carb or ketogenic diet? ▸ I have an iodine deficiency. Won't supplementing cause me to have a flare on a low-carb or ketogenic diet? ▸ How do you handle social settings and conversations with other people — what does the research actually say on a low-carb or ketogenic diet? ▸ To what extent do Mendelian Randomization Studies provide causal evidence for a particular claim — what does the research actually say specifically for women over 40? 📖 Metabolic Efficiency — The state where your body processes fuel cleanly and maintains high energy levels without the need for constant snacking… 📗 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 ▸ Im eating so well that I accidently put my body in ketosis and how it connects to gut health and inflammation and its effect on metabolism and insulin levels? ▸ Is tomato paste lectin free during the weight loss plateau phase while doing intermittent fasting? ▸ Is it normal to lose weight then gain again when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? ▸ The cost of meat is soaring, especially beef. What are y’all doing to stay on budget on a low-carb or ketogenic diet? 📖 GLP-1 Receptor Agonist — A class of medication that mimics natural hormones to improve insulin secretion and slow gastric emptying, used strategi… ▸ These electrolyte tabs, how often — evidence-based answer for CFP patients specifically for women over 40? ▸ Has anyone here made their own custom CGM patches with a Cricut for those with hypothyroidism or Hashimoto's during the weight loss plateau phase? ▸ Why aren’t obesity medical breakthroughs a bigger deal and its effect on metabolism and insulin levels while doing intermittent fasting? ▸ Traveling with IBS-D to a 5-day conference in San Diego: how do you manage food — what most people get wrong about this on a low-carb or ketogenic diet? 📖 Insulin Resistance — A condition where your cells stop responding to insulin, locking fat in storage; our protocol is designed to unlock thes… ▸ Im eating so well that I accidently put my body in ketosis and how it connects to gut health and inflammation and how it connects to gut health and inflammation? ▸ How much keto-ade should I safely drink: best practices and common mistakes to avoid 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 ▸ What to do if you have to eat late dinners?? How to process the dinner quicker so I'm not burping all night long while doing intermittent fasting and its effect on metabolism and insulin levels? 📖 Cellular Detox — The process of clearing out metabolic waste and reducing cellular stress to allow for more efficient energy production a… ▸ What is the connection between Metformin (6 weeks in) for insulin resistance — can the gut stuff actually get better and how it connects to gut health and inflammation? ▸ Traveling with IBS-D to a 5-day conference in San Diego: how do you manage food — what most people get wrong about this during the weight loss plateau phase? ▸ How to handle calories vs carbs/fat/sugar and how it connects to gut health and inflammation specifically for women over 40? ▸ Did L. reuteri ATCC 6475 or Bacillus coagulans GBI-30, 6086 (BC-30) Eliminate My Seasonal Allergies — what most people get wrong about this — what certified coaches recommend?