Expert Q&A

Has anyone with loose skin tried water fasting for long periods of time? and hie did it effect the loose skin for long-term maintenance (not just short-term)

Understanding Loose Skin During Rapid Weight Loss

As someone who has guided thousands through sustainable weight loss at CFP Weight Loss, I've seen how loose skin becomes a major concern after shedding 50+ pounds, especially in our 45-54 age group dealing with hormonal changes. Loose skin occurs when rapid fat loss outpaces your body's collagen production, leaving excess dermal tissue. Factors like age, genetics, smoking history, and how quickly you lose weight all play roles. Many of my clients with joint pain and diabetes worry that aggressive methods will worsen sagging in the abdomen, arms, and thighs.

Water Fasting: Short-Term vs Long-Term Impacts on Skin

Water fasting—consuming only water for periods exceeding 72 hours—can accelerate fat loss but often leads to muscle breakdown alongside fat, which may temporarily tighten skin appearance due to reduced inflammation. However, in my clinical observations and from reviewing medical literature, prolonged water fasting rarely improves loose skin long-term. Most experience initial tightening from dehydration and glycogen depletion, but once normal eating resumes, skin often rebounds to previous looseness or worsens if nutrient deficiencies (particularly vitamin C, protein, and zinc) impair collagen synthesis.

From the hundreds of accounts I've analyzed, those fasting 7-21 days reported 5-15% body weight loss but noted increased sagging in maintenance phases 6-12 months later. This aligns with our CFP methodology, which emphasizes gradual 1-2 pound weekly loss to allow skin adaptation. Rapid methods like extended fasting stress hormones, particularly cortisol, making hormonal weight loss even harder for perimenopausal women.

Evidence-Based Strategies for Managing Loose Skin Long-Term

Instead of relying on water fasting, focus on building skin elasticity through targeted nutrition and resistance training. Aim for 1.6-2.2 grams of protein per kg of body weight daily from sources like collagen peptides, which studies show can improve skin firmness by 12-28% over 8 weeks. Combine this with strength training 3 times weekly—using bodyweight or light bands if joint pain limits you—to stimulate muscle growth that fills out loose areas.

In our CFP Weight Loss program, we recommend micronutrient-dense meals that fit busy schedules: think 30-minute prep recipes with berries, leafy greens, and fatty fish to support collagen. Hydration remains key—drink 3-4 liters daily but pair with electrolytes during any fasting attempts under medical supervision. For severe cases, non-invasive options like radiofrequency treatments show 20-40% improvement in skin laxity without surgery, which insurance rarely covers.

Practical Maintenance Plan to Minimize Loose Skin

Long-term success comes from consistency, not extremes. Track progress with weekly measurements rather than scale weight. Incorporate daily 10-15 minute walks to improve circulation without overwhelming joints. Supplements like 2.5g daily hydrolyzed collagen plus vitamin C have helped many of my clients maintain skin improvements achieved through slower loss. Remember, genetics set the baseline, but lifestyle determines 60-70% of outcomes. Consult your doctor before any fasting, especially with diabetes or blood pressure concerns, as electrolyte imbalances can be dangerous. Our approach prioritizes sustainable habits that reduce embarrassment around obesity while managing real health conditions effectively.

💬 What the Community Says

The community shows mixed experiences with water fasting and loose skin. Many in the 45-54 age range who tried 5-14 day fasts report temporary skin tightening during the fast due to quick water weight and fat loss, but most see the looseness return or worsen within 3-6 months of refeeding. A common theme is disappointment that rapid loss exacerbated sagging on arms, stomach, and inner thighs, especially for those with prior yo-yo dieting history. Some practitioners combining fasting with strength training and high protein intake note slightly better long-term firmness, while others warn of muscle loss making skin appear looser. Hormonal shifts and joint pain often limit exercise options, leading to debates on whether slow loss via calorie cycling works better. Insurance barriers and conflicting online advice leave many feeling overwhelmed, with a vocal group advocating for collagen supplements and resistance bands over extreme fasting. Overall sentiment leans cautious, favoring gradual methods for maintenance.
Clark, R. (2026). Has anyone with loose skin tried water fasting for long periods of time? and hie. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/has-anyone-with-loose-skin-tried-water-fasting-for-long-periods-of-time-and-hie-did-it-effect-the-loose-skin-for-long-term-maintenance-not-just-short-term
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
Can sugar free candy make a difference and how it connects to gut health and inflammation: what to track and how to measure progress? What's a physical thing you can do TODAY that you couldn't do at 40 for those with hypothyroidism or Hashimoto's on a low-carb or ketogenic diet? Anyone else feel this way and the role of cortisol and stress hormones and its effect on metabolism and insulin levels? 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? Can sugar free candy make a difference and how it connects to gut health and inflammation when you have PCOS or hormonal imbalances? 📖 Smart Cycling — The strategic alternating of medication doses with planned 'off' periods to prevent receptor desensitization and ensure … How much should a thyroid test cost for people with insulin resistance for people with insulin resistance? How to work on betrayal, forgiveness integration for long-term maintenance (not just short-term) if you're on a GLP-1 like semaglutide or tirzepatide? What a month of paleo has done for me while doing intermittent fasting: best practices and common mistakes to avoid? Anybody else wake up after 5-6 hours because their lower back starts hurting — what does the research actually say and how it connects to gut health and inflammation? What's a physical thing you can do TODAY that you couldn't do at 40 for those with hypothyroidism or Hashimoto's during the weight loss plateau phase? 📗 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 it's going for me and how BMI has betrayed the tall girlies: what to track and how to measure progress specifically for women over 40? What I learned in 70 days added-sugar-free on a low-carb or ketogenic diet for people with insulin resistance? 📖 High-Dose Dependency — The pharmaceutical trap of staying on maximum medication doses indefinitely, which we avoid through our smart cycling me… When fed ex secures the goods when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? What made you start carnivore and how it connects to gut health and inflammation? 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? When you get your microdose calculations wrong for the Monday morning meeting for people with insulin resistance for those with hypothyroidism or Hashimoto’s? 📖 Leptin Sensitivity — Restoring your brain's ability to hear the 'I am full' signal, which is often muted by high-sugar diets and systemic inf… Have you switched from Semaglutide to Tirzapatide? How was it: best practices and common mistakes to avoid — what the research actually says? 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? How Much Does 200g Apple Raise Blood Sugar when you have PCOS or hormonal imbalances and its effect on metabolism and insulin levels? 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? 📗 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's your pre-show drug of choice these days and its effect on metabolism and insulin levels and its effect on metabolism and insulin levels? 📖 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… How it's going for me and how BMI has betrayed the tall girlies: what to track and how to measure progress while doing intermittent fasting? What was your wake up call that you needed to lose the weight or you might die — what does the research actually say — what certified coaches recommend? After losing weight, does it feel like you could do anything — evidence-based answer for CFP patients — what certified coaches recommend? Why are peptides suddenly everywhere in 2026 when most of them have been around for 20 or 30 years — what do certified weight loss coaches recommend specifically for women over 40? 📖 GLP-1 Receptor Agonist — A class of medication that mimics natural hormones to improve insulin secretion and slow gastric emptying, used strategi… Paleo brownies/sweets that ship all over usa: how to talk to your doctor 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? After losing weight, does it feel like you could do anything — evidence-based answer for CFP patients 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 How to get better cholesterol test scores during the weight loss plateau phase if you're on a GLP-1 like semaglutide or tirzepatide? Refreshing Summer snack ideas during the weight loss plateau phase: what to track and how to measure progress? 📖 Phase 1: Priming — The first 48 hours of a 70-day cycle focused on high-fat intake to prevent the brain from triggering a starvation respon… Bad advice from doctor for long-term maintenance (not just short-term) while doing intermittent fasting? Am I doing this correctly for those with hypothyroidism or Hashimoto's — what certified coaches recommend? Post menopausal bleeding — what certified coaches recommend? Good calorie amount? Advice to get high volume low cal and more protein if you're on a GLP-1 like semaglutide or tirzepatide: what to track and how to measure progress? 📖 Rebound Weight Gain — The common 'yo-yo' effect caused by high-dose, continuous GLP-1 use; we prevent this through strategic cycling and metab… 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)? How does this affect is everyone else able to eat normally but I can't if you're on a GLP-1 like semaglutide or tirzepatide? Here's the things I wish I'd known back then... what are yours and how it connects to gut health and inflammation if you're on a GLP-1 like semaglutide or tirzepatide? Here's the things I wish I'd known back then... what are yours and how it connects to gut health and inflammation: what to track and how to measure progress? 📗 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 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? Anyone here have any experience with SIBO and Keto for people with insulin resistance during the weight loss plateau phase? 📖 Metabolic Flexibility — The body’s ability to efficiently switch between burning carbohydrates and burning stored body fat based on availability… How did you stop your health anxiety — what do certified weight loss coaches recommend specifically for women over 40? 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? Gaining tons of weight but normal levels — what does the research actually say for long-term maintenance (not just short-term)? Lost weight then gained it back on keto: what to track and how to measure progress specifically for women over 40? Anybody else feel like this — what does the research actually say and its effect on metabolism and insulin levels? Has anyone from India done an extended fast? What electrolytes/supplements do you guys take on an extended fast, which are widely available while doing intermittent fasting 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 Did an ultrasound and i saw two comments from the result. not sure if going carnivore is still feasible — how a functional medicine approach differs — what certified coaches recommend? 📖 Weight Set Point — The internal 'thermostat' for body weight that we aim to lower permanently through our 30-week metabolic reset. Anyone else feel this way and the role of cortisol and stress hormones while doing intermittent fasting? Anyone have high cholesterol or know more about the link between high cholesterol and hypothyroidism when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? 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?