Expert Q&A

How I finished 2023 vs 2025: how to talk to your doctor about this

Why Preparing for the Conversation Matters in Midlife

As a 52-year-old who dropped 47 pounds between late 2023 and early 2025, I know firsthand how hormonal changes and joint pain can make sustainable weight loss feel impossible. Insurance rarely covers these programs, and past diet failures breed skepticism. That’s why learning to talk to your doctor about your transformation is crucial. Physicians respond best to objective data, not emotional stories. My approach in The CFP Weight Loss Method emphasizes measurable biomarkers and realistic timelines that align with busy middle-income lives—no complex meal plans required.

Key Metrics to Track from 2023 to 2025

Before your appointment, compile a simple one-page summary. Include starting weight (mine was 218 lbs in December 2023), current weight (171 lbs in 2025), waist circumference (down 6.5 inches), A1C (from 6.8 to 5.4), blood pressure (from 142/88 to 118/76), and daily steps (averaged 4,200 to 9,800). Note joint pain reduction using a 1-10 scale—my knee score fell from 7 to 2. List medications adjusted or eliminated. These numbers demonstrate your commitment despite managing diabetes and blood pressure alongside weight loss. Doctors trust trends, especially when you mention how the CFP Method’s gentle movement protocols made exercise possible despite joint issues.

Sample Scripts That Get Results

Start positively: “Doctor, between 2023 and 2025 I lost 47 pounds using a sustainable approach that fits my schedule. Here’s my data—would you review it with me?” Follow with, “I’m concerned about rebound because I’ve failed every diet before. What monitoring do you recommend as I continue?” For hormonal changes, say: “My labs show improved insulin sensitivity. Could we discuss how perimenopause affected my progress and any adjustments needed?” Bring printed before-and-after labs and photos. This preparation overcomes embarrassment and conflicting nutrition advice by focusing on partnership, not pleading for help.

Turning the Visit Into Ongoing Support

Ask specifically for referrals to covered nutrition counseling or physical therapy that addresses joint pain. Inquire about adjusting blood pressure or diabetes meds as weight stabilizes. Request follow-up labs in 90 days. Many patients using the CFP Weight Loss framework report doctors becoming advocates once they see consistent, doctor-friendly data. Remember, your 2023-to-2025 story isn’t just about the scale—it’s proof that midlife weight loss is achievable without gym overload or restrictive eating. Use these tools to transform a routine check-up into a powerful alliance for long-term health.

💬 What the Community Says

In online forums, midlife adults aged 45-55 frequently share mixed experiences discussing weight changes with doctors. Many appreciate when patients arrive with concrete numbers like A1C drops, blood pressure improvements, and waist measurements, noting physicians engage more seriously. A common frustration is the short appointment time that leaves little room for explaining past diet failures or joint pain barriers. The community is split on whether mentioning specific programs helps; some report positive medication adjustments after showing steady progress, while others feel dismissed if insurance doesn't cover additional support. Hormonal shifts in perimenopause surface often as a key discussion point, with users advising others to request thyroid and insulin panels in advance. Overall, beginners who prepare one-page summaries and practice neutral scripts tend to describe more productive visits than those who go in emotionally. Lived experiences highlight that doctors respond best to collaborative language rather than requests for quick fixes.
Clark, R. (2026). How I finished 2023 vs 2025: how to talk to your doctor about this. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/how-i-finished-2023-vs-2025-how-to-talk-to-your-doctor-about-this
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.

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