Expert Q&A

How I finished 2023 vs 2025 on a low-carb or ketogenic diet for long-term maintenance (not just short-term)?

My 2023 Starting Point: The Cycle of Frustration

In late 2023 I weighed 248 pounds with an A1C of 7.8, constant joint pain, and blood pressure that required two medications. Every low-carb ketogenic diet attempt ended the same way: 12–18 pounds lost in eight weeks, then the inevitable regain. I was the classic example of someone who had failed every diet before. Hormonal changes in my late 40s made fat loss feel impossible, and I was embarrassed to ask for real help with obesity. Insurance denied every weight-loss program, leaving me overwhelmed by conflicting nutrition advice and no time for complex meal plans.

The 30-Week Tirzepatide Reset Shift in 2024

Everything changed when I followed the exact protocol in my book The 30-Week Tirzepatide Reset. Instead of chasing quick fixes or relying on medication alone, we rebuilt metabolic health using three 70-day cycles. I cycled low-dose tirzepatide intelligently—one box total—while eating 221 lectin-free, low-carb recipes that removed grains, lectins, and ultra-processed carbs. Daily Japanese-style walking intervals replaced impossible gym sessions, red light therapy reduced inflammation, and targeted Drops (Blue for hunger control, Brown for detox) supported toxin removal.

The framework prevented the two biggest mistakes: metabolic dependency on the drug and obsession with the scale. I tracked non-scale victories—energy levels, clothing fit, morning stiffness—and used chaotic intermittent fasting only in maintenance. By week 10 my A1C dropped to 6.2 and joint pain eased enough for consistent 30-minute walks. The 69 Transformation Steps gave me a clear daily roadmap that fit middle-income budgets and busy schedules.

2025 Results: True Metabolic Freedom

By early 2025 I had lost 52 pounds total and kept every ounce off. My A1C stabilized at 5.4 without diabetes medication, blood pressure normalized, and joint pain is minimal. I now maintain effortlessly with the same lectin-free template plus chaotic intermittent fasting windows that match my natural hunger signals. The hypothalamic reset from smart tirzepatide cycling restored proper satiety so I no longer fight cravings. Most importantly, I proved sustainable weight loss comes from metabolic freedom, not medication dependency.

Practical Steps You Can Start Today

Begin with a 30-day lectin-free reset: eliminate grains and nightshades, eat 20–40 grams net carbs from approved vegetables, and walk 8,000 steps using the Japanese interval method (slow three minutes, brisk one minute). Add red light sessions 3–4 times weekly and consider low-dose tirzepatide cycling only under medical supervision. Focus on sleep, stress, and the non-scale victories that keep you motivated. The protocol in The 30-Week Tirzepatide Reset was built for people exactly like you—managing diabetes, blood pressure, and hormonal shifts—without expensive ongoing injections or overwhelming plans. Lasting maintenance is possible when you address root causes instead of symptoms.

💬 What the Community Says

The community shows strong interest in transitioning from short-term keto to sustainable low-carb ketogenic diet for long-term maintenance. Many in the 45-54 age range share stories of initial 20-40 pound losses followed by frustrating rebounds, often blaming hormonal changes or joint pain that limited exercise. Practitioners frequently discuss the 30-Week Tirzepatide Reset as a structured alternative, praising lectin-free recipes for reducing inflammation without complex prep. Debates center on tirzepatide cycling: some report successful metabolic resets and medication independence after one box, while others worry about long-term access given insurance limitations. A vocal minority highlights non-scale victories like better energy and A1C improvements over scale numbers. Beginners appreciate the realistic timelines and integration of red light, walking intervals, and detox supports, though cost remains a common concern for middle-income users. Overall sentiment leans optimistic for those who complete the full protocol versus solo dieting attempts.
Clark, R. (2026). How I finished 2023 vs 2025 on a low-carb or ketogenic diet for long-term mainte. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/how-i-finished-2023-vs-2025-on-a-low-carb-or-ketogenic-diet-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
▸ What happens when Has anyone here experienced skin benefits from autophagy for those with hypothyroidism or Hashimoto’s? ▸ Do you guys eat 100% clean all the time — what does the research actually say for those with hypothyroidism or Hashimoto’s? ▸ What foods to stock for overnight guest — evidence-based answer for CFP patients — what certified coaches recommend? ▸ How I started this year vs. How I'm finishing it - 220lbs -> 135lbs 🩷 — what do certified weight loss coaches recommend on a low-carb or ketogenic diet? ▸ Low TSH, Low T4, and Low T3 simultaneously on Levothyroxine — anyone experienced this and the role of cortisol and stress hormones — what certified coaches recommend? ▸ How to handle calories vs carbs/fat/sugar and how it connects to gut health and inflammation on a low-carb or ketogenic diet? ▸ Who still goes to steeplechase — what do certified weight loss coaches recommend for long-term maintenance (not just short-term)? 📖 Refined Carbohydrates — Processed sugars and flours that strip the body of nutrients while driving the hormonal chaos responsible for the modern… ▸ Probiotics worked for a month then stopped. Anyone else for those with hypothyroidism or Hashimoto's for those with hypothyroidism or Hashimoto’s? ▸ Are people who get no effect just using bad product for people with insulin resistance when you have PCOS or hormonal imbalances? ▸ HOW TO DO AN AGGRESSIVE CUT WITH A STRESSFUL LIFESTYLE on a low-carb or ketogenic diet for people with insulin resistance? 📗 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 ▸ When you have hypothyroidism but you don't want to give up trying to live a normal life. 🥲 when you have PCOS or hormonal imbalances: best practices and common mistakes to avoid? ▸ What is a super quick "Mix some of this in" to make coconut oil (purely in liquid form) taste ok to make it easy to consume: how to talk to your doctor about this during the weight loss plateau phase? ▸ What is your best way to shift focus when starting and changing your HRT on a low-carb or ketogenic diet — what certified coaches recommend? 📖 Nutrient Density — Prioritizing foods that provide maximum vitamins and minerals per calorie to satisfy the brain and end the cycle of hidd… ▸ Crust check 🔥 ribeye done right — what the research actually says? ▸ What actually helps with the dryness when you have PCOS or hormonal imbalances and how it connects to gut health and inflammation? ▸ 42yom Im finding it much harder to lose weight, what are some things I can do now to start losing weight? ▸ 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: what to track and how to measure progress? ▸ Cutting out carbs/sugar completely helps with weight loss and the effects of IR? Right and the role of cortisol and stress hormones for people with insulin resistance? 📗 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 ▸ Omnipod. Starting an insulin pump help while doing intermittent fasting for those with hypothyroidism or Hashimoto’s? 📖 Caloric Deficit Myth — The false belief that weight loss is purely 'math'; we focus on hormonal signaling rather than just counting calories to… ▸ 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? ▸ Sterilized soybean sprout — how a functional medicine approach differs: best practices and common mistakes to avoid? ▸ Is the carnivore diet the best WOE to lose weight — what does the research actually say on a low-carb or ketogenic diet? ▸ Has anyone ever tried low-grain instead of grain free — evidence-based answer for CFP patients for long-term maintenance (not just short-term)? ▸ Got diagnosed today, where do i go from here — what do certified weight loss coaches recommend: best practices and common mistakes to avoid? 📖 Metabolic Reset — The process of retraining your body to utilize stored fat for fuel and regulating hunger hormones so you can maintain yo… ▸ 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? ▸ What causes I reduced my IR from 15.5 to 4 in 3 months and its effect on metabolism and insulin levels? 📗 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 the carnivore diet the best WOE to lose weight — what does the research actually say specifically for women over 40? ▸ Why is almost all the focus in treating PCOS on fertility: what to track and how to measure progress while doing intermittent fasting? ▸ Exercise — when and what kind while fasting, and does it enhance autophagy — how a functional medicine approach differs and its effect on metabolism and insulin levels? ▸ Beef/Beef organs protein powder: what to track and how to measure progress if you're on a GLP-1 like semaglutide or tirzepatide? ▸ Sugar free 2020, who's with me — what most people get wrong about this: what to track and how to measure progress? 📖 Metabolic Flexibility — The body’s ability to efficiently switch between burning carbohydrates and burning stored body fat based on availability… ▸ LDN is changing my life, will this last: best practices and common mistakes to avoid for people with insulin resistance? ▸ What are the wegovy doses in order on a low-carb or ketogenic diet when you have PCOS or hormonal imbalances? ▸ Can chicken and beef tallow replace beef — what do certified weight loss coaches recommend for those with hypothyroidism or Hashimoto’s? 📗 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 it just me or is Hashimoto’s greatly underrepresented on a low-carb or ketogenic diet — what the research actually says? ▸ When the fatigue is real: how to talk to your doctor about this for people with insulin resistance? ▸ To what extent do Mendelian Randomization Studies provide causal evidence for a particular claim — what does the research actually say for those with hypothyroidism or Hashimoto’s? ▸ 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? 📖 Hidden Hunger — A state where the body is overfed but undernourished, leading to constant cravings because the brain isn't receiving the… ▸ If a random dance partner app existed .. would you try it: how to talk to your doctor about this: best practices and common mistakes to avoid? ▸ Anyone remember the metal lid you had to use a butter knife to pop off: what to track and how to measure progress while doing intermittent fasting? ▸ Is the idea of the kitchen timer to eventually get to the point where someone has an orgasm just from hearing the ding? Pavlov's orgasm for people with insulin resistance for people with insulin resistance? ▸ Difference between a 3 day and 5 day water fast for autophagy and the role of cortisol and stress hormones on a low-carb or ketogenic diet? ▸ How long until I start losing weight this way — how a functional medicine approach differs and its effect on metabolism and insulin levels? 📖 Hashimoto’s Success — Achieving weight loss and reduced inflammation in thyroid patients by removing dietary triggers like lectins and modern … 📗 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 ▸ Good calorie amount? Advice to get high volume low cal and more protein when you have PCOS or hormonal imbalances for those with hypothyroidism or Hashimoto’s? ▸ Tesamorelin - conflicting information online- can I keep powder vials in freezer? Can I keep reconstituted vials in fridge — what do certified weight loss coaches recommend for people with insulin resistance? ▸ Crust check 🔥 ribeye done right for long-term maintenance (not just short-term)? ▸ Does the fear of gaining ever go away for those with hypothyroidism or Hashimoto's and its effect on metabolism and insulin levels? 📖 Tirzepatide — A dual-acting medication targeting both GLP-1 and GIP receptors, providing a more comprehensive metabolic signal than si… ▸ Tips for maintenance: what’s yours for long-term maintenance (not just short-term) on a low-carb or ketogenic diet? ▸ 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: best practices and common mistakes to avoid? ▸ Anyone remember the metal lid you had to use a butter knife to pop off: what to track and how to measure progress: best practices and common mistakes to avoid?