Expert Q&A

How it looks when you lose 170 lbs. but are still a fat man.?

The Mirror Doesn't Always Match the Scale

When men in their late 40s or early 50s lose 170 pounds, the transformation can feel incomplete. Many still see a "fat man" staring back despite major progress. This is common due to loose skin, redistributed fat, and years of visceral fat accumulation that alters body composition. In my 20 years helping midlife men, I've seen this pattern repeatedly. The scale drops, blood pressure improves, and diabetes markers normalize, yet clothing fits differently and self-image lags behind.

Your body after such significant loss often shows excess skin around the abdomen, chest, and arms. This isn't failure—it's biology. Men who carried weight for decades experience collagen breakdown, making skin retraction difficult without intervention. Hormonal changes, particularly declining testosterone, compound the issue by slowing metabolism and promoting fat storage in the midsection.

Physical Changes That Surprise Most Men

Joint pain that once made exercise impossible often eases dramatically after losing 170 lbs, as each pound shed reduces knee pressure by four pounds. Many report walking without discomfort for the first time in years. However, the "skin suit" left behind can cause chafing, posture issues, and continued embarrassment. In my book The Midlife Reset, I detail how combining strength training with collagen-rich nutrition helps minimize these effects. Focus on building muscle to fill out loose areas—aim for 3-4 weekly resistance sessions targeting core, back, and legs.

Diabetes and blood pressure management become easier with this weight loss. Average A1C drops 1.5-2 points, and many reduce or eliminate medications under physician guidance. Yet the mirror may still reflect a softer midsection because subcutaneous fat responds slower than visceral fat. This mismatch fuels the "I'm still fat" feeling, especially when insurance won't cover skin removal or specialized programs.

Overcoming the Mental and Practical Hurdles

Conflicting nutrition advice overwhelms beginners, but simple principles work best: prioritize protein at 1.6g per kg of goal weight, eat within a 10-hour window, and walk 8,000 steps daily. No complex meal plans needed. For those embarrassed by their bodies, start with at-home routines—no gym judgment. My approach in The Midlife Reset emphasizes sustainable habits over perfection, addressing hormonal shifts with sleep optimization and stress reduction.

Realistic expectations matter. Full body recomposition after 170-pound loss takes 18-36 months. Celebrate non-scale victories like fitting into size 38 pants or having energy for family activities. If loose skin persists, consult a board-certified plastic surgeon about options like tummy tucks, often partially covered when medically necessary for rashes or mobility.

Building Confidence Beyond the Reflection

Many men feel like imposters post-transformation. Combat this by tracking body measurements weekly and progress photos monthly instead of daily scale checks. Focus on strength gains—most regain 20-30% more muscle mass within a year of consistent training. This fills out the frame, reducing the "still fat" appearance. Remember, your health transformation likely added 10-15 quality years, lowered heart disease risk by 60%, and improved blood sugar control dramatically.

Start today with one actionable step: a 20-minute walk after dinner and a high-protein breakfast. Consistency beats intensity, especially with busy schedules and joint concerns. You've already beaten the odds by considering this path despite past diet failures.

💬 What the Community Says

Men in the 45-55 age group frequently share that dropping 150+ pounds brought health wins like better blood sugar and less joint pain, yet many still feel like 'the fat guy' due to significant loose skin around the belly and chest. Forums show a split: some embrace body recomposition through weights and accept the skin as a badge of honor, while others feel discouraged when the mirror doesn't reflect their effort. A vocal minority reports insurance battles over skin removal surgery, with mixed success. Most agree nutrition confusion and time constraints make maintenance tough, but those following simpler routines with more protein and walking see gradual improvements in how clothes fit and daily energy. Embarrassment about seeking help is common, though many encourage starting small at home. Overall sentiment mixes pride in health gains with realistic frustration about lingering physical reminders of past weight.
Clark, R. (2026). How it looks when you lose 170 lbs. but are still a fat man.?. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/how-it-looks-when-you-lose-170-lbs-but-are-still-a-fat-man
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
▸ Crust check 🔥 ribeye done right — what the research actually says? ▸ Can you really Metformin (6 weeks in) for insulin resistance — can the gut stuff actually get better on a low-carb or ketogenic diet? ▸ 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 on a low-carb or ketogenic diet? ▸ 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? ▸ Should I be worried yet, been sitting for 5 days no movement while doing intermittent fasting: best practices and common mistakes to avoid? 📖 Gut-Brain Axis — The complex communication network between your digestive system and your brain that controls satiety, mood, and metaboli… ▸ 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 those with hypothyroidism or Hashimoto’s? ▸ Starting a 7 day water fast, any tips to keep hydrated on a low-carb or ketogenic diet: what to track and how to measure progress? ▸ 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? 📗 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 want something sweet but still try to keep things somewhat low-carb and how it connects to gut health and inflammation if you're on a GLP-1 like semaglutide or tirzepatide? ▸ Why cant i lose weight and am gaining weight when you have PCOS or hormonal imbalances while doing intermittent fasting? 📖 GIP (Gastric Inhibitory Polypeptide) — A hormone that, when combined with GLP-1, enhances the body’s ability to break down fat and manage blood sugar levels mo… ▸ Can you take vitamin D with a tbsp of oil on an extended water fast for people with insulin resistance during the weight loss plateau phase? ▸ Crust check 🔥 ribeye done right for long-term maintenance (not just short-term)? ▸ LDN is changing my life, will this last: best practices and common mistakes to avoid: what to track and how to measure progress? ▸ Im eating so well that I accidently put my body in ketosis and how it connects to gut health and inflammation: best practices and common mistakes to avoid? ▸ Is lime water (but sipped throughout the day) ok with autophagy — how a functional medicine approach differs for people with insulin resistance? 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… ▸ Have you cut out snacking in between meals and what are the benefits and its effect on metabolism and insulin levels 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 ▸ 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? ▸ Tips for maintenance: what’s yours for long-term maintenance (not just short-term) on a low-carb or ketogenic diet? 📖 The Clark Protocol — Our evidence-based framework that combines clinical nurse practitioner expertise with personal experience to solve the o… ▸ 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? ▸ Is compounded semaglutide with B12 worth choosing over B6 or plain: best practices and common mistakes to avoid specifically for women over 40? ▸ 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? ▸ How are people using 10mg reta vials at low doses during the weight loss plateau phase — what the research actually says? ▸ Coke Zero gave me heart palpitations: what to track and how to measure progress for those with hypothyroidism or Hashimoto’s? ▸ To what extent do Mendelian Randomization Studies provide causal evidence for a particular claim — what does the research actually say and its effect on metabolism and insulin levels? ▸ 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? 📖 Metabolic Stall — A plateau in weight loss often caused by hidden inflammation or hormonal adaptation, which we break using our specific 7… 📗 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 ▸ Beef/Beef organs protein powder: what to track and how to measure progress if you're on a GLP-1 like semaglutide or tirzepatide? ▸ Will eating meintenance calories make me lose weight for those with hypothyroidism or Hashimoto's when you have PCOS or hormonal imbalances? ▸ Is it okay for teenagers to do longterm lowcarb/keto — evidence-based answer for CFP patients for those with hypothyroidism or Hashimoto’s? 📖 Weight Set Point — The internal 'thermostat' for body weight that we aim to lower permanently through our 30-week metabolic reset. ▸ I have an iodine deficiency. Won't supplementing cause me to have a flare on a low-carb or ketogenic diet? ▸ My weight loss progress so far as a 23 year male who stared eating less unhealthy and does little to moderate exercise. Am I doing well — evidence-based answer for CFP patients for people with insulin resistance? ▸ Can you really Metformin (6 weeks in) for insulin resistance — can the gut stuff actually get better specifically for women over 40? ▸ Got diagnosed today, where do i go from here — what do certified weight loss coaches recommend — what certified coaches recommend? ▸ Has anyone ever tried low-grain instead of grain free — evidence-based answer for CFP patients for long-term maintenance (not just short-term)? 📖 Metabolic Reset — The process of retraining your body to utilize stored fat for fuel and regulating hunger hormones so you can maintain yo… ▸ Intolerant to sugar - SIBO or something else if you're on a GLP-1 like semaglutide or tirzepatide 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 ▸ 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 the wegovy doses in order on a low-carb or ketogenic diet — what certified coaches recommend? ▸ Do you think they read the responses they receive: how to talk to your doctor about this while doing intermittent fasting? ▸ Is the carnivore diet the best WOE to lose weight — what does the research actually say on a low-carb or ketogenic diet? ▸ Does mental health predict diabetes as much as BMI? Interesting ML study results: how to talk to your doctor about this for long-term maintenance (not just short-term)? ▸ Anyone stopped responding to Mounjaro and had better results with retatrutide 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… ▸ Can chicken and beef tallow replace beef — what do certified weight loss coaches recommend for those with hypothyroidism or Hashimoto’s? ▸ 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? ▸ Probiotics worked for a month then stopped. Anyone else for those with hypothyroidism or Hashimoto's: 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 ▸ How does chasing skinny ever get old for long-term results while doing intermittent fasting? 📖 Metabolic Efficiency — The state where your body processes fuel cleanly and maintains high energy levels without the need for constant snacking… ▸ 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? ▸ 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? ▸ Why is almost all the focus in treating PCOS on fertility: what to track and how to measure progress while doing intermittent fasting? 📖 Insulin Resistance — A condition where your cells stop responding to insulin, locking fat in storage; our protocol is designed to unlock thes… ▸ Is anyone else worried about judgment from others for those with hypothyroidism or Hashimoto's if you're on a GLP-1 like semaglutide or tirzepatide? ▸ 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? ▸ Omnipod. Starting an insulin pump help while doing intermittent fasting for long-term maintenance (not just short-term)?