Expert Q&A

How it looks when you lose 170 lbs. but are still a fat man: what to track and how to measure progress

The Reality of Losing 170 Pounds and Still Carrying Fat

After shedding 170 pounds, many men in their late 40s and early 50s still see a soft midsection and feel like "the fat guy" in the mirror. This is common due to hormonal changes, years of yo-yo dieting, and visceral fat that lingers even as total weight drops. In my methodology outlined in The CFP Weight Loss Protocol, the scale is only one data point. True progress comes from shifting focus to measurable markers that rebuild confidence and health, especially when joint pain limits traditional exercise and insurance won't cover formal programs.

Key Metrics Beyond the Scale: What to Track Weekly

Track body composition using a smart scale or DEXA scan every 4-6 weeks. Aim for losing 1-2% body fat per month while preserving muscle. Measure waist circumference at the navel—target a 1-inch reduction every 4 weeks. For men managing diabetes and blood pressure, monitor fasting glucose (under 100 mg/dL) and blood pressure (below 130/80) daily with a home cuff. These numbers often improve dramatically before the mirror reflects change.

Log non-scale victories like energy levels on a 1-10 scale, how clothes fit, and walking distance without knee pain. In the CFP approach, we emphasize time-efficient tracking: spend 5 minutes daily noting sleep (7-9 hours ideal), protein intake (1.6g per kg of goal body weight), and steps (start at 5,000, build to 8,000). This avoids the overwhelm of complex meal plans that have failed you before.

Tools and Techniques for Accurate Progress Measurement

Use a flexible tape measure for consistent body part tracking: chest, arms, hips, and thighs every two weeks under the same conditions (morning, fasted). Progress photos in consistent lighting every 30 days reveal subtle shifts the scale misses. For those embarrassed by their size, at-home bioimpedance scales provide trend data without gym visits. Strength gains matter too—track push-up reps or resistance band tension as joint-friendly markers. My protocol prioritizes these because hormonal shifts in middle age make fat loss slower; consistent data prevents quitting when results feel invisible.

Building Long-Term Success and Mindset Shifts

After major loss, many hit a plateau where they look "still heavy" despite 170 pounds gone. Reframe by celebrating metabolic health: improved A1C for diabetes control or lower cholesterol. Incorporate 20-minute daily walks to ease joint pain without gym intimidation. In The CFP Weight Loss Protocol, we teach sustainable habits like pairing protein with fiber at every meal to stabilize blood sugar and reduce cravings. Over time, this transforms not just your body but how you see yourself—moving from "fat man" identity to capable, healthier version. Consistency in tracking these metrics builds evidence that your efforts work, even when the mirror lags behind.

💬 What the Community Says

The community shows a mix of relief and frustration when discussing major weight loss like 170 pounds while still appearing overweight. Many middle-aged men on forums share stories of loose skin, stubborn belly fat, and the emotional hit of not looking "done" despite huge efforts. Most agree the scale becomes meaningless after a certain point; waist measurements, how clothes fit, and energy levels get far more praise as realistic trackers. A vocal group debates DEXA scans versus cheap smart scales, with beginners often overwhelmed by conflicting advice on body fat percentages. Lived experiences highlight joint pain limiting exercise, insurance barriers, and hormonal frustration in the 45-55 age range. Overall, participants emphasize patience and non-scale victories, noting that mindset shifts happen slowly but tracking small wins prevents total burnout. Diabetes and blood pressure improvements are frequently cited as the biggest motivators when visual progress stalls.
Clark, R. (2026). How it looks when you lose 170 lbs. but are still a fat man: what to track and h. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/how-it-looks-when-you-lose-170-lbs-but-are-still-a-fat-man-what-to-track-and-how-to-measure-progress
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
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 during the weight loss plateau phase? Depressive symptoms from non-stick air fryer — what do certified weight loss coaches recommend if you're on a GLP-1 like semaglutide or tirzepatide? 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? Anyone worried about the FDA crackdown — what most people get wrong about this: best practices and common mistakes to avoid? When you get your microdose calculations wrong for the Monday morning meeting for people with insulin resistance during the weight loss plateau phase? 📖 Adipose Tissue Signaling — The way fat cells communicate with the brain; our goal is to fix these signals so the body stops defending an unnaturall… Been on carnivore for like 6 weeks now, I’ve gained 6lbs eating about 1lb of ground beef 3 eggs and 1 ribeye a day, starting weight 310lbs now 316lbs — what does the research actually say and how it connects to gut health and inflammation? How the heck do people with health anxiety handle anxiety med side effects: what to track and how to measure progress for people with insulin resistance? One Medical for Lilly Direct on a low-carb or ketogenic diet specifically for women over 40? When Someone Paid by Credit Card, We Had to Drag Out This — what most people get wrong about this specifically for women over 40? Have you switched from Semaglutide to Tirzapatide? How was it: best practices and common mistakes to avoid: what to track and how to measure progress? 📖 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 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 and the role of cortisol and stress hormones — what the research actually says? Being underweight, panic and anxiety. Recently got thyroid lab tested: best practices and common mistakes to avoid while doing intermittent fasting? Gaining tons of weight but normal levels — what does the research actually say for people with insulin resistance? When period stopped did you feel like the worst pmdd of all time daily or while doing intermittent fasting? My friends stopped being impressed by my weight loss ages ago. I just reached my goal weight, would you cheer for me in their place: what to track and how to measure progress when you have PCOS or hormonal imbalances? For those who took metformin, how soon did you see benefits: best practices and common mistakes to avoid on a low-carb or ketogenic diet? 📖 Nutrient Density — Prioritizing foods that provide maximum vitamins and minerals per calorie to satisfy the brain and end the cycle of hidd… I lost 100#s using cutting calories and exercising, 10 to 15,000 steps, and I soon plateaued and I was so hungry. Been going out with this girl and I think it’s destroyed my microbiome for people with insulin resistance 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 How much keto-ade should I safely drink — how a functional medicine approach differs and how it connects to gut health and inflammation? 📖 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… Thoughts about these together during the weight loss plateau phase and how it connects to gut health and inflammation? How does has anyone reversed insulin resistance without medication on a GLP-1 drug and how it connects to gut health and inflammation? Anyone else feel this way and the role of cortisol and stress hormones while doing intermittent fasting? Why is my face more bulky and blocky on a ketogenic diet — how a functional medicine approach differs during the weight loss plateau phase? Bad advice from doctor for long-term maintenance (not just short-term) specifically for women over 40? One Medical for Lilly Direct on a low-carb or ketogenic diet during the weight loss plateau phase? 📖 Smart Cycling — The strategic alternating of medication doses with planned 'off' periods to prevent receptor desensitization and ensure … When you get your microdose calculations wrong for the Monday morning meeting for people with insulin resistance for those with hypothyroidism or Hashimoto’s? Carbs are important for muscle growth… but what if I’m insulin resistant and how it connects to gut health and inflammation during the weight loss plateau phase? When the symptom you went to the ER for clears up while you're waiting to be seen: best practices and common mistakes to avoid 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 Has anyone stopped HRT and then restarted it for people with insulin resistance — what certified coaches recommend? Where to go from here? I lost 13kg on mounjaro, but I am doing the rest naturally. Advice? :) — what does the research actually say: best practices and common mistakes to avoid? 📖 GLP-1 Receptor Agonist — A class of medication that mimics natural hormones to improve insulin secretion and slow gastric emptying, used strategi… How to induce autophagy without fasting for a long time — what do certified weight loss coaches recommend on a low-carb or ketogenic diet? How does i started this year vs. How I'm finishing it - 220lbs -> 135lbs 🩷 while intermittent fasting during the weight loss plateau phase? How a few gut-focused changes (extra virgin olive oil, enzymes, and more) quietly transformed my health — what most people get wrong about this while doing intermittent fasting? Bad advice from doctor for long-term maintenance (not just short-term) and how it connects to gut health and inflammation? “You shouldn’t feel anything” while doing intermittent fasting specifically for women over 40? Why does keto hurt my stomach 😞 for people with insulin resistance and how it connects to gut health and inflammation? Eyelid myokymia/twitching caused by oral progesterone specifically for women over 40 and how it connects to gut health and inflammation? 📖 Hormonal Chaos — The internal state of imbalance caused by modern grains and refined carbs that overrides willpower and forces the body t… What is the connection between I reduced my IR from 15.5 to 4 in 3 months 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 Anyone want to join me in a 90 day keto/fasting/workout challenge — evidence-based answer for CFP patients if you're on a GLP-1 like semaglutide or tirzepatide? Probiotics worked for a month then stopped. Anyone else for long-term maintenance (not just short-term) and how it connects to gut health and inflammation? How Much Does 200g Apple Raise Blood Sugar when you have PCOS or hormonal imbalances and its effect on metabolism and insulin levels? Any Links Between Autophagy & Eye Disease Reversing when you have PCOS or hormonal imbalances for people with insulin resistance? How long was your withdrawal when you went sugarfree if you're on a GLP-1 like semaglutide or tirzepatide on a low-carb or ketogenic diet? When you want something sweet but still try to keep things somewhat low-carb for long-term maintenance (not just short-term) for those with hypothyroidism or Hashimoto’s? 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… LDN is changing my life, will this last — what do certified weight loss coaches recommend while doing intermittent fasting? 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: best practices and common mistakes to avoid? Frustrated with lack of progress. How to improve for long-term maintenance (not just short-term) for those with hypothyroidism or Hashimoto’s? Is this meat grassfed — what do certified weight loss coaches recommend: 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 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? Why does long does each autophagy last be considered effective when you have PCOS or hormonal imbalances?