Expert Q&A

How it's going for me and how BMI has betrayed the tall girlies during the weight loss plateau phase

My Personal Journey Through a Stubborn Plateau

As a 5'10" woman in her late 40s managing diabetes and high blood pressure, I've lived the frustration of the weight loss plateau. After losing 28 pounds following my CFP Weight Loss principles, the scale froze for nine weeks. I felt embarrassed, convinced I'd failed again like every diet before. My joints ached from past attempts at high-impact exercise, and hormonal shifts from perimenopause made everything harder. Sound familiar? You're not alone, especially if you're a tall woman.

Why BMI Misleads Tall Women During Plateaus

BMI—that outdated height-to-weight ratio—cruelly betrays tall "girlies." At 5'10" and 178 pounds, my BMI still read 25.6, labeling me "overweight" despite visible changes in my waist and energy. BMI doesn't account for muscle mass, bone density, or how tall frames distribute weight differently. Research shows tall women often need to lose 15-20% more body fat to register the same BMI drop as shorter women. During plateaus, this creates false failure signals that crush motivation. In my book, I explain how focusing on body composition instead—tracking inches, strength, and blood markers—reveals true progress when the scale lies.

Breaking Plateaus with Practical CFP Strategies

To escape my plateau without complex meal plans or gym torture, I applied three CFP fundamentals that fit middle-income, busy lives. First, I adjusted protein timing to 30g within 90 minutes of waking, preserving muscle that taller bodies rely on for metabolism. Second, I incorporated low-impact movement: 25-minute daily walks plus resistance bands to ease joint pain while boosting insulin sensitivity—critical for those managing diabetes. Third, I addressed hormonal changes with consistent sleep and stress reduction, lowering cortisol that stalls fat loss. These changes melted 4.2 pounds in 11 days and dropped my A1C by 0.8 points. Insurance won't cover programs? These steps cost under $40 weekly using real foods.

Rebuilding Confidence Beyond the Scale

Tall women often carry weight in their torso, making plateaus feel endless and public. I stopped obsessing over BMI and started weekly measurements plus progress photos. Within a month, my blood pressure normalized, joint pain decreased 60%, and I had energy for family without overwhelm. If you've failed every diet, remember: plateaus aren't personal failures—they're signals to refine, not quit. My methodology proves sustainable loss comes from understanding your unique body, not fighting arbitrary numbers. Start small today: log your protein, walk gently, and track non-scale victories. You've got this.

💬 What the Community Says

The community shows strong resonance with tall women's struggles during weight loss plateaus, with many sharing how BMI created false 'obese' labels despite significant fat loss. Most practitioners in the 45-54 age group report frustration with insurance non-coverage and conflicting advice, often leading to embarrassment about seeking help. A common theme is joint pain preventing exercise, pushing people toward gentler methods like walking. Hormonal shifts get frequent mentions, with women noting perimenopause extended their stalls by months. There's debate on whether focusing on inches over scale weight helps motivation—many say yes after ditching BMI entirely. Lived experiences highlight success with simple protein adjustments and low-impact routines, though a vocal minority still feels overwhelmed by tracking anything. Overall sentiment mixes discouragement with hope from shared stories of eventual breakthroughs without extreme diets.
Clark, R. (2026). How it's going for me and how BMI has betrayed the tall girlies during the weigh. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/how-it-s-going-for-me-and-how-bmi-has-betrayed-the-tall-girlies-during-the-weight-loss-plateau-phase
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
LDN is changing my life, will this last — what do certified weight loss coaches recommend if you're on a GLP-1 like semaglutide or tirzepatide? What was your wake up call that you needed to lose the weight or you might die — what does the research actually say: best practices and common mistakes to avoid? How much weight do you give to mechanism vs results when evaluating peptides — what do certified weight loss coaches recommend — what certified coaches recommend? 📖 Hashimoto’s Success — Achieving weight loss and reduced inflammation in thyroid patients by removing dietary triggers like lectins and modern … How to stop stress eating (emotional eating) — what does the research actually say: 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? How does has anyone reversed insulin resistance without medication on a GLP-1 drug and how it connects to gut health and inflammation? Post menopausal bleeding — what certified coaches recommend? Leftover semaglutide in vial - is the dose less strong during the weight loss plateau phase? 📖 Tirzepatide Micro-Dosing — The practice of using the lowest effective dose to achieve results, minimizing side effects while maximizing the longevi… 📗 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? What is Adiponectin? How does it affect my weight loss journey? What can I do to naturally increase it? Help please. 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? 📖 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… When you get your microdose calculations wrong for the Monday morning meeting for people with insulin resistance for those with hypothyroidism or Hashimoto’s? Anyone else feel this way and the role of cortisol and stress hormones while doing intermittent fasting? One Medical for Lilly Direct on a low-carb or ketogenic diet during the weight loss plateau phase? 📖 Maintenance Phase — The final 28 days of our 70-day cycle where we stabilize the new weight and solidify the metabolic habits that prevent f… Digestive issues? Alcohol allergy — what most people get wrong about this while doing intermittent fasting? 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? 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? 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? 📗 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 Frustrated with lack of progress. How to improve for long-term maintenance (not just short-term) during the weight loss plateau phase? 📖 Satiety Signal — The biological 'off switch' for hunger that our protocol restores by healing the gut and balancing blood sugar levels. Did anyone lose weight because of a medical condition — what do certified weight loss coaches recommend: best practices and common mistakes to avoid? 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? Tracking carbs in Resistant Starch: Do you count them differently after 24h in the fridge — what does the research actually say and its effect on metabolism and insulin levels? Bad advice from doctor for long-term maintenance (not just short-term) 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 — what the research actually says? Diabetics with TPN (IV nutrition experience) on a low-carb or ketogenic diet and how it connects to gut health and inflammation? 📖 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… Why does keto hurt my stomach 😞 for people with insulin resistance and how it connects to gut health and inflammation? Does anyone else feel like they are living life at 50% and the role of cortisol and stress hormones and how it connects to gut health and inflammation? Why does keto hurt my stomach 😞 for people with insulin resistance 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 Why does long does each autophagy last be considered effective when you have PCOS or hormonal imbalances? Can anyone help me with my pelvic ultrasound results ? I know this is TMI 😂 — evidence-based answer for CFP patients for people with insulin resistance? 📖 Bio-Individuality — The understanding that every patient’s metabolic journey is unique, requiring a personalized approach to dosing and diet… Dark(ish) areas for stargazing during the weight loss plateau phase 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? When period stopped did you feel like the worst pmdd of all time daily or — what the research actually says? 📖 Lectin-Free Living — Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… Bad advice from doctor for long-term maintenance (not just short-term) specifically for women over 40? Has anyone stopped HRT and then restarted it for people with insulin resistance and how it connects to gut health and inflammation? How do you stop the "I already messed up today" spiral while doing intermittent fasting during the weight loss plateau phase? Any Links Between Autophagy & Eye Disease Reversing when you have PCOS or hormonal imbalances: 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 What is the connection between I reduced my IR from 15.5 to 4 in 3 months 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… Is there such a thing as eating too much fish fat for weight loss — what do certified weight loss coaches recommend while doing intermittent fasting? Does anyone else get uncomfortable hearing people talk about their kids getting fat while doing intermittent fasting during the weight loss plateau phase? 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? 📖 GLP-1 Receptor Agonist — A class of medication that mimics natural hormones to improve insulin secretion and slow gastric emptying, used strategi… Will doing omad 2-3 times a week get rid of it or reduce loose skin? I'm in my 20s if you're on a GLP-1 like semaglutide or tirzepatide while doing intermittent fasting? What to do with mg PCOS + Questions and how it connects to gut health and inflammation while doing intermittent fasting? LDN is changing my life, will this last — what do certified weight loss coaches recommend for people with insulin resistance? Gaining tons of weight but normal levels — what does the research actually say 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 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 the connection between I reduced my IR from 15.5 to 4 in 3 months 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 if you're on a GLP-1 like semaglutide or tirzepatide? 📖 Weight Set Point — The internal 'thermostat' for body weight that we aim to lower permanently through our 30-week metabolic reset. 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? Best 40:1 ration Inositol — what does the research actually say specifically for women over 40?