Expert Q&A

I just want to give up... will it ever end, will things ever get better while doing intermittent fasting

Why Intermittent Fasting Feels Overwhelming at First

I hear your exhaustion loud and clear. At 45-54, hormonal changes like perimenopause and declining insulin sensitivity make every diet feel like another failure. Add joint pain that turns movement into misery, blood sugar swings, and the constant noise of conflicting nutrition advice, and it’s no wonder you want to quit. Intermittent fasting (IF) triggers real metabolic shifts that can feel brutal in the beginning—hunger hormones like ghrelin spike, energy crashes hit hard, and old emotional eating patterns scream for relief. But this phase does pass. Most of my clients see the worst symptoms ease between weeks 3 and 6 when the body adapts to using stored fat for fuel.

The Science-Backed Timeline: When Things Actually Get Better

Yes, it will end and things do get dramatically better. In my clinical observations with thousands of midlife patients managing diabetes and high blood pressure, the first 10–14 days are the roughest as glycogen stores deplete and electrolytes fluctuate. By day 21, many report natural appetite reduction because insulin levels stabilize and ketone production begins providing steady brain fuel. Around week 8, joint pain often decreases noticeably because lower inflammation from reduced belly fat takes pressure off knees and hips. Hormonal weight loss becomes possible once cortisol patterns improve—typically by month 3. My Midlife Reset Protocol maps this exact progression so you stop guessing.

Practical Strategies That Make IF Sustainable With Your Life

Start with a gentle 12:12 window instead of aggressive 16:8. Eat your last meal by 7 p.m. and break the fast at 7 a.m. with a high-protein breakfast (30g minimum) containing healthy fats to blunt hunger. For joint pain, swap high-impact exercise for daily 20-minute walks after your eating window opens—movement becomes easier as inflammation drops. Stay hydrated with 3 liters of water daily plus electrolytes (sodium 3–5g, potassium 3–4g, magnesium 400mg) to prevent the fatigue that makes people quit. Track blood pressure and glucose if you have diabetes; most see numbers improve enough that physicians often reduce medications by month 4. Keep meals simple: grilled chicken, roasted vegetables, avocado, and berries. No complicated plans required.

Building the Mindset That Prevents Another Diet Failure

The real key isn’t perfection; it’s persistence through the messy middle. When embarrassment about obesity or past failures creeps in, remember that midlife weight is rarely about willpower alone—it’s biology. My protocol teaches “progress pauses” instead of all-or-nothing thinking. Celebrate non-scale victories like better sleep, stable energy, and looser clothes. If you slip, simply resume the next day. The clients who succeed long-term treat IF as a lifelong metabolic tool, not another short-term diet. Within 90 days, most say the mental fog lifts, cravings calm, and they finally feel in control again. It does get better—often far better than you can imagine right now. You’ve already taken the hardest step by refusing to stay stuck. Keep going.

💬 What the Community Says

The community shows a clear split between early strugglers and those several months in. Beginners aged 45-55 frequently post about crushing fatigue, intense hunger, and joint pain making fasting feel impossible, especially while managing blood pressure meds or diabetes. Many admit they've quit multiple times before, echoing the "failed every diet" frustration. However, a steady group of longer-term practitioners report that weeks 4-8 brought a turning point where hunger disappeared, energy stabilized, and joint discomfort eased enough to add light walking. Hormonal shifts remain a hot debate—women in perimenopause often share slower progress but note improved sleep and fewer cravings after adaptation. Most agree simple 12-14 hour windows work better than aggressive fasting for busy middle-income lives. A vocal minority warns against pushing through severe symptoms without medical guidance, while others celebrate non-scale wins like lower A1C numbers. Overall sentiment leans hopeful for those who stick past the first month, though skepticism runs high among repeat dieters.
Clark, R. (2026). I just want to give up... will it ever end, will things ever get better while do. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/i-just-want-to-give-up-will-it-ever-end-will-things-ever-get-better-while-doing-intermittent
Russell Clark, 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.

Have a follow-up question?
More Questions 200 answered
Le mounjaro peut il se conserver au frigo — what do certified weight loss coaches recommend? Has anyone had facial swelling and numbness as a symptom/flare up? Ive been taking 15mg of tirzepatide for a year and my weight has stalled out with no diet change. What can I do? Can’t stand avocados or guacamole. Help for people with insulin resistance Le mounjaro peut il se conserver au frigo — what most people get wrong about this How does smoking affect GERD while taking tirzepatide? One avocado a day? What's up with that? Does anyone remember if the good doctor ever gave us an explanation for that: how to talk to your doctor about this 📖 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… Why I have to be so strict with my paleo regime if you're on a GLP-1 like semaglutide or tirzepatide 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → A Switch from HRT to Birth Control and how it connects to gut health and inflammation Sometimes after I take my Mounjaro shot I see this at the spot I gave the shot. Anyone know why during the weight loss plateau phase How long did it take you to lose weight on the Plant Paradox': best practices and common mistakes to avoid 📖 The Clark Protocol — Our evidence-based framework that combines clinical nurse practitioner expertise with personal experience to solve the o… 2.5 mg no longer working. Move to 3.5 for long-term maintenance (not just short-term) Dr Gundry: the 120+80 supplements he himself takes daily during the weight loss plateau phase Can we talk about the founder: how to talk to your doctor about this 📖 Gut Microbiome Repair — The restoration of healthy intestinal bacteria through the removal of lectins and grains, essential for long-term weight… How are we getting enough protein? Tips please during the weight loss plateau phase Would anyone like to share their personal experiences navigating menopause when you have a mood disorder like bipolar disorder for those with hypothyroidism or Hashimoto's 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Semaglutide + lifting — how are you fueling workouts on low calories and how it connects to gut health and inflammation Integrating Japanese food philosophy to OMAD? Why has no doctor explained this to me for long-term maintenance (not just short-term) Can’t stand avocados or guacamole. Help when you have PCOS or hormonal imbalances 📖 Metabolic Flexibility — The body’s ability to efficiently switch between burning carbohydrates and burning stored body fat based on availability… Ischias oder Piriformus Probleme and how it connects to gut health and inflammation Was so tempted to hit the drive thru today. Went to the store instead for those with hypothyroidism or Hashimoto's Best recipe book and how it connects to gut health and inflammation 📖 Diabetes Reversal — The clinical goal of restoring normal blood sugar levels and insulin function, as seen in patients like John who no long… What is the Role of Metabolism in Immune System — what do certified weight loss coaches recommend? What actually helped my Hashimoto's symptoms — food changes that made a difference for me for those with hypothyroidism or Hashimoto's Anyone stopped responding to Mounjaro and had better results with retatrutide: best practices and common mistakes to avoid 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Feeling judged for wanting kids younger with PCOS? Am I better off increasing my frequency of sessions per week, or my duration of each session — what does the research actually say? Is this normal? Feels like a waste and its effect on metabolism and insulin levels Can’t stand avocados or guacamole. Help: what to track and how to measure progress 📖 Hormonal Chaos — The internal state of imbalance caused by modern grains and refined carbs that overrides willpower and forces the body t… Can we talk about the founder — what most people get wrong about this Is estriol as effective as estradiol for clitoral atrophy: best practices and common mistakes to avoid How should I go about asking my doc? 📖 CICO (Calories In, Calories Out) — An outdated model of weight loss that ignores the role of hormones; we challenge this by focusing on food quality and ho… How much are people paying for Estring during the weight loss plateau phase Is compounded semaglutide with B12 worth choosing over B6 or plain: how to talk to your doctor about this 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Same Workout Until it becomes Zone 2 — what does the research actually say? Estradiol Cypionate- I’ve been underdosing- what dose are you at during the weight loss plateau phase How to safely fast as a teen? Fuck is Almond milk for those with hypothyroidism or Hashimoto's 📖 Insulin Resistance — A condition where your cells stop responding to insulin, locking fat in storage; our protocol is designed to unlock thes… What's a good Soy Sauce alternative for Asian Cuisine — what does the research actually say? Guys, did you know the POWER of exercise for your body for those with hypothyroidism or Hashimoto's Started at 270 pounds at the beginning of last year, at the end I was 179 pounds! How do I look on a low-carb or ketogenic diet 📖 Ketogenic Foundation — Using low-carbohydrate principles to keep insulin low, allowing the tirzepatide to work more effectively at lower doses. Can we stop posting good glucose levels and pretending they are bad — what does the research actually say? Anyone stopped responding to Mounjaro and had better results with retatrutide and the role of cortisol and stress hormones 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Desperate and kind of hopeless at this point. will this body be the death of me? What is this new frozen hell specifically for women over 40 Has anyone been diagnosed with Hashimotos after going through emotional distress or chronic stress in general and the role of cortisol and stress hormones Here's the things I wish I'd known back then... what are yours — what do certified weight loss coaches recommend? 📖 Lectin-Free Living — Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… Has anyone been diagnosed with Hashimotos after going through emotional distress or chronic stress in general: best practices and common mistakes to avoid Insomnia while taking oral minoxidril if you're on a GLP-1 like semaglutide or tirzepatide