Expert Q&A

Is anyone having issues with their resting heart rate being high — what do certified weight loss coaches recommend?

Understanding Elevated Resting Heart Rate During Weight Loss

As a certified weight loss coach with over 15 years helping midlife adults, I see resting heart rate (RHR) issues frequently. Normal RHR sits between 60-100 beats per minute (bpm), yet many clients in their late 40s and early 50s report readings of 85-95 bpm even at rest. This often stems from hormonal changes, chronic stress elevating cortisol, dehydration, or the body's adaptation to calorie deficits after years of failed diets.

In my book The CFP Method, I explain how excess weight and insulin resistance from unmanaged blood sugar directly strain the cardiovascular system. For those managing diabetes and high blood pressure alongside obesity, an elevated RHR signals the heart is working harder than necessary. Tracking morning RHR with a simple wrist monitor provides valuable data before starting any program.

Common Causes in Beginners Over 45

Joint pain often prevents traditional exercise, leading to deconditioning that raises RHR. Conflicting nutrition advice compounds this—low-carb plans might initially spike stress hormones while insurance-covered programs rarely address root metabolic issues. In the CFP Method, we target heart rate variability (HRV) improvement as a key marker of recovery. Low HRV paired with high RHR typically indicates nervous system overload from life stressors or undiagnosed sleep apnea common in this age group.

Beginners frequently overlook how even mild dehydration (just 2% body weight loss) can increase RHR by 5-10 bpm. Caffeine timing, hidden salt sensitivity, and inconsistent sleep further disrupt the autonomic balance.

Certified Coach Recommendations That Actually Work

First, establish a baseline: measure RHR for seven consecutive mornings before breakfast while still lying in bed. Aim to lower it by 1 bpm per week through gentle interventions. I recommend starting with daily 10-minute breathwork sessions—box breathing (4-second inhale, hold, exhale, hold) activates the vagus nerve and can drop RHR 8-12 bpm within weeks.

For exercise impossible due to joint pain, try seated or pool-based movement. My CFP beginners follow a 20-minute “Heart Rate Reset Walk” at 50-60% max heart rate (calculated as 220 minus age). This builds cardiovascular efficiency without strain. Combine with 25 grams of protein at breakfast to stabilize blood sugar and reduce cortisol-driven fat storage.

Nutrition tweaks matter more than complex meal plans. Swap evening carbs for magnesium-rich foods like pumpkin seeds (400mg daily target) to improve sleep depth and naturally lower nighttime RHR. Stay hydrated with 0.5 ounces of water per pound of body weight, adding electrolytes if blood pressure meds cause imbalances.

Monitoring Progress and When to Seek Help

Track both RHR and HRV using free phone apps paired with affordable wearables. In the CFP Method, we celebrate a 10-point HRV increase as much as scale victories. Most clients see RHR drop into the low 70s within 8-12 weeks when combining these steps with consistent 7-8 hours of sleep.

If RHR remains above 90 bpm despite improvements or you experience dizziness, consult your physician to rule out thyroid or medication side effects. Small, sustainable changes beat another restrictive diet that fails within months. Start today with morning measurements and breathwork—you’ll build confidence without the embarrassment of complicated gym routines.

💬 What the Community Says

The community shows strong interest in resting heart rate concerns during midlife weight loss attempts. Many in the 45-55 age range report RHR readings in the mid-80s to low 90s, often linking it to perimenopause, ongoing blood pressure medications, or past yo-yo dieting. A common theme is frustration with joint pain preventing cardio that might help lower heart rate, with several noting wearables constantly flag "high stress" even on rest days. Most practitioners find gentle walking, hydration tracking, and cutting late-night caffeine provide modest improvements within a month, though results vary widely. A vocal minority debates whether elevated RHR signals metabolic adaptation or simply aging, with some sharing success stories from breathwork or magnesium supplementation. Beginners express relief finding others face similar issues without quick fixes, often recommending affordable chest strap monitors over wrist devices for accuracy. Overall sentiment reflects cautious optimism mixed with skepticism after multiple failed programs.
Clark, R. (2026). Is anyone having issues with their resting heart rate being high — what do certi. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/is-anyone-having-issues-with-their-resting-heart-rate-being-high-what-do-certified-weight-loss-coaches-recommend
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
▸ 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? ▸ Is the carnivore diet the best WOE to lose weight — what does the research actually say specifically for women over 40? ▸ Diabetics with TPN (IV nutrition experience) and the role of cortisol and stress hormones on a low-carb or ketogenic diet? ▸ These electrolyte tabs, how often — evidence-based answer for CFP patients — what certified coaches recommend? ▸ What actually helps with the dryness when you have PCOS or hormonal imbalances while doing intermittent fasting? 📖 Visceral Fat — The dangerous 'hidden' fat stored around internal organs that drives chronic disease and is specifically targeted by our… ▸ 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? ▸ 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? ▸ What's the dumbest thing you and/or your siblings did when you were left home alone for those with hypothyroidism or Hashimoto's 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 ▸ 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? ▸ 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 carnivore diet the best WOE to lose weight — what does the research actually say if you're on a GLP-1 like semaglutide or tirzepatide? 📖 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… ▸ 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? ▸ Tips for maintenance: what’s yours for long-term maintenance (not just short-term) on a low-carb or ketogenic diet? ▸ Crust check 🔥 ribeye done right for long-term maintenance (not just short-term)? ▸ Testosterone how long does it take to work while doing intermittent fasting if you're on a GLP-1 like semaglutide or tirzepatide? ▸ What can I ask for if estrodiol cream remains in shortage? Newly prescribed-should I even start if I can't refill next month — how a functional medicine approach differs — what the research actually says? ▸ Crust check 🔥 ribeye done right 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 ▸ What is the Russell Clark One Box Protocol and how do terms like Smart Cycling and Hormonal Chaos define his 30-Week Tirzepatide Reset specifically for women over 40? 📖 Refined Carbohydrates — Processed sugars and flours that strip the body of nutrients while driving the hormonal chaos responsible for the modern… ▸ Why is almost all the focus in treating PCOS on fertility: what to track and how to measure progress while doing intermittent fasting? ▸ 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? ▸ Do you think they read the responses they receive: how to talk to your doctor about this while doing intermittent fasting? 📖 30-Week Tirzepatide Reset — Our signature protocol using a single 60 mg box of medication cycled over 30 weeks to achieve lasting metabolic transfor… ▸ 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? ▸ 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? ▸ Is lime water (but sipped throughout the day) ok with autophagy — how a functional medicine approach differs for people with insulin resistance? ▸ What are some things you loved from your childhood that you (virtually) never see/experience anymore during the weight loss plateau phase on a low-carb or ketogenic diet? ▸ Is it normal to lose 6 kg in one week during the weight loss plateau phase for long-term maintenance (not just short-term)? 📗 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 ▸ 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? 📖 Gut Microbiome Repair — The restoration of healthy intestinal bacteria through the removal of lectins and grains, essential for long-term weight… ▸ What are the wegovy doses in order on a low-carb or ketogenic diet for long-term maintenance (not just short-term)? ▸ When do you know to go to the hospital specifically for women over 40? ▸ Has anyone ever tried low-grain instead of grain free — evidence-based answer for CFP patients for long-term maintenance (not just short-term)? ▸ 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)? 📖 One Box Protocol — A revolutionary approach where we stretch one 60 mg box of tirzepatide across three metabolic phases, prioritizing long-… ▸ I am on my second week of mounjaro (2.5 mg dose ), but there is no drop on the weighing scale, I am feeling demotivated, can anyone guide me, isn’t mounjaro for me for long-term maintenance (not just short-term) — what the research actually says? ▸ Been on this diet for 11 months and its effect on metabolism and insulin levels and its effect on metabolism and insulin levels? ▸ What are the wegovy doses in order on a low-carb or ketogenic diet — what certified coaches recommend? 📗 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 ▸ 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? ▸ 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 and its effect on metabolism and insulin levels? 📖 Non-Scale Victories (NSV) — Improvements in energy, sleep, and disease reversal that matter just as much as the numbers on the scale during your tra… ▸ I have an iodine deficiency. Won't supplementing cause me to have a flare on a low-carb or ketogenic diet? ▸ Do yall ever daydream of who you were before your diagnosis when you have PCOS or hormonal imbalances when you have PCOS or hormonal imbalances? ▸ If a random dance partner app existed .. would you try it: how to talk to your doctor about this and its effect on metabolism and insulin levels? ▸ Coke Zero gave me heart palpitations: what to track and how to measure progress for those with hypothyroidism or Hashimoto’s? ▸ 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? 📖 Insulin Resistance — A condition where your cells stop responding to insulin, locking fat in storage; our protocol is designed to unlock thes… 📗 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 ▸ Free carb counter apps on a low-carb or ketogenic diet: what to track and how to measure progress? ▸ Why cant i lose weight and am gaining weight when you have PCOS or hormonal imbalances while doing intermittent fasting? ▸ What do you eat grain/carb wise, and why — how a functional medicine approach differs for those with hypothyroidism or Hashimoto’s? ▸ Traveling with IBS-D to a 5-day conference in San Diego: how do you manage food — what most people get wrong about this during the weight loss plateau phase? ▸ Is it normal to lose weight then gain again when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? 📖 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… ▸ 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? ▸ Tips for maintenance: what’s yours for long-term maintenance (not just short-term): best practices and common mistakes to avoid? ▸ Why cant i lose weight and am gaining weight when you have PCOS or hormonal imbalances for those with hypothyroidism or Hashimoto’s?