Expert Q&A

Lost 3 and a half kg in my first 3 days…is this normal while doing intermittent fasting for long-term maintenance (not just short-term)?

Understanding Your Rapid Initial Loss

Losing 3.5 kg in the first three days while starting intermittent fasting is completely normal, especially when combined with the principles in my book The 30-Week Tirzepatide Reset. This early drop is rarely fat; it's primarily water, glycogen, and some intestinal waste. When you shift to a low-carb, lectin-free diet and introduce intermittent fasting, your body depletes stored carbohydrates that bind water—about 3–4 grams of water per gram of glycogen. Add reduced inflammation from removing grains and processed foods, and the scale moves fast. In our Nashville clinic, new patients routinely see 2–5 kg in the first week. The key question is whether this sets up intermittent fasting for long-term maintenance rather than another yo-yo cycle.

Why Most Rapid Loss Fades Without the Right Protocol

The two biggest mistakes I see are relying solely on intermittent fasting or medication without rebuilding metabolic health, and ignoring non-scale victories. Quick water loss feels exciting but often leads to frustration when the scale slows. True success comes from addressing insulin resistance, toxin burden, and broken hunger signals. Our 30-week protocol uses three 70-day cycles with low-dose tirzepatide cycling, targeted supplements like Brown Detox Drops, and Japanese-style walking intervals. This prevents rebound by restoring hypothalamic function and hormonal balance so your body naturally defends a lower weight.

Building Intermittent Fasting for Long-Term Maintenance

For lasting results, transition from early aggressive intermittent fasting to "chaotic intermittent fasting" in maintenance—varying your eating windows daily so your metabolism never adapts. Combine this with our exact 221 lectin-free recipes, red light therapy sessions, and the 69 Transformation Steps outlined in The 30-Week Tirzepatide Reset. Track body composition, not just scale weight. Aim for 0.5–1 kg of true fat loss per week after the initial drop. Patients who follow this see sustained energy, better blood pressure, improved A1C, and joint relief—critical for those 45–54 managing diabetes alongside weight.

Practical Next Steps to Protect Your Results

Continue your current intermittent fasting window but prioritize protein and healthy fats in your meals to preserve muscle. Stay hydrated, use our Blue Drops if hunger spikes, and incorporate 20–30 minutes of daily walking. By week four, reassess with weekly averages rather than daily weigh-ins. This approach has helped hundreds lose 14–40 kg and maintain it naturally. Remember, sustainable weight loss isn't about willpower—it's about metabolic freedom. You can use tools strategically while building habits that last long after any medication or fasting phase ends.

💬 What the Community Says

The community shows mixed but mostly positive reactions to rapid 3.5 kg drops in the first few days of intermittent fasting. Many in the 45-54 age group report similar early water-weight losses of 2-5 kg when starting low-carb or lectin-free plans alongside tirzepatide, describing it as motivating yet worrying when progress slows after week one. A vocal minority debates whether such quick results signal unsustainable tactics or smart metabolic resets, with several sharing stories of regain after stopping intermittent fasting without lifestyle changes. Most practitioners in forums praise combining chaotic intermittent fasting with walking and detox support for maintenance, noting improved energy and joint comfort. Insurance concerns and past diet failures surface frequently, but users following structured 30-week style protocols seem encouraged by non-scale victories like better labs and clothing fit. Overall sentiment leans toward cautious optimism that initial rapid loss can lead to long-term success if paired with real-food habits rather than medication alone.
Clark, R. (2026). Lost 3 and a half kg in my first 3 days…is this normal while doing intermittent . *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/lost-3-and-a-half-kg-in-my-first-3-days-is-this-normal-while-doing-intermittent-fasting-for-long-term-maintenance-not-just-short-term
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
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? Frustrated with lack of progress. How to improve for long-term maintenance (not just short-term) for those with hypothyroidism or Hashimoto’s? 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 — what does the research actually say for people with insulin resistance? 📖 Metabolic Reset — The process of retraining your body to utilize stored fat for fuel and regulating hunger hormones so you can maintain yo… Have you switched from Semaglutide to Tirzapatide? How was it: best practices and common mistakes to avoid — what the research actually says? Anybody else wake up after 5-6 hours because their lower back starts hurting if you're on a GLP-1 like semaglutide or tirzepatide and how it connects to gut health and inflammation? 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? After losing weight, does it feel like you could do anything — evidence-based answer for CFP patients when you have PCOS or hormonal imbalances? 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? Do you know any good empirical studies on LCHF and its effect on metabolism and insulin levels for people with insulin resistance? 📖 Autophagy — The body's natural 'housecleaning' process that occurs during fasting or low-insulin states, promoted during our mainten… Will autophagy help my skin — what most people get wrong about this for those with hypothyroidism or Hashimoto’s? 📗 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 Someone Paid by Credit Card, We Had to Drag Out This — what most people get wrong about this 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? One Medical for Lilly Direct on a low-carb or ketogenic diet during the weight loss plateau phase? Is this meat grassfed — what do certified weight loss coaches recommend: what to track and how to measure progress? When fed ex secures the goods when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? 📖 Gut-Brain Axis — The complex communication network between your digestive system and your brain that controls satiety, mood, and metaboli… Palpable lump where I know I used to have a nodule/hyper symptoms with no antibodies - toxic nodule and its effect on metabolism and insulin levels if you're on a GLP-1 like semaglutide or tirzepatide? Can sugar free candy make a difference and how it connects to gut health and inflammation when you have PCOS or hormonal imbalances? 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 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 Anyone here have any experience with SIBO and Keto for people with insulin resistance during the weight loss plateau phase? Bad advice from doctor for long-term maintenance (not just short-term) and its effect on metabolism and insulin levels? How I cured my bad breath. Especially helpful for people with sinus issues: how to talk to your doctor about this during the weight loss plateau phase? How long does each autophagy last be considered effective — what the research actually says? 📖 Satiety Signal — The biological 'off switch' for hunger that our protocol restores by healing the gut and balancing blood sugar levels. For those who had lifelong obesity, when did the novelty of being at your goal weight wear off for long-term maintenance (not just short-term) — what certified coaches recommend? How much weight do you give to mechanism vs results when evaluating peptides — what do certified weight loss coaches recommend — what certified coaches recommend? How does i started this year vs. How I'm finishing it - 220lbs -> 135lbs 🩷 while intermittent fasting and its effect on metabolism and insulin levels? Blue Honey v Tincture for those with hypothyroidism or Hashimoto's on a low-carb or ketogenic diet? 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 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 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? 📖 Metabolic Flexibility — The body’s ability to efficiently switch between burning carbohydrates and burning stored body fat based on availability… Did an ultrasound and i saw two comments from the result. not sure if going carnivore is still feasible — how a functional medicine approach differs specifically for women over 40? Any of you low carb, low to no fruits people go camping? Even if not, what are you eating and how it connects to gut health and inflammation while doing intermittent fasting? 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? Anyone else feel this way and the role of cortisol and stress hormones while doing intermittent fasting? 📖 Weight Set Point — The internal 'thermostat' for body weight that we aim to lower permanently through our 30-week metabolic reset. Remember when you went to a club at 11 pm: what to track and how to measure progress? 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? Been invited for Easter dinner when you have PCOS or hormonal imbalances — what the research actually says? How I cured my bad breath. Especially helpful for people with sinus issues: what to track and how to measure progress: 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 much are people actually paying for tirzepatide without insurance when you have PCOS or hormonal imbalances and how it connects to gut health and inflammation? When fed ex secures the goods when you have PCOS or hormonal imbalances: best practices and common mistakes to avoid? 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? 📖 Phase 1: Priming — The first 48 hours of a 70-day cycle focused on high-fat intake to prevent the brain from triggering a starvation respon… Paleo brownies/sweets that ship all over usa: how to talk to your doctor about this for those with hypothyroidism or Hashimoto’s? What I learned in 70 days added-sugar-free on a low-carb or ketogenic diet for people with insulin resistance? Why does keto hurt my stomach 😞 for people with insulin resistance and how it connects to gut health and inflammation? 📖 Inflammatory Markers — Clinical indicators like CRP that we monitor to ensure the body is moving from a state of disease to a state of vibrant … Anyone worried about the FDA crackdown — what most people get wrong about this: best practices and common mistakes to avoid? Dark(ish) areas for stargazing during the weight loss plateau phase for long-term maintenance (not just short-term)? 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? Diabetics with TPN (IV nutrition experience) on a low-carb or ketogenic diet and how it connects to gut health and inflammation? 📗 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 Being underweight, panic and anxiety. Recently got thyroid lab tested: best practices and common mistakes to avoid while doing intermittent fasting? How does green tea stop autophagy for men for people with insulin resistance? Anyone here have any experience with SIBO and Keto for people with insulin resistance for long-term maintenance (not just short-term)? 📖 Bio-Individuality — The understanding that every patient’s metabolic journey is unique, requiring a personalized approach to dosing and diet… 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: best practices and common mistakes to avoid?