Expert Q&A

Wait... Do y'all eat the fat chunks when you eat ribeye during the weight loss plateau phase for those with hypothyroidism or Hashimoto’s?

Why Fat Intake Matters with Hypothyroidism and Hashimoto’s

When patients with hypothyroidism or Hashimoto’s hit a weight loss plateau on our protocol, the question about eating the fat chunks on ribeye always surfaces. The short answer is yes—eat the fat. In The 30-Week Tirzepatide Reset, we deliberately keep dietary fat moderate to high during plateau phases because your thyroid needs cholesterol and fatty acids to produce hormones. Skimping on fat can further suppress T3 conversion and stall metabolism even more. A typical 12–16 oz ribeye provides 60–80g of fat; consuming most of those visible chunks supplies the building blocks your body needs while keeping carbs under 30g daily on our lectin-free plan.

How This Fits the 30-Week Tirzepatide Reset Protocol

Our three 70-day cycles use low-dose tirzepatide cycling to improve insulin sensitivity without eliminating dietary fat. During weeks 11–20, when many Hashimoto’s patients plateau, we maintain 1.5–2.0 mg tirzepatide weekly while emphasizing fatty cuts of pasture-raised beef. The fat slows gastric emptying, stabilizes blood sugar, and reduces the inflammation that often accompanies thyroid autoimmunity. Pair the ribeye with non-starchy vegetables sautéed in tallow or olive oil and you create a meal that supports both fat loss and thyroid recovery. We track this with body-composition scales—patients routinely drop 2–4 pounds of visceral fat in the two weeks after increasing healthy fat intake even when the scale barely moves.

Practical Tips to Break the Plateau Safely

First, choose ribeye with good marbling and eat 70–80% of the visible fat; trim only excessively thick gristle. Season simply with sea salt—avoid spice blends containing nightshades that can trigger Hashimoto’s flares. Time the meal within a 10-hour eating window to layer chaotic intermittent fasting benefits. Add our Brown Detox Drops mid-morning and 20 minutes of Japanese-style walking after dinner. Red light therapy on the thyroid area three times weekly further supports hormone production. In my book, Step 47 specifically addresses thyroid patients: increase animal fat to 60% of calories for 10–14 days when progress stalls. This approach has helped dozens of 48–55-year-old women with joint pain and medication-resistant hypothyroidism lose the final 15–25 pounds without increasing levothyroxine.

Long-Term Metabolic Freedom After the Plateau

The real goal isn’t just surviving the plateau—it’s rebuilding the metabolic freedom described in The 30-Week Tirzepatide Reset so you never yo-yo again. Once thyroid labs stabilize (we aim for TSH under 2.0 and free T3 in the upper quartile), we taper tirzepatide and transition into maintenance with the same ribeye-and-fat habit. Patients report sustained energy, resolved brain fog, and clothing sizes they haven’t seen in decades. Remember, the fat on that ribeye isn’t the enemy; ultra-processed carbs, hidden lectins, and toxin overload are. Give your body the right signals and it will heal.

💬 What the Community Says

Forum members with hypothyroidism and Hashimoto’s show mixed but mostly positive experiences eating the fat on ribeye during plateaus. Many following lectin-free or carnivore-style plans report that consuming the visible fat chunks helped break stalls after weeks of no movement on the scale, often noting improved energy and softer joints within 7–10 days. A vocal minority worries about calorie density and prefers trimming most fat, citing slower loss or digestive discomfort. Several users in their late 40s to mid-50s mention insurance barriers and prior diet failures, sharing that adding fatty ribeye alongside walking and occasional fasting finally moved the needle when meds alone didn’t. Debates continue on exact ratios—some aim for 70% fat calories, others keep portions to 10–12 ounces—yet most agree real-food approaches feel more sustainable than ultra-low-fat protocols. Success stories of 25–40 pound losses with stable thyroid labs are common, though a few note the need to monitor labs closely when increasing animal fats.
Clark, R. (2026). Wait... Do y'all eat the fat chunks when you eat ribeye during the weight loss p. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/wait-do-y-all-eat-the-fat-chunks-when-you-eat-ribeye-during-the-weight-loss-plateau-phase-for-those-with-hypothyroidism-or-hashimoto-s
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
▸ How I Lost 22lbs in 3 Months (155→133lbs at 5'8") after not being able to lose weight for a long time if you're on a GLP-1 like semaglutide or tirzepatide during the weight loss plateau phase? ▸ What is a super quick "Mix some of this in" to make coconut oil (purely in liquid form) taste ok to make it easy to consume: how to talk to your doctor about this during the weight loss plateau phase? ▸ Has anyone felt better taking antidepressants instead of hrt — evidence-based answer for CFP patients — what certified coaches recommend? ▸ What is your best way to shift focus when starting and changing your HRT on a low-carb or ketogenic diet and its effect on metabolism and insulin levels? ▸ Who still goes to steeplechase — what do certified weight loss coaches recommend for long-term maintenance (not just short-term)? 📖 30-Week Tirzepatide Reset — Our signature protocol using a single 60 mg box of medication cycled over 30 weeks to achieve lasting metabolic transfor… ▸ 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? ▸ Got diagnosed today, where do i go from here — what do certified weight loss coaches recommend: best practices and common mistakes to avoid? ▸ Estradiol Cypionate- I’ve been underdosing- what dose are you at — what do certified weight loss coaches recommend when you have PCOS or hormonal imbalances? 📖 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 anyone else worried about judgment from others for those with hypothyroidism or Hashimoto's during the weight loss plateau phase? ▸ Thyroid tests all in range— but high calcium — how a functional medicine approach differs during the weight loss plateau phase? ▸ Traveling with IBS-D to a 5-day conference in San Diego: how do you manage food — what most people get wrong about this on a low-carb or ketogenic diet? 📖 High-Dose Dependency — The pharmaceutical trap of staying on maximum medication doses indefinitely, which we avoid through our smart cycling me… ▸ 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? ▸ 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)? ▸ How much protein should I eat if I weigh 280 pounds and want to cut a 100 pounds of fat off of my body? 📖 Metabolic Stall — A plateau in weight loss often caused by hidden inflammation or hormonal adaptation, which we break using our specific 7… ▸ Omnipod. Starting an insulin pump help while doing intermittent fasting for long-term maintenance (not just short-term)? ▸ Omnipod. Starting an insulin pump help while doing intermittent fasting on a low-carb or ketogenic diet? ▸ Good calorie amount? Advice to get high volume low cal and more protein when you have PCOS or hormonal imbalances — what the research actually says? ▸ The cost of meat is soaring, especially beef. What are y’all doing to stay on budget on a low-carb or ketogenic diet? 📖 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… 📗 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 ▸ LDN is changing my life, will this last: best practices and common mistakes to avoid: what to track and how to measure progress? ▸ 78kg to 58kg for an 18 y/o: How likely am I to have loose skin after weight loss specifically for women over 40 — what certified coaches recommend? ▸ 42yom Im finding it much harder to lose weight, what are some things I can do now to start losing weight? ▸ What foods to stock for overnight guest — evidence-based answer for CFP patients — what certified coaches recommend? ▸ 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? ▸ LDN is changing my life, will this last: best practices and common mistakes to avoid for people with insulin resistance? ▸ 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 for long-term maintenance (not just short-term)? 📖 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… ▸ What is your immediate go to for some relief during ha — what most people get wrong about this — what certified coaches recommend? ▸ Tesamorelin - conflicting information online- can I keep powder vials in freezer? Can I keep reconstituted vials in fridge — what do certified weight loss coaches recommend for those with hypothyroidism or Hashimoto’s? ▸ 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? 📖 Diabetes Reversal — The clinical goal of restoring normal blood sugar levels and insulin function, as seen in patients like John who no long… 📗 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 cant i lose weight and am gaining weight when you have PCOS or hormonal imbalances while doing intermittent fasting? ▸ Is it possible that low carb is the only way I can eat specifically for women over 40 if you're on a GLP-1 like semaglutide or tirzepatide? ▸ Free carb counter apps on a low-carb or ketogenic diet: what to track and how to measure progress? ▸ Is it normal to lose weight then gain again when you have PCOS or hormonal imbalances for long-term maintenance (not just short-term)? 📖 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 … ▸ 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? ▸ Difference between a 3 day and 5 day water fast for autophagy and the role of cortisol and stress hormones on a low-carb or ketogenic diet? ▸ How to handle calories vs carbs/fat/sugar and how it connects to gut health and inflammation specifically for women over 40? 📖 Tirzepatide — A dual-acting medication targeting both GLP-1 and GIP receptors, providing a more comprehensive metabolic signal than si… ▸ Weight loss without GLP-1 — what does the research actually say while doing intermittent fasting? ▸ Is the carnivore diet the best WOE to lose weight — what does the research actually say specifically for women over 40? 📗 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 ▸ Low TSH, Low T4, and Low T3 simultaneously on Levothyroxine — anyone experienced this and the role of cortisol and stress hormones — what certified coaches recommend? ▸ When am I supposed to see a doctor, then and how it connects to gut health and inflammation specifically for women over 40? ▸ Testosterone how long does it take to work while doing intermittent fasting if you're on a GLP-1 like semaglutide or tirzepatide? 📖 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… ▸ I have an iodine deficiency. Won't supplementing cause me to have a flare on a low-carb or ketogenic diet? ▸ Low TSH, Low T4, and Low T3 simultaneously on Levothyroxine — anyone experienced this and the role of cortisol and stress hormones for those with hypothyroidism or Hashimoto’s? ▸ When the fatigue is real: how to talk to your doctor about this for people with insulin resistance? 📖 Muscle Sarcopenia — The dangerous loss of lean muscle mass often seen in traditional 'crash diets' or high-dose GLP-1 use, which we combat t… ▸ How do you stop the "I already messed up today" spiral and the role of cortisol and stress hormones — what certified coaches recommend? ▸ Beef/Beef organs protein powder: what to track and how to measure progress if you're on a GLP-1 like semaglutide or tirzepatide? ▸ To what extent do Mendelian Randomization Studies provide causal evidence for a particular claim — what does the research actually say 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 ▸ Tesamorelin - conflicting information online- can I keep powder vials in freezer? Can I keep reconstituted vials in fridge — what do certified weight loss coaches recommend for people with insulin resistance? ▸ Crust check 🔥 ribeye done right — what the research actually says? ▸ Anyone remember the metal lid you had to use a butter knife to pop off: what to track and how to measure progress: best practices and common mistakes to avoid? 📖 Modern Wheat Dangers — The hidden threat in hybridized grains that causes gut inflammation and spikes blood sugar more aggressively than pure t… ▸ Can chicken and beef tallow replace beef — what do certified weight loss coaches recommend for those with hypothyroidism or Hashimoto’s?