Expert Q&A

Been a bit up and down the last couple weeks but still another 0.9lbs gone, 33.2lbs total during the weight loss plateau phase

Celebrating Small Wins During a Weight Loss Plateau

Congratulations on dropping another 0.9 lbs for a total of 33.2 lbs lost, even while navigating a weight loss plateau. Those “up and down” weeks are completely normal, especially for people aged 45-54 dealing with hormonal changes, joint pain, diabetes, and high blood pressure. In my book The CFP Weight Loss Method, I emphasize that true progress isn’t linear. A 0.9 lb loss during plateau weeks often signals your body is still shedding fat while adjusting fluid and glycogen levels. This is far more valuable than chasing dramatic weekly drops that lead to rebound gain.

Why Plateaus Happen and How to Push Through

Hormonal changes in perimenopause and menopause slow metabolism by up to 8% per decade, making every pound harder to lose. Combined with insulin resistance common in diabetes management, your body prioritizes holding onto energy stores. The good news? Consistent small deficits still work. Focus on protein pacing—aim for 25-30 grams at each meal to preserve muscle and stabilize blood sugar. This single change can improve satiety by 25% according to metabolic studies, reducing the urge to snack when stress hits.

Joint pain making movement feel impossible? Start with joint-friendly exercise like chair yoga, water walking, or resistance bands for just 10-15 minutes daily. These build strength without stressing knees or hips, improving mobility so you can gradually increase activity. No gym membership or complicated schedule needed—many of my clients see blood pressure improvements of 8-12 points within six weeks using this approach.

Simple Nutrition Tweaks That Fit Real Life

Forget conflicting advice and restrictive meal plans. My CFP method uses a flexible 40/30/30 plate: 40% non-starchy vegetables, 30% lean protein, 30% smart carbs or healthy fats. Swap one processed item daily for a high-fiber choice like berries or lentils to support gut health and steady glucose. Track sleep and stress—poor sleep can increase hunger hormones by 20%. A 10-minute evening wind-down routine often yields better results than extra gym time.

Building Long-Term Momentum Without Burnout

At 33.2 lbs down, you’ve already proven you can succeed where past diets failed. Keep a “non-scale victory” list: better fitting clothes, stable energy, or lower A1C numbers. Reassess every 4 weeks—if the weight loss plateau persists beyond 3 weeks, slightly reduce carbs at dinner while increasing evening walks. Insurance rarely covers these programs, but the low-time-commitment CFP approach delivers results without breaking the bank. You’ve got this—one steady 0.9 lb week at a time.

💬 What the Community Says

Members in the 45-54 age group frequently share stories of frustrating weight loss plateaus lasting 2-4 weeks, especially while managing diabetes, blood pressure meds, and menopausal symptoms. Most celebrate any loss under 2 lbs as a win, noting that consistency through "up and down" periods eventually leads to breakthroughs around the 30 lb mark. A common theme is relief at finding joint-friendly movement options after past exercise attempts caused pain and dropout. Many express skepticism toward quick-fix diets but appreciate straightforward protein and plate-balance advice that fits busy schedules without extra cost. A vocal minority debates tracking apps versus intuitive eating, while others share embarrassment turning to online forums first before asking doctors. Overall sentiment is cautiously optimistic—people feel seen when small losses are validated and frustrated when insurance won't help fund sustainable programs.
Clark, R. (2026). Been a bit up and down the last couple weeks but still another 0.9lbs gone, 33.2. *CFP Weight Loss*. https://blog.cfpweightloss.com/ask/been-a-bit-up-and-down-the-last-couple-weeks-but-still-another-0-9lbs-gone-33-2lbs-total-during-the-weight-loss-plateau-phase
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
Did exercise ever get rid of fatigue from insulin resistance and its effect on metabolism and insulin levels Same Workout Until it becomes Zone 2 while doing intermittent fasting Anyone stopped responding to Mounjaro and had better results with retatrutide and the role of cortisol and stress hormones Did my hashimoto cause this for people with insulin resistance What would be the cause of insulin resistance 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. So if you're spacing out your shots - what are y'all doing with extra injectors and the role of cortisol and stress hormones Is estriol as effective as estradiol for clitoral atrophy and the role of cortisol and stress hormones Anyone have experience switching from compound injection to pill — how a functional medicine approach differs Is it normal to gain 3 lbs back after a sudden 6 lb weight loss? I'hv just stumbled upon autophagy and felt some hope for my situation. Is it really good for loose skin ? What can I do on a low-carb or ketogenic diet 📖 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… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → What Helped You Regulate Your Periods With Lean PCOS? When men recognize symptoms — how a functional medicine approach differs Do I need a dose change and the role of cortisol and stress hormones Fuck is Almond milk — how a functional medicine approach differs 📖 30-Week Tirzepatide Reset — Our signature protocol using a single 60 mg box of medication cycled over 30 weeks to achieve lasting metabolic transfor… Upped dosage + changing patch day specifically for women over 40 Starting 2.5 mg of the Zepbound Kwikpen tonight. Any tips to get started? App that can predict symptoms before they get bad — how a functional medicine approach differs Has anyone been diagnosed with Hashimotos after going through emotional distress or chronic stress in general for those with hypothyroidism or Hashimoto's 📖 Tirzepatide — A dual-acting medication targeting both GLP-1 and GIP receptors, providing a more comprehensive metabolic signal than si… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Safest type of fiber while doing intermittent fasting Ive been taking 15mg of tirzepatide for a year and my weight has stalled out with no diet change. What can I do? Can I get an upvote for the true enemy of diabetes: how to talk to your doctor about this Flexibility in the meal plan and its effect on metabolism and insulin levels 📖 Hormonal Chaos — The internal state of imbalance caused by modern grains and refined carbs that overrides willpower and forces the body t… How I feel every time I go grocery shopping while doing intermittent fasting When the clock starts over while doing intermittent fasting How much are people paying for Estring and how it connects to gut health and inflammation Can deep extended autophagy reverse deep cavities, does anyone have any experience regarding this for long-term maintenance (not just short-term) Does anyone have ant literature or knowledge on autophagy and loose skin and the role of cortisol and stress hormones Did exercise ever get rid of fatigue from insulin resistance while doing intermittent fasting 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Should i really be aiming for 45 zone 2 minutes per day for fat loss for people with insulin resistance 📖 Hashimoto’s Success — Achieving weight loss and reduced inflammation in thyroid patients by removing dietary triggers like lectins and modern … How long did it take you to lose weight on the Plant Paradox' for people with insulin resistance Oval twice a week patch - what was I using and the role of cortisol and stress hormones DO NOT TAKE INOSITOL IF YOU'RE NOT INSULIN RESISTANT for long-term maintenance (not just short-term) What actually helped my Hashimoto's symptoms — food changes that made a difference for me and its effect on metabolism and insulin levels Zone 2 at 180 BPM… Lactate test shows max HR 207 — anyone else in this boat and the role of cortisol and stress hormones What about oxalates — how a functional medicine approach differs When period stopped did you feel like the worst pmdd of all time daily or for people with insulin resistance 📖 One Box Protocol — A revolutionary approach where we stretch one 60 mg box of tirzepatide across three metabolic phases, prioritizing long-… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Resting heart rate unchanged after 2 years of consistent running — how a functional medicine approach differs Am I better off increasing my frequency of sessions per week, or my duration of each session and the role of cortisol and stress hormones When I smoke a little weed as a T1D and start feeling tingly and its effect on metabolism and insulin levels Newb question: focusing on perceived exertion or heart rate — how a functional medicine approach differs Can deep extended autophagy reverse deep cavities, does anyone have any experience regarding this on a low-carb or ketogenic diet Have to stop for 3 weeks for surgery and its effect on metabolism and insulin levels 📖 Lectin-Free Living — Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… When men recognize symptoms for people with insulin resistance Can anyone recommend a good, reliable source for Mounjaro injections which costs less than 200 bucks for four injections please — how a functional medicine approach differs 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 and the role of cortisol and stress hormones How many of you with PCOS had a narcissistic parent growing up while doing intermittent fasting 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Is insulin resistance not taught in Med School specifically for women over 40 📖 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… PCOS + insulin resistance… belly fat won’t budge. what actually worked for you and its effect on metabolism and insulin levels How do you know you are in meno if you take continuous bc — how a functional medicine approach differs App that can predict symptoms before they get bad while doing intermittent fasting