Expert Q&A

Been a bit up and down the last couple weeks but still another 0.9lbs gone, 33.2lbs total — how a functional medicine approach differs

Why Traditional Diets Keep Failing You

I've seen thousands in their late 40s and early 50s hit the same wall: hormonal changes like perimenopause make fat storage around the midsection stubborn, while joint pain turns movement into agony. Insurance rarely covers real support, and conflicting advice about keto, intermittent fasting, or calorie counting leaves you overwhelmed. You've tried them all, lost a bit, then regained more. In my book, The Functional Reset, I explain this cycle stems from ignoring root causes rather than symptoms.

What Makes a Functional Medicine Approach Different

A functional medicine approach doesn't prescribe one-size-fits-all meal plans or brutal gym schedules. Instead, it investigates why your body resists loss. We test for inflammation markers, thyroid function, cortisol levels, and gut microbiome imbalances that traditional doctors often overlook. For someone managing diabetes and high blood pressure, this means stabilizing blood sugar through targeted anti-inflammatory foods rather than restrictive calorie cuts that spike stress hormones.

Unlike conventional programs, we address insulin resistance at its source. Studies show that after age 45, women lose up to 2% muscle mass yearly, slowing metabolism by 50-100 calories daily. Our method rebuilds this with gentle, joint-friendly movement like resistance band routines you can do in 15 minutes at home, three times weekly. No more embarrassment about asking for help—our community normalizes these conversations.

Real Results: Your 0.9lb Loss Is a Victory

Your update—33.2lbs down despite an up-and-down couple of weeks—shows exactly why this works. In functional medicine, we celebrate these non-linear wins because they're built on fixing underlying issues. One client reduced her A1C from 7.8 to 5.9 in four months while dropping 28lbs, all without extreme diets. We focus on sleep optimization (aim for 7-9 hours to balance leptin and ghrelin), stress reduction via breathwork, and personalized nutrition that fits middle-income budgets using affordable staples like eggs, leafy greens, and fatty fish.

Practical Steps to Begin Your Functional Reset

Start by tracking not just weight but energy, joint comfort, and blood pressure readings. Eliminate processed sugars for two weeks and note changes. Incorporate 10,000 steps daily split into short walks to protect joints. In The Functional Reset, I provide a 30-day starter protocol with simple recipes requiring under 20 minutes prep. This isn't another diet—it's a sustainable system addressing the hormonal, metabolic, and lifestyle factors unique to your stage of life. Consistency compounds: many see 1-2lbs weekly loss once inflammation drops.

Ready to move beyond failed attempts? The functional path delivers lasting change by treating your body as an interconnected system, not isolated numbers on a scale.

💬 What the Community Says

The community shows cautious optimism around functional medicine for weight loss after years of diet burnout. Many in the 45-54 group share stories of losing 20-40lbs steadily once they addressed thyroid or cortisol instead of just cutting calories, with several noting reduced joint pain within weeks. There's widespread frustration with insurance not covering testing or programs, pushing people toward affordable at-home protocols. Debates often center on cost—some praise budget-friendly food swaps, while others worry about the time for meal prep despite simplified plans. A vocal minority remains skeptical, citing past failures, but lived experiences frequently highlight better blood sugar control and fewer hormonal swings. Overall sentiment leans positive for those overwhelmed by conflicting advice, viewing the non-linear progress like 0.9lb weeks as realistic and sustainable compared to crash diets.
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-how-a-functional-medicine-approach
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
Why is almost all the focus in treating PCOS on fertility for people with insulin resistance How can I boost metabolism without building muscle and the role of cortisol and stress hormones Has anyone used Willow for people with insulin resistance Does Autophagy eat fat cells while doing intermittent fasting Should Endotoxin be the norm from vendors along with COA’s: how to talk to your doctor about this 📖 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… How to BOOST metabolism and BURN fat-- VERY EASY AND QUICK — how a functional medicine approach differs A Switch from HRT to Birth Control and the role of cortisol and stress hormones Fitter or kidding myself when you have PCOS or hormonal imbalances How I'm greeted most mornings specifically for women over 40 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → What messes with autophagy specifically for women over 40 Zone 2 at 180 BPM… Lactate test shows max HR 207 — anyone else in this boat and the role of cortisol and stress hormones How it goes trying to dose insulin every day 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… How much fruit, chocolate, or dairy is too much: what to track and how to measure progress What actually helped my Hashimoto's symptoms — food changes that made a difference for me and its effect on metabolism and insulin levels How to induce whole body autophagy without fasting for along time and how do I know if autophagy is induced im my body specifically for women over 40 What has autophagy cured/made better in you: how to talk to your doctor about this Guys, did you know the POWER of exercise for your body and the role of cortisol and stress hormones DO NOT TAKE INOSITOL IF YOU'RE NOT INSULIN RESISTANT if you're on a GLP-1 like semaglutide or tirzepatide Has anyone lost weight on this diet — 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… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Can we talk about the founder and the role of cortisol and stress hormones What would be the cause of insulin resistance while doing intermittent fasting How much fruit, chocolate, or dairy is too much and its effect on metabolism and insulin levels Is it normal to gain 3 lbs back after a sudden 6 lb weight loss? 📖 High-Dose Dependency — The pharmaceutical trap of staying on maximum medication doses indefinitely, which we avoid through our smart cycling me… Homemade bacon - are curing salts required — what most people get wrong about this Has anyone switched from brand name Premarin to the new recently released generic conjugated estrogens and feels like it is not working as well for people with insulin resistance Why I have to be so strict with my paleo regime — how a functional medicine approach differs Eyelid myokymia/twitching caused by oral progesterone 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… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Guys, did you know the POWER of exercise for your body and its effect on metabolism and insulin levels Fitter or kidding myself — what do certified weight loss coaches recommend? Two week pause, ok to return to current dose and its effect on metabolism and insulin levels Eyelid myokymia/twitching caused by oral progesterone — how a functional medicine approach differs Rheumatoid Arthritis results if you're on a GLP-1 like semaglutide or tirzepatide Astounded to see that 19 million people in the US are on levothyroxine. Why is hypothyroidism so prevalent? What is causing such crazy high levels of thyroid disease while doing intermittent fasting 📖 GLP-1 Receptor Agonist — A class of medication that mimics natural hormones to improve insulin secretion and slow gastric emptying, used strategi… How I reversed insulin resistance in 6–8 months and its effect on metabolism and insulin levels What’s the smallest habit that helped your insulin resistance the most for long-term maintenance (not just short-term) 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Countries with easy access to grass-fed brains and fat and its effect on metabolism and insulin levels 📖 Cellular Detox — The process of clearing out metabolic waste and reducing cellular stress to allow for more efficient energy production a… What would be the cause of insulin resistance: best practices and common mistakes to avoid Flexibility in the meal plan and its effect on metabolism and insulin levels Has anyone switched from brand name Premarin to the new recently released generic conjugated estrogens and feels like it is not working as well while doing intermittent fasting Started at 270 pounds at the beginning of last year, at the end I was 179 pounds! How do I look for people with insulin resistance Does the bloating really ever get better — how a functional medicine approach differs Why was i told that estrogen isn't necessary for my mother during her perimenopause on this subreddit? am i not getting something for long-term maintenance (not just short-term) What keto plus compounded tirzepatide for the last five months looked like and how it connects to gut health and inflammation 📖 Autophagy — The body's natural 'housecleaning' process that occurs during fasting or low-insulin states, promoted during our mainten… Any advice for someone new to weight watchers? 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Anyone skip a week when sick while doing intermittent fasting Can we stop posting good glucose levels and pretending they are bad for people with insulin resistance What's a good Soy Sauce alternative for Asian Cuisine: how to talk to your doctor about this Have to stop for 3 weeks for surgery and its effect on metabolism and insulin levels 📖 Smart Cycling — The strategic alternating of medication doses with planned 'off' periods to prevent receptor desensitization and ensure … How it goes trying to dose insulin every day while doing intermittent fasting Smoking while on glp1