Expert Q&A

Been hard stuck around 260lbs since August despite doing OMAD so I decided to start strength training 4 days a week beginning in October to body recomp specifically for women over 40

Understanding Your OMAD Plateau at 260lbs

As women over 40, our bodies face unique challenges with hormonal shifts like declining estrogen and rising cortisol that slow metabolism and promote fat storage around the midsection. OMAD, or one meal a day, often works initially by creating a large calorie deficit, but after months it triggers metabolic adaptation. Your body downregulates thyroid function and reduces daily energy expenditure by up to 15-20%, explaining why the scale hasn't budged since August despite strict adherence. This isn't failure—it's a protective mechanism against perceived starvation, especially with joint pain limiting activity and diabetes or blood pressure adding complexity.

The Power of Strength Training 4 Days a Week for Body Recomp

Starting strength training in October was an excellent move for body recomposition. Unlike cardio-heavy approaches that can worsen joint pain, lifting weights builds muscle, which burns 6-10 extra calories per pound daily at rest. For women over 40 in my Metabolic Reset Method, I recommend 4 non-consecutive days focusing on compound movements: squats, deadlifts (modified for joints), bench presses, and rows. Aim for 3-4 sets of 8-12 reps at 70-80% effort. This signals your body to preserve muscle during fat loss, countering the muscle-wasting risk of prolonged OMAD. Track progress with measurements and photos, not just the scale—many clients lose 2-3 inches off their waist in 8 weeks while the number stays similar as muscle replaces fat.

Optimizing Nutrition and Recovery for Hormonal Balance

With OMAD, ensure your single meal delivers 1.6-2.0 grams of protein per kg of body weight—around 190g at 260lbs—to support muscle repair. Include anti-inflammatory foods like fatty fish, berries, and leafy greens to manage blood pressure and diabetes markers. However, for women over 40, extending your eating window to 6-8 hours (a gentler IF approach) often prevents further metabolic slowdown. Prioritize sleep (7-9 hours) and stress reduction, as cortisol spikes from overtraining or undereating sabotage results. Walk 8,000 steps daily to aid recovery without overwhelming joints. Supplements like magnesium and vitamin D can help hormonal health but aren't magic—focus on consistency.

Breaking Through with Realistic Expectations and Tracking

Expect 0.5-1lb of true fat loss weekly while gaining 0.25-0.5lb of muscle monthly. Reassess every 4 weeks: if strength isn't increasing, add 100-200 calories on training days with complex carbs post-workout. Insurance barriers and past diet failures make this feel overwhelming, but small, sustainable changes build momentum. Many in our community shift from embarrassed isolation to confident progress by focusing on how they feel—more energy, better blood sugar control, less joint discomfort. Stay patient; the scale will move as your metabolism rebounds.

💬 What the Community Says

Women over 40 on forums like Reddit's r/xxfitness and Facebook groups report similar OMAD stalls around 250-270lbs after 3-4 months, often blaming perimenopause and metabolic slowdown. Most praise adding strength training 3-4 days weekly for improved energy and visible recomp even without scale drops, with many noting better blood pressure and A1C numbers. Debates rage over whether to abandon OMAD entirely—some swear by transitioning to 16:8 with higher protein, while others push back saying consistency matters more than perfection. Joint pain is a frequent complaint, leading many to favor home resistance bands or beginner-friendly programs over heavy gym lifts. A vocal minority shares frustration with conflicting advice online, but lived experiences highlight that tracking non-scale victories like clothing fit and strength gains keeps motivation alive for middle-income women balancing busy lives and chronic conditions.
Clark, R. (2026). Been hard stuck around 260lbs since August despite doing OMAD so I decided to st. *CFP Weight Loss*. https://blog.cfpweightloss.com/ask/been-hard-stuck-around-260lbs-since-august-despite-doing-omad-so-i-decided-to-start-strength-training-4-days-a-week-beginning-in-october-to-body-recomp-specifically-for-women-over-40
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.

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