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 — what most people get wrong about this

The Real Challenge of Body Recomp While Doing OMAD at 260lbs

I've seen hundreds of people in their late 40s and early 50s hit the same wall you're facing. You've been consistent with One Meal A Day (OMAD) since August yet remain hard stuck around 260lbs. Adding strength training four days a week in October for body recomposition is smart, but most beginners completely misunderstand what it actually requires—especially when dealing with joint pain, hormonal shifts, diabetes, and high blood pressure.

Body recomposition isn't just "losing fat and gaining muscle at the same time." At your weight and with metabolic adaptations from prolonged OMAD, it demands precise programming. My approach in The CFP Method focuses on sustainable cycles that respect your body's current state rather than fighting it.

Mistake #1: Insufficient Protein and Nutrient Timing

The biggest error I see is treating OMAD as simply restricting calories without optimizing that single meal. For body recomp while strength training, you need 1.6–2.2 grams of protein per kg of body weight—roughly 190–260 grams daily at 260lbs. Most people fall short, especially on OMAD, because cramming it into one sitting leads to poor absorption. Split your thinking: even within OMAD, prioritize 40-50g protein per "mini feeding" if you stretch the meal, or consider a targeted 16:8 transition on training days. Without this, your strength gains stall and fat loss plateaus.

Mistake #2: Training Too Heavy Too Soon with Joint Issues

Starting strength training four days weekly is excellent, but most overload joints immediately. With your history of joint pain making exercise feel impossible, begin with bodyweight or light resistance focusing on form: squats to 90 degrees, push-ups from knees, and rows with bands. Progressive overload should increase by just 5% weekly. In my programs, we use "joint-friendly recomp circuits" that build muscle while protecting knees and back—crucial when insurance won't cover formal programs and time is limited.

Mistake #3: Ignoring Hormonal and Metabolic Factors

Hormonal changes in the 45-54 age range make weight harder to lose. Chronic OMAD can suppress thyroid and leptin if calories drop too low, especially alongside diabetes and blood pressure management. Most get this wrong by pushing harder instead of cycling: implement two-week "refeed phases" with higher carbs on lifting days (150-200g from vegetables and smart starches). Track fasting blood glucose—many see better recomp when averaging 1800-2200 calories strategically rather than deep deficits. My book outlines exact macro cycling that fits busy schedules without complex meal plans.

Mistake #4: No Recovery or Measurement Beyond the Scale

You're likely overlooking sleep (aim for 7-9 hours), stress management, and non-scale victories. Measure waist circumference, strength numbers (like push-up reps), and energy levels weekly. The scale may not budge for 4-6 weeks during true recomp as muscle replaces fat. Most quit here, embarrassed by slow progress. Instead, celebrate lifting 10% more weight or dropping a pant size. Combine this with light daily walking (20-30 minutes) to enhance insulin sensitivity without overwhelming your schedule.

Success comes from patience and precision. Adjust your OMAD window on training days to post-workout, hit those protein targets, and cycle calories every 10-14 days. Thousands using The CFP Method have broken similar plateaus—often losing 1-2lbs of fat weekly while gaining strength. Start small this week: audit your protein intake and add one recovery walk. Your body will respond when you stop fighting its signals.

💬 What the Community Says

The community shows a mix of frustration and cautious optimism around body recomp while doing OMAD at higher weights like 260lbs. Many in the 45-54 range report similar stalls after 2-3 months, blaming hormonal changes, inadequate protein in their single meal, and joint pain limiting progressive overload. A common debate centers on whether pure OMAD hinders muscle building—some swear by it with 200g+ protein, while others shifted to 16:8 on lifting days and saw better results. Lived experiences highlight measuring tape over scale as key, with several noting strength gains without weight change for 6-8 weeks. Newbies often feel overwhelmed by conflicting advice on calorie cycling and recovery, but those following structured beginner programs mention gradual success managing diabetes numbers alongside fat loss. A vocal minority warns against heavy lifting too soon, sharing stories of setbacks, while most agree consistency with simple walks and sleep makes the biggest difference despite insurance barriers and busy lives.
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-what-most-people-get-wrong-about-this
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
Would doing this 2-3x a week help increase my Vo2 max for those with hypothyroidism or Hashimoto's Guys, did you know the POWER of exercise for your body — evidence-based answer for CFP patients How long did you carry a pad post-menopause: what to track and how to measure progress 📖 Modern Wheat Dangers — The hidden threat in hybridized grains that causes gut inflammation and spikes blood sugar more aggressively than pure t… Two week pause, ok to return to current dose and how it connects to gut health and inflammation What the hell is wrong with this sub and how it connects to gut health and inflammation Are Seed Oils Inflammatory for long-term maintenance (not just short-term) What do you actually wish you could track on glp1s if you're on a GLP-1 like semaglutide or tirzepatide 📖 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… Hit 25lbs down, how do I make this sustainable in the long term? When period stopped did you feel like the worst pmdd of all time daily or specifically for women over 40 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Mounjaro diet plan, supplements and workout: best practices and common mistakes to avoid Anyone in Maintenance w/ 15mg specifically for women over 40 Hormonal acne recs? Do I need a dose change specifically for women over 40 📖 Ketogenic Foundation — Using low-carbohydrate principles to keep insulin low, allowing the tirzepatide to work more effectively at lower doses. Used old Mounjaro pen by mistake - should I be worried and its effect on metabolism and insulin levels Cheat / treat days or meals if you're on a GLP-1 like semaglutide or tirzepatide Has anyone stopped HRT and then restarted it for those with hypothyroidism or Hashimoto's Does anyone else feel like they are living life at 50% and its effect on metabolism and insulin levels Only symptom high DHEA? 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Why has no doctor explained this to me: what to track and how to measure progress 📖 Tirzepatide — A dual-acting medication targeting both GLP-1 and GIP receptors, providing a more comprehensive metabolic signal than si… Has Dr. Gundry spoken about the vaccine on a low-carb or ketogenic diet What garmin watch should i get for christmas on a low-carb or ketogenic diet For those that struggled with side effects, have you been able to space out your doses successfully — what most people get wrong about this 📖 The Clark Protocol — Our evidence-based framework that combines clinical nurse practitioner expertise with personal experience to solve the o… 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 to track and how to measure progress What's a good Soy Sauce alternative for Asian Cuisine on a low-carb or ketogenic diet Is Dotti a generic or brand-name patch on a low-carb or ketogenic diet What are the biggest misconceptions you’ve seen about GLP-1s — what most people get wrong about this 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Anyone worried about the FDA crackdown on a low-carb or ketogenic diet Anyone skip a week when sick — what does the research actually say? Was so tempted to hit the drive thru today. Went to the store instead — evidence-based answer for CFP patients 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… When people ask how I can tell my sugar's low: best practices and common mistakes to avoid Can anyone recommend a good, reliable source for Mounjaro injections which costs less than 200 bucks for four injections please on a low-carb or ketogenic diet What I learnt as a physician about having Hashimoto for myself and what helped for long-term maintenance (not just short-term) Difference between a 3 day and 5 day water fast for autophagy and how it connects to gut health and inflammation E Patch to Injections how long did you leave your patch on for long-term maintenance (not just short-term) 📖 Metabolic Flexibility — The body’s ability to efficiently switch between burning carbohydrates and burning stored body fat based on availability… How to BOOST metabolism and BURN fat-- VERY EASY AND QUICK: best practices and common mistakes to avoid When I smoke a little weed as a T1D and start feeling tingly: how to talk to your doctor about this 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Is this normal, or do I need a new provider? 📖 Refined Carbohydrates — Processed sugars and flours that strip the body of nutrients while driving the hormonal chaos responsible for the modern… Starting my second extended fast tomorrow. Hoping for 12 days or maybe do another 42 for long-term maintenance (not just short-term) Are Seed Oils Inflammatory — what do certified weight loss coaches recommend? What was your reaction when you missed your first (menopausal) period for those with hypothyroidism or Hashimoto's Any suggestions for staying on the program while traveling for long-term maintenance (not just short-term) How it looks when you lose 170 lbs. but are still a fat man during the weight loss plateau phase WHO: don’t touch your face it’ll spread coronavirus. *Diabetics who lick their finger after a finger prick — what most people get wrong about this 📖 Gut Microbiome Repair — The restoration of healthy intestinal bacteria through the removal of lectins and grains, essential for long-term weight… New menopause symptom, deep intense chills anyone on a low-carb or ketogenic diet 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Here's the things I wish I'd known back then... what are yours for long-term maintenance (not just short-term) Fruit Salsa - First Week/Phase One Approved: what to track and how to measure progress Intermittent fasting did not work for me, did I give up too soon? 📖 Amylopectin A — The specific starch found in modern wheat that causes rapid, dangerous spikes in blood glucose and promotes belly fat st… Am I better off increasing my frequency of sessions per week, or my duration of each session specifically for women over 40 Do you avoid socialising or seeing family because of how tired you are and how much effort it is to be in company: how to talk to your doctor about this Rage - too much progesterone or too little eostrogen: what to track and how to measure progress