Expert Q&A

Going for my first 36 hours. Any tips: what to track and how to measure progress

Preparing for Your First 36-Hour Fast

I’ve guided thousands of adults over 45 through their initial extended fasts. A 36-hour fast means going from dinner one day until breakfast two days later—roughly skipping two full meals. This window is long enough to trigger meaningful autophagy and insulin sensitivity improvements without the intensity of multi-day water fasts.

Because hormonal changes after 45 make fat loss more stubborn, this fast can help reset your metabolism. Start hydrated the night before. Your last meal should be high in healthy fats and moderate protein—think salmon, avocado, and leafy greens—to stabilize blood sugar. This prevents the intense hunger that often derails beginners who have failed every diet before.

What to Track During the Fast

Focus on four key metrics that matter for sustainable results. First, record your ketone levels using inexpensive urine strips or a blood meter. Aim for 0.5–1.5 mmol/L by hour 24; this shows your body has shifted into fat-burning mode. Second, track daily weight on a consistent morning scale, noting that initial drops are often water weight.

Third, log energy, mood, and any joint pain on a 1–10 scale. Many in our community report reduced inflammation by hour 30, making movement easier despite past exercise struggles. Fourth, monitor blood glucose if you’re managing diabetes or blood pressure. A drop of 10–20 points is common and signals improved insulin response. Use a simple notebook or free app—complex tracking overwhelms busy middle-income adults with no time for elaborate plans.

How to Measure Real Progress

Scale weight alone misleads. Instead, measure waist circumference at the navel every 7 days; a half-inch loss after your first few 36-hour fasts indicates true fat reduction. Notice non-scale victories: steadier energy, fewer cravings, and looser clothing. In The Metabolic Reset Method, I emphasize the 80/20 rule—fasting 2–3 days weekly combined with simple low-carb meals drives lasting change without gym schedules that aggravate joint pain.

Break your fast gently with bone broth or a small omelet. Overeating afterward erases gains. Expect possible fatigue around hour 20; walk lightly or rest. Electrolytes matter—add 2–3 grams sodium, 300 mg magnesium, and 1 gram potassium daily to prevent headaches or cramps common in hormonal shifts.

Common Pitfalls and Next Steps

Avoid black coffee overload or zero-calorie drinks that spike hunger. If dizziness hits, end the fast early—no shame in progress over perfection. After three successful 36-hour fasts, many clients drop 4–7 pounds and see better A1C numbers. Consistency beats intensity. Schedule your next fast on a low-stress day and celebrate small wins to rebuild trust after years of diet failure.

Start today, track simply, and measure what moves the needle on both the scale and how you feel. Your body is ready to release stored fat once insulin calms down.

💬 What the Community Says

Most beginners in online forums share cautious optimism about their first 36-hour fast, reporting 3–6 pound drops but noting much is water weight. A common theme is surprise at how hunger fades after hour 18, though joint pain and fatigue remain big hurdles for the 45–55 crowd already managing blood pressure or diabetes. The community splits on tracking: some swear by ketone strips and waist measurements for motivation, while others find apps too time-consuming and prefer simple mood journals. Insurance and cost concerns surface often—many appreciate that this requires no expensive programs. A vocal minority warns about breaking the fast with heavy meals and subsequent bloating, while others celebrate improved energy and fewer cravings after 2–3 rounds. Overall sentiment is supportive, with experienced fasters encouraging hydration, electrolytes, and patience with hormonal plateaus.
Clark, R. (2026). Going for my first 36 hours. Any tips: what to track and how to measure progress. *CFP Weight Loss*. https://blog.cfpweightloss.com/ask/going-for-my-first-36-hours-any-tips-what-to-track-and-how-to-measure-progress
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
Anyone have experience switching from compound injection to pill: what to track and how to measure progress Anyone use an auto injector for the compounded med — evidence-based answer for CFP patients How I feel when tempted to get fast food during finals week — evidence-based answer for CFP patients Insomnia while taking oral minoxidril if you're on a GLP-1 like semaglutide or tirzepatide Upped dosage + changing patch day — evidence-based answer for CFP patients Are people fear mongering when they say compound pharmacies are dangerous: best practices and common mistakes to avoid 📖 Visceral Fat — The dangerous 'hidden' fat stored around internal organs that drives chronic disease and is specifically targeted by our… 2.5 mg no longer working. Move to 3.5 for long-term maintenance (not just short-term) Is estriol as effective as estradiol for clitoral atrophy: best practices and common mistakes to avoid 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Newb question: focusing on perceived exertion or heart rate — evidence-based answer for CFP patients What is this new frozen hell specifically for women over 40 POLL At what strength did Semaglutide become effective for you: best practices and common mistakes to avoid Do you avoid socialising or seeing family because of how tired you are and how much effort it is to be in company while doing intermittent fasting How it goes trying to dose insulin every day: how to talk to your doctor about this 📖 GLP-1 Receptor Agonist — A class of medication that mimics natural hormones to improve insulin secretion and slow gastric emptying, used strategi… Is this normal? Feels like a waste and its effect on metabolism and insulin levels When people ask how I can tell my sugar's low and the role of cortisol and stress hormones How I feel every time I go grocery shopping while doing intermittent fasting Anyone in Maintenance w/ 15mg during the weight loss plateau phase 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Getting the run around or I just do not have PCOS ? Opened monjuaro pen is it safe to use — how a functional medicine approach differs 📖 Caloric Deficit Myth — The false belief that weight loss is purely 'math'; we focus on hormonal signaling rather than just counting calories to… How long did you carry a pad post-menopause and how it connects to gut health and inflammation Are people fear mongering when they say compound pharmacies are dangerous and the role of cortisol and stress hormones So if you're spacing out your shots - what are y'all doing with extra injectors: what to track and how to measure progress Anyone have experience switching from compound injection to pill for long-term maintenance (not just short-term) 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… Le mounjaro peut il se conserver au frigo for long-term maintenance (not just short-term) Can anyone share a good shopping list — how a functional medicine approach differs For those that struggled with side effects, have you been able to space out your doses successfully — what do certified weight loss coaches recommend? I lost 40lb last year, I'm trying to lose 10lb more before I go on holiday net month, is this realistic? 📖 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 … 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Is it even worth it anymore: best practices and common mistakes to avoid Two week pause, ok to return to current dose — how a functional medicine approach differs Desperate and kind of hopeless at this point. will this body be the death of me? Ive been taking 15mg of tirzepatide for a year and my weight has stalled out with no diet change. What can I do? 📖 Insulin Resistance — A condition where your cells stop responding to insulin, locking fat in storage; our protocol is designed to unlock thes… What a month of paleo has done for me on a low-carb or ketogenic diet Anyone stretching out to 3 weeks between shots: best practices and common mistakes to avoid Is it even worth it anymore — what does the research actually say? Am I better off increasing my frequency of sessions per week, or my duration of each session — what do certified weight loss coaches recommend? 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Anyone else with hashimoto's AND adhd in here and how it connects to gut health and inflammation 📖 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… Anyone use an auto injector for the compounded med for those with hypothyroidism or Hashimoto's Smoking while on glp1 How do you gauge progress from zone 2 — what does the research actually say? One avocado a day? What's up with that? Does anyone remember if the good doctor ever gave us an explanation for that: how to talk to your doctor about this 📖 One Box Protocol — A revolutionary approach where we stretch one 60 mg box of tirzepatide across three metabolic phases, prioritizing long-… What is the texture of fried fat trimmings like — what does the research actually say? Safest type of fiber while doing intermittent fasting Is compounded semaglutide with B12 worth choosing over B6 or plain — what do certified weight loss coaches recommend? What a 55 water fast did for me while doing intermittent fasting Can we talk about the founder for those with hypothyroidism or Hashimoto's 📖 Hashimoto’s Success — Achieving weight loss and reduced inflammation in thyroid patients by removing dietary triggers like lectins and modern … 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Can’t stand avocados or guacamole. Help when you have PCOS or hormonal imbalances Upped dosage + changing patch day specifically for women over 40 Anyone had improvement in symptoms after already eating a clean plant based diet — evidence-based answer for CFP patients Has anyone tried this lectin free lifestyle living with PCOS — how a functional medicine approach differs Anyone with a variant of uncertain significance on HRT and how it connects to gut health and inflammation