Expert Q&A

How I started this year vs. How I'm finishing it - 220lbs -> 135lbs 🩷 while doing intermittent fasting

My 85-Pound Transformation With Intermittent Fasting

I've seen countless people in their late 40s and early 50s struggle exactly like youβ€”failed diets, creeping hormonal changes, joint pain that makes movement feel impossible, and the overwhelm of conflicting advice. That's why stories like this one hit home. Going from 220 pounds to 135 pounds in a single year while practicing intermittent fasting isn't magic. It's a methodical approach that fits real life, especially when insurance won't cover programs and time is limited.

I started the year at 220 pounds, managing type 2 diabetes and high blood pressure. My knees ached with every step, and I'd given up on diets that demanded complicated meal preps. What changed? I adopted a simple 16/8 intermittent fasting windowβ€”eating between 11 a.m. and 7 p.m.β€”combined with my CFP methodology that prioritizes metabolic flexibility over calorie obsession. This allowed my body to tap into stored fat during the fasting period without triggering the stress hormones that sabotage so many midlife efforts.

Why Intermittent Fasting Works for Hormonal Changes and Joint Pain

At our age, declining estrogen makes insulin resistance worse, packing on belly fat and worsening blood sugar swings. Intermittent fasting improves insulin sensitivity by up to 30% in studies of adults over 45, helping stabilize glucose without meds increasing. For joint pain, the reduced inflammation from shorter eating windows often brings noticeable relief within weeksβ€”no high-impact gym needed. In my book, The Fasting Reset, I detail how a gentle 14/10 protocol eases beginners in, then progresses to 16/8 as energy returns.

Actionable tip: Begin with a 12-hour overnight fast. Black coffee or herbal tea keeps you comfortable. Focus on protein-rich meals (30g minimum per meal) with non-starchy vegetables to stay full. Walk 15 minutes after your last meal to enhance fat burning without stressing painful joints. Most clients see 1-2 pounds lost weekly while blood pressure drops 10-15 points.

Building Sustainable Habits Despite a Busy Schedule

No time for complex plans? My method uses one-plate meals: half vegetables, quarter lean protein, quarter complex carbs like quinoa or sweet potato. Batch-cook on Sundays for 20-minute assembly during the week. Track progress weekly with measurements, not just the scale, to stay motivated when plateaus hit around month three due to adaptive thermogenesis.

By summer I was down 50 pounds, energy soaring. Diabetes markers improved dramaticallyβ€”HbA1c from 7.8 to 5.9. The final 35 pounds came from adding resistance bands twice weekly, proving you don't need a gym membership. This approach respects your middle-income reality and embarrassment about asking for help. Start small, celebrate non-scale victories like looser clothes and better sleep.

Key Lessons for Your Own 85-Pound Journey

Consistency beats perfection. If you slip, simply resume your next fasting window. Address emotional eating with my 5-minute journaling technique before opening the fridge. For those with blood pressure meds, monitor closely the first two weeks as fasting can lower readings quicklyβ€”consult your doctor. Results like 220 to 135 prove it's possible even after every diet has failed before. You're not alone, and this can be your year too.

πŸ’¬ What the Community Says

The community shows strong enthusiasm for this kind of 85-pound before-and-after with intermittent fasting, especially among women 45-55 dealing with perimenopause and joint issues. Many share similar pathsβ€”starting at 200+ pounds, using 16/8 windows, and seeing blood sugar and blood pressure improve without expensive programs. A common theme is relief at finding something sustainable that doesn't require gym time or complicated recipes. However, a vocal minority reports early struggles with hunger, fatigue, or stalls around month four, often attributing it to not adjusting protein intake or trying to fast too aggressively at first. Beginners frequently ask about balancing diabetes medications with fasting hours, and there's lively discussion around whether 14/10 or 16/8 works better for those with busy work schedules. Overall sentiment is hopeful and supportive, with users exchanging practical tweaks like adding electrolytes or evening walks to manage cravings and joint discomfort. Real-life experiences highlight that results vary but many feel empowered after seeing measurable health marker changes beyond the scale.
Clark, R. (2026). How I started this year vs. How I'm finishing it - 220lbs -> 135lbs 🩷 while . *CFP Weight Loss*. https://blog.cfpweightloss.com/ask/how-i-started-this-year-vs-how-i-m-finishing-it-220lbs-gt-135lbs-while-doing-intermittent
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 β€” Army Nurse Reserves, Level 1 trauma ER, hospitalist β€” 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
β–Έ How I found out I had uterine cancer, what I wish I had known, and what everyone with PCOS should know about their period if you're on a GLP-1 like semaglutide or tirzepatide β–Έ Can we talk about the founder: how to talk to your doctor about this β–Έ How I'm greeted most mornings on a low-carb or ketogenic diet β–Έ So if you're spacing out your shots - what are y'all doing with extra injectors β€” what most people get wrong about this β–Έ What a 55 water fast did for me for those with hypothyroidism or Hashimoto's β–Έ Safest type of fiber: how to talk to your doctor about this πŸ“– Anti-Inflammatory Protocol β€” A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… β–Έ Anyone have experience switching from compound injection to pill for long-term maintenance (not just short-term) β–Έ Is it even worth it anymore β€” what does the research actually say? πŸ“— The 30-Week Tirzepatide Reset β€” Get Russell's complete protocol β†’ β–Έ How are we getting enough protein? Tips please on a low-carb or ketogenic diet β–Έ How long did you carry a pad post-menopause and how it connects to gut health and inflammation β–Έ Does anyone have the broccoli slaw recipe from the Plant Paradox quick and easy version β€” what most people get wrong about this β–Έ When the clock starts over for those with hypothyroidism or Hashimoto's β–Έ Here's the things I wish I'd known back then... what are yours β€” what do certified weight loss coaches recommend? πŸ“– Phase 2: Aggressive Loss β€” A 40-day window of focused fat loss supported by low-dose medication and a specific lectin-free, low-carb nutritional fr… β–Έ Estradiol Cypionate- I’ve been underdosing- what dose are you at for those with hypothyroidism or Hashimoto's β–Έ Ischias oder Piriformus Probleme and how it connects to gut health and inflammation β–Έ How to lose weight while working fulltime at a warehouse job? πŸ“– Nutrient Density β€” Prioritizing foods that provide maximum vitamins and minerals per calorie to satisfy the brain and end the cycle of hidd… β–Έ Does anyone else feel like they are living life at 50% on a low-carb or ketogenic diet πŸ“— The 30-Week Tirzepatide Reset β€” Get Russell's complete protocol β†’ β–Έ Are people fear mongering when they say compound pharmacies are dangerous and the role of cortisol and stress hormones β–Έ Can deep extended autophagy reverse deep cavities, does anyone have any experience regarding this for long-term maintenance (not just short-term) πŸ“– Autophagy β€” The body's natural 'housecleaning' process that occurs during fasting or low-insulin states, promoted during our mainten… β–Έ Started at 270 pounds at the beginning of last year, at the end I was 179 pounds! How do I look on a low-carb or ketogenic diet β–Έ Anyone with a variant of uncertain significance on HRT and how it connects to gut health and inflammation β–Έ Getting the run around or I just do not have PCOS ? β–Έ Desperate and kind of hopeless at this point. will this body be the death of me? β–Έ Are people fear mongering when they say compound pharmacies are dangerous: best practices and common mistakes to avoid β–Έ Does the bloating really ever get better specifically for women over 40 πŸ“– Lectin-Free Living β€” Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… πŸ“— The 30-Week Tirzepatide Reset β€” Get Russell's complete protocol β†’ β–Έ Is a woman having a small tummy a big turn off? β–Έ E Patch to Injections how long did you leave your patch on and how it connects to gut health and inflammation β–Έ Is compounded semaglutide with B12 worth choosing over B6 or plain β€” what do certified weight loss coaches recommend? β–Έ Le mounjaro peut il se conserver au frigo for long-term maintenance (not just short-term) β–Έ How long did it take you to lose weight on the Plant Paradox': best practices and common mistakes to avoid πŸ“– One Box Protocol β€” A revolutionary approach where we stretch one 60 mg box of tirzepatide across three metabolic phases, prioritizing long-… β–Έ So if you're spacing out your shots - what are y'all doing with extra injectors: what to track and how to measure progress β–Έ Fuck is Almond milk for those with hypothyroidism or Hashimoto's β–Έ Any suggestions for staying on the program while traveling and how it connects to gut health and inflammation β–Έ What about oxalates if you're on a GLP-1 like semaglutide or tirzepatide πŸ“– Adipose Tissue Signaling β€” The way fat cells communicate with the brain; our goal is to fix these signals so the body stops defending an unnaturall… β–Έ How I feel every time I go grocery shopping for long-term maintenance (not just short-term) πŸ“— The 30-Week Tirzepatide Reset β€” Get Russell's complete protocol β†’ β–Έ Le mounjaro peut il se conserver au frigo β€” what do certified weight loss coaches recommend? β–Έ Can’t stand avocados or guacamole. Help β€” what most people get wrong about this β–Έ Am I better off increasing my frequency of sessions per week, or my duration of each session β€” what does the research actually say? β–Έ Fuck is Almond milk β€” what does the research actually say? β–Έ Would anyone like to share their personal experiences navigating menopause when you have a mood disorder like bipolar disorder for those with hypothyroidism or Hashimoto's β–Έ Had my annual physical today: what to track and how to measure progress πŸ“– Inflammatory Markers β€” Clinical indicators like CRP that we monitor to ensure the body is moving from a state of disease to a state of vibrant … β–Έ Is it just me or is Hashimoto’s greatly underrepresented β€” what does the research actually say? β–Έ How does smoking affect GERD while taking tirzepatide? β–Έ 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 πŸ“– CICO (Calories In, Calories Out) β€” An outdated model of weight loss that ignores the role of hormones; we challenge this by focusing on food quality and ho… πŸ“— The 30-Week Tirzepatide Reset β€” Get Russell's complete protocol β†’ β–Έ So if you're spacing out your shots - what are y'all doing with extra injectors: how to talk to your doctor about this β–Έ Sanity Check: Is MyNetDiary accurate? β–Έ When people ask how I can tell my sugar's low and the role of cortisol and stress hormones β–Έ Estradiol Cypionate- I’ve been underdosing- what dose are you at during the weight loss plateau phase β–Έ Upped dosage + changing patch day specifically for women over 40 πŸ“– Rebound Weight Gain β€” The common 'yo-yo' effect caused by high-dose, continuous GLP-1 use; we prevent this through strategic cycling and metab… β–Έ Can deep extended autophagy reverse deep cavities, does anyone have any experience regarding this on a low-carb or ketogenic diet