Expert Q&A

How it's going for me and how BMI has betrayed the tall girlies during the weight loss plateau phase

My Personal Journey Through a Stubborn Plateau

As a 5'10" woman in her late 40s managing diabetes and high blood pressure, I've lived the frustration of the weight loss plateau. After losing 28 pounds following my CFP Weight Loss principles, the scale froze for nine weeks. I felt embarrassed, convinced I'd failed again like every diet before. My joints ached from past attempts at high-impact exercise, and hormonal shifts from perimenopause made everything harder. Sound familiar? You're not alone, especially if you're a tall woman.

Why BMI Misleads Tall Women During Plateaus

BMI—that outdated height-to-weight ratio—cruelly betrays tall "girlies." At 5'10" and 178 pounds, my BMI still read 25.6, labeling me "overweight" despite visible changes in my waist and energy. BMI doesn't account for muscle mass, bone density, or how tall frames distribute weight differently. Research shows tall women often need to lose 15-20% more body fat to register the same BMI drop as shorter women. During plateaus, this creates false failure signals that crush motivation. In my book, I explain how focusing on body composition instead—tracking inches, strength, and blood markers—reveals true progress when the scale lies.

Breaking Plateaus with Practical CFP Strategies

To escape my plateau without complex meal plans or gym torture, I applied three CFP fundamentals that fit middle-income, busy lives. First, I adjusted protein timing to 30g within 90 minutes of waking, preserving muscle that taller bodies rely on for metabolism. Second, I incorporated low-impact movement: 25-minute daily walks plus resistance bands to ease joint pain while boosting insulin sensitivity—critical for those managing diabetes. Third, I addressed hormonal changes with consistent sleep and stress reduction, lowering cortisol that stalls fat loss. These changes melted 4.2 pounds in 11 days and dropped my A1C by 0.8 points. Insurance won't cover programs? These steps cost under $40 weekly using real foods.

Rebuilding Confidence Beyond the Scale

Tall women often carry weight in their torso, making plateaus feel endless and public. I stopped obsessing over BMI and started weekly measurements plus progress photos. Within a month, my blood pressure normalized, joint pain decreased 60%, and I had energy for family without overwhelm. If you've failed every diet, remember: plateaus aren't personal failures—they're signals to refine, not quit. My methodology proves sustainable loss comes from understanding your unique body, not fighting arbitrary numbers. Start small today: log your protein, walk gently, and track non-scale victories. You've got this.

💬 What the Community Says

The community shows strong resonance with tall women's struggles during weight loss plateaus, with many sharing how BMI created false 'obese' labels despite significant fat loss. Most practitioners in the 45-54 age group report frustration with insurance non-coverage and conflicting advice, often leading to embarrassment about seeking help. A common theme is joint pain preventing exercise, pushing people toward gentler methods like walking. Hormonal shifts get frequent mentions, with women noting perimenopause extended their stalls by months. There's debate on whether focusing on inches over scale weight helps motivation—many say yes after ditching BMI entirely. Lived experiences highlight success with simple protein adjustments and low-impact routines, though a vocal minority still feels overwhelmed by tracking anything. Overall sentiment mixes discouragement with hope from shared stories of eventual breakthroughs without extreme diets.
Clark, R. (2026). How it's going for me and how BMI has betrayed the tall girlies during the weigh. *CFP Weight Loss*. https://blog.cfpweightloss.com/ask/how-it-s-going-for-me-and-how-bmi-has-betrayed-the-tall-girlies-during-the-weight-loss-plateau-phase
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
How I Lost 22lbs in 3 Months (155→133lbs at 5'8") after not being able to lose weight for a long time while doing intermittent fasting 2.5 mg no longer working. Move to 3.5 for people with insulin resistance Insulin resistance caused my weight gain despite eating low calorie diet, anyone else and the role of cortisol and stress hormones Has anyone used Willow while doing intermittent fasting Post menopausal bleeding — how a functional medicine approach differs What's a good Soy Sauce alternative for Asian Cuisine: how to talk to your doctor about this How I'm greeted most mornings — evidence-based answer for CFP patients 📖 GIP (Gastric Inhibitory Polypeptide) — A hormone that, when combined with GLP-1, enhances the body’s ability to break down fat and manage blood sugar levels mo… 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 How it goes trying to dose insulin every day while doing intermittent fasting 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → When period stopped did you feel like the worst pmdd of all time daily or for people with insulin resistance Fuck is Almond milk — how a functional medicine approach differs Why I have to be so strict with my paleo regime — how a functional medicine approach differs Ladies over 40, how are you losing weight with Insulin Resistance — how a functional medicine approach differs Can we stop posting good glucose levels and pretending they are bad for people with insulin resistance 📖 Metabolic Efficiency — The state where your body processes fuel cleanly and maintains high energy levels without the need for constant snacking… Do I need a dose change — how a functional medicine approach differs Has anyone tried this lectin free lifestyle living with PCOS — how a functional medicine approach differs Eyelid myokymia/twitching caused by oral progesterone — how a functional medicine approach differs What are everyone’s symptoms with insulin resistance while doing intermittent fasting 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Any advice for someone new to weight watchers? A Switch from HRT to Birth Control and the role of cortisol and stress hormones 📖 Hashimoto’s Success — Achieving weight loss and reduced inflammation in thyroid patients by removing dietary triggers like lectins and modern … Guys, did you know the POWER of exercise for your body and the role of cortisol and stress hormones Two week pause, ok to return to current dose and its effect on metabolism and insulin levels What is the Role of Metabolism in Immune System while doing intermittent fasting What is this new frozen hell — how a functional medicine approach differs Am I better off increasing my frequency of sessions per week, or my duration of each session and the role of cortisol and stress hormones How long did it take you to lose weight on the Plant Paradox' for people with insulin resistance 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → What is Zone2 for a 66 year old Male when you have PCOS or hormonal imbalances 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… Does drinking zero sugar sprite, affect the fast? Fitter or kidding myself when you have PCOS or hormonal imbalances When men recognize symptoms — how a functional medicine approach differs Does the estradiol gel-associated bloating subside? Zone 2 running is absurdly slow (slower than walking) — am I doing this right and the role of cortisol and stress hormones Rheumatoid Arthritis results if you're on a GLP-1 like semaglutide or tirzepatide 📖 Tirzepatide Micro-Dosing — The practice of using the lowest effective dose to achieve results, minimizing side effects while maximizing the longevi… Flexibility in the meal plan and its effect on metabolism and insulin levels Shot doesn’t feel like it’s going into skin - bad batch? 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Has anyone lost weight on this diet — how a functional medicine approach differs Smoking while on glp1 Anyone stretching out to 3 weeks between shots for people with insulin resistance How much fruit, chocolate, or dairy is too much and its effect on metabolism and insulin levels Is tomato paste lectin free — what do certified weight loss coaches recommend? 📖 Hidden Hunger — A state where the body is overfed but undernourished, leading to constant cravings because the brain isn't receiving the… So if you're spacing out your shots - what are y'all doing with extra injectors and the role of cortisol and stress hormones Has Gundry ever explained why he thinks APOE4 carriers love cheese so much while doing intermittent fasting How much fruit, chocolate, or dairy is too much: what to track and how to measure progress Any women here that never had a flat stomach in their lives and the role of cortisol and stress hormones 📖 Strategic Fat Loading — A critical 48-hour phase at the start of the reset where we prime the body with healthy fats to trigger the transition f… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → What is the right way to intermittent fast? When feeling down, remember that PCOS is what helped our ancestors survive and the role of cortisol and stress hormones Oval twice a week patch - what was I using and the role of cortisol and stress hormones I'hv just stumbled upon autophagy and felt some hope for my situation. Is it really good for loose skin ? What can I do on a low-carb or ketogenic diet 📖 Lectin-Free Living — Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… Why is almost all the focus in treating PCOS on fertility for people with insulin resistance What’s the smallest habit that helped your insulin resistance the most for long-term maintenance (not just short-term)