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lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition substudies in the major programmes, and how to read your own scan sequence.

127 questions · sorted by votes · page 1 of 6

45 votes 4 answers19k views
How much of GLP-1 weight loss is actually lean mass, and where does the "25%" figure come from?

The claim that "about a quarter of what you lose on these drugs is muscle" gets repeated everywhere and I have never once seen it sourced. I am 14 weeks into…

lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
dexa
dexa

Dual-energy X-ray absorptiometry: what it measures, its precision limits, why hydration state and scan positioning move the numbers, and how to…

39 questions
clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
tirzepatide
tirzepatide

A dual GIP and GLP-1 receptor agonist. Questions here cover the SURPASS and SURMOUNT programmes, the practical differences from a pure GLP-1…

370 questions
asked by birk_nordahl 16k · 18 months ago
45 votes 3 answers14k views
Why has my grip and absolute strength fallen off a cliff when my DEXA shows almost no lean-mass loss?

Down 19 kg over seven months on semaglutide. My DEXA says I have lost 1.4 kg of lean soft tissue, which everyone tells me is a good result. But in the gym I am…

resistance-training
resistance-training

Loaded training as the primary intervention for retaining lean mass in a deficit: minimum effective dose, frequency versus volume, and why…

43 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
fatigue
fatigue

Tiredness on treatment: how much is energy deficit, how much is dehydration or electrolyte drift, how much is genuinely drug-attributable, and…

78 questions
dexa
dexa

Dual-energy X-ray absorptiometry: what it measures, its precision limits, why hydration state and scan positioning move the numbers, and how to…

39 questions
asked by samir_bennani 15k · 12 months ago
43 votes 3 answers21k views
What protein target should I use, and is 130 g even geometrically possible inside 900 kcal?

I am 92.4 kg, female, 34, on tirzepatide 7.5 mg, and my logged intake has settled at roughly 900 kcal a day. I did not choose 900. It is what I eat when I eat until I…

protein-intake
protein-intake

Protein targets in grams per kilogram, per-meal distribution and the leucine threshold, and the evidence for a higher intake specifically during…

60 questions
nutrition
nutrition

Eating on a suppressed appetite: hitting nutritional targets inside a small energy budget, micronutrient risk, meal structure, and what the trial…

100 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
dosing-math
dosing-math

The arithmetic itself: milligrams to millilitres to insulin units, concentration after reconstitution, dose per draw, and vial-days per vial. Show…

764 questions
asked by leonid_marchuk 19k · 16 months ago
42 votes 3 answers10k views
Is my cardio interfering with lean-mass retention, or am I simply not recovering at this intake?

I have added a lot of cardio because it felt like the responsible thing to do and now I am not sure it is helping. Current week: three full-body lifting sessions,…

resistance-training
resistance-training

Loaded training as the primary intervention for retaining lean mass in a deficit: minimum effective dose, frequency versus volume, and why…

43 questions
exercise
exercise

Training during substantial weight loss: cardiorespiratory work, step count, low energy availability, and how exercise interacts with the appetite…

38 questions
fatigue
fatigue

Tiredness on treatment: how much is energy deficit, how much is dehydration or electrolyte drift, how much is genuinely drug-attributable, and…

78 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
asked by rania_haddad 13k · 5 months ago
40 votes 5 answers22k views
Is resistance training twelve times a week enough at 1,400 kcal a day?

The case in front of me: twelve · 1,400 kcal. I want to decide this in advance so that I am not deciding it under pressure later. Assume I will follow the plan I…

resistance-training
resistance-training

Loaded training as the primary intervention for retaining lean mass in a deficit: minimum effective dose, frequency versus volume, and why…

43 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
exercise
exercise

Training during substantial weight loss: cardiorespiratory work, step count, low energy availability, and how exercise interacts with the appetite…

38 questions
asked by nadia_kowalczyk 20k · 2.2 years ago
39 votes5 answers31k views
How much protein in grams do I need at 95 kg on 1,000 kcal a day?

The particulars: 95 kg · 1,000 kcal. I would like the arithmetic checked rather than the conclusion asserted. I have deliberately not used an online calculator…

protein-intake
protein-intake

Protein targets in grams per kilogram, per-meal distribution and the leucine threshold, and the evidence for a higher intake specifically during…

60 questions
nutrition
nutrition

Eating on a suppressed appetite: hitting nutritional targets inside a small energy budget, micronutrient risk, meal structure, and what the trial…

100 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
asked by elke_brunner 17k · 2.1 years ago
39 votes5 answers23k views
How much protein in grams do I need at 81 kg on 1,200 kcal a day?

The specifics, since they change the answer: 81 kg · 1,200 kcal. I would rather understand the derivation than memorise the outcome. Two people I asked gave two…

protein-intake
protein-intake

Protein targets in grams per kilogram, per-meal distribution and the leucine threshold, and the evidence for a higher intake specifically during…

60 questions
nutrition
nutrition

Eating on a suppressed appetite: hitting nutritional targets inside a small energy budget, micronutrient risk, meal structure, and what the trial…

100 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
asked by swab_and_wait 13k · 2.0 years ago
38 votes0 answers30k views
How much protein in grams do I need at 124 kg on 1,000 kcal a day?

Numbers first: 124 kg · 1,000 kcal. This should be a straightforward calculation and I keep getting two different answers. The numbers are arbitrary; the method is…

protein-intake
protein-intake

Protein targets in grams per kilogram, per-meal distribution and the leucine threshold, and the evidence for a higher intake specifically during…

60 questions
nutrition
nutrition

Eating on a suppressed appetite: hitting nutritional targets inside a small energy budget, micronutrient risk, meal structure, and what the trial…

100 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
asked by swab_stopper 8.8k · 19 months ago
38 votes 3 answers24k views
What fraction of GLP-1 weight loss is actually lean mass?

The trend is what I care about; individual weeks are obviously noise. I want to understand what this actually establishes, as opposed to what it is being used to…

lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
muscle-loss
muscle-loss

Loss of contractile tissue during energy deficit: what fraction of total loss is lean mass, why the commonly quoted figures are measurement…

39 questions
dexa
dexa

Dual-energy X-ray absorptiometry: what it measures, its precision limits, why hydration state and scan positioning move the numbers, and how to…

39 questions
asked by Dr_Priya_Raghunathan 49k · 19 months ago
38 votes5 answers24k views
How much protein in grams do I need at 112 kg on 1,100 kcal a day?

Conditions: 112 kg · 1,100 kcal. I want the working, not the result — I need to be able to redo it with different numbers. I care about the precision as well as the…

protein-intake
protein-intake

Protein targets in grams per kilogram, per-meal distribution and the leucine threshold, and the evidence for a higher intake specifically during…

60 questions
nutrition
nutrition

Eating on a suppressed appetite: hitting nutritional targets inside a small energy budget, micronutrient risk, meal structure, and what the trial…

100 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
asked by Dr_Ilse_Vandenberg 113k · 21 months ago
37 votes 5 answers37k views
What fraction of loss on semaglutide is lean mass according to STEP 2?

The particulars: semaglutide · STEP 2. I have the document in front of me and I can read the numbers. What I cannot do is interpret them. I am reasonably comfortable…

lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
muscle-loss
muscle-loss

Loss of contractile tissue during energy deficit: what fraction of total loss is lean mass, why the commonly quoted figures are measurement…

39 questions
dexa
dexa

Dual-energy X-ray absorptiometry: what it measures, its precision limits, why hydration state and scan positioning move the numbers, and how to…

39 questions
semaglutide
semaglutide

A GLP-1 receptor agonist with a fatty-acid-acylated backbone and a roughly one-week half-life, marketed for type 2 diabetes and for weight…

470 questions
asked by eoin_mcgarry 18k · 22 months ago
37 votes4 answers30k views
Is resistance training eight times a week enough at 1,000 kcal a day?

What I have: eight · 1,000 kcal. This is a planning question. I know what my options are; I do not know how to weigh them. What I want is the minimum viable version,…

resistance-training
resistance-training

Loaded training as the primary intervention for retaining lean mass in a deficit: minimum effective dose, frequency versus volume, and why…

43 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
exercise
exercise

Training during substantial weight loss: cardiorespiratory work, step count, low energy availability, and how exercise interacts with the appetite…

38 questions
asked by s_bhattacharya 31k · 22 months ago
37 votes 4 answers24k views
What is the minimum resistance-training dose that actually holds lean mass while losing 0.9 kg a week?

I want the floor, not the optimum. I am losing about 0.9 kg a week on tirzepatide and I have limited capacity to train: realistically two sessions a week, 40 minutes…

resistance-training
resistance-training

Loaded training as the primary intervention for retaining lean mass in a deficit: minimum effective dose, frequency versus volume, and why…

43 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
exercise
exercise

Training during substantial weight loss: cardiorespiratory work, step count, low energy availability, and how exercise interacts with the appetite…

38 questions
muscle-loss
muscle-loss

Loss of contractile tissue during energy deficit: what fraction of total loss is lean mass, why the commonly quoted figures are measurement…

39 questions
asked by rhian_prydderch 23k · 18 months ago
37 votes 5 answers22k views
How much protein in grams do I need at 81 kg on 800 kcal a day?

The particulars: 81 kg · 800 kcal. I would like the arithmetic checked rather than the conclusion asserted. I have deliberately not used an online calculator because…

protein-intake
protein-intake

Protein targets in grams per kilogram, per-meal distribution and the leucine threshold, and the evidence for a higher intake specifically during…

60 questions
nutrition
nutrition

Eating on a suppressed appetite: hitting nutritional targets inside a small energy budget, micronutrient risk, meal structure, and what the trial…

100 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
asked by leah_ferrers 12k · 17 months ago
36 votes 5 answers62k views
Does DEXA or BIA give me a usable lean-mass trend?

Intake is tracked, imperfectly, and I am aware of the direction of the error. I suspect the honest answer is that it depends, in which case I would like to know on…

dexa
dexa

Dual-energy X-ray absorptiometry: what it measures, its precision limits, why hydration state and scan positioning move the numbers, and how to…

39 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
muscle-loss
muscle-loss

Loss of contractile tissue during energy deficit: what fraction of total loss is lean mass, why the commonly quoted figures are measurement…

39 questions
asked by void_volume 9.5k · 2.3 years ago
36 votes 3 answers38k views
How much protein in grams do I need at 81 kg on 1,100 kcal a day?

The case in front of me: 81 kg · 1,100 kcal. I want the working, not the result — I need to be able to redo it with different numbers. I care about the precision as…

protein-intake
protein-intake

Protein targets in grams per kilogram, per-meal distribution and the leucine threshold, and the evidence for a higher intake specifically during…

60 questions
nutrition
nutrition

Eating on a suppressed appetite: hitting nutritional targets inside a small energy budget, micronutrient risk, meal structure, and what the trial…

100 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
asked by anouk_desmet 16k · 2.2 years ago
35 votes 5 answers46k views
What fraction of loss on semaglutide is lean mass according to SUSTAIN-6?

The case in front of me: semaglutide · SUSTAIN-6. I would like to know the limits of what can be inferred from this. What I am trying to avoid is over-reading a…

lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
muscle-loss
muscle-loss

Loss of contractile tissue during energy deficit: what fraction of total loss is lean mass, why the commonly quoted figures are measurement…

39 questions
dexa
dexa

Dual-energy X-ray absorptiometry: what it measures, its precision limits, why hydration state and scan positioning move the numbers, and how to…

39 questions
semaglutide
semaglutide

A GLP-1 receptor agonist with a fatty-acid-acylated backbone and a roughly one-week half-life, marketed for type 2 diabetes and for weight…

470 questions
asked by per_haugen 13k · 16 months ago
35 votes 2 answers24k views
How much protein in grams do I need at 88 kg on 1,100 kcal a day?

Concretely: 88 kg · 1,100 kcal. Please show the division. I want to check my own against yours. I would like the general form as well as the specific number, so I can…

protein-intake
protein-intake

Protein targets in grams per kilogram, per-meal distribution and the leucine threshold, and the evidence for a higher intake specifically during…

60 questions
nutrition
nutrition

Eating on a suppressed appetite: hitting nutritional targets inside a small energy budget, micronutrient risk, meal structure, and what the trial…

100 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
asked by anders_vestby 8.5k · 15 months ago
34 votes5 answers35k views
What fraction of loss on tirzepatide is lean mass according to SURPASS-3?

Concretely: tirzepatide · SURPASS-3. The figures are clear enough; the question is what they mean and what they do not. I can supply the numbers if the specifics…

lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
muscle-loss
muscle-loss

Loss of contractile tissue during energy deficit: what fraction of total loss is lean mass, why the commonly quoted figures are measurement…

39 questions
dexa
dexa

Dual-energy X-ray absorptiometry: what it measures, its precision limits, why hydration state and scan positioning move the numbers, and how to…

39 questions
tirzepatide
tirzepatide

A dual GIP and GLP-1 receptor agonist. Questions here cover the SURPASS and SURMOUNT programmes, the practical differences from a pure GLP-1…

370 questions
asked by ayo_fadipe 9.4k · 2.0 years ago
34 votes3 answers8.6k views
What is the actual evidence behind 1.6 g/kg, and does it still apply when I am in a 40% deficit?

1.6 g/kg is quoted as though it were a physical constant. I would like to know what study it came from, what population, and whether the conditions of that study…

protein-intake
protein-intake

Protein targets in grams per kilogram, per-meal distribution and the leucine threshold, and the evidence for a higher intake specifically during…

60 questions
clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
resistance-training
resistance-training

Loaded training as the primary intervention for retaining lean mass in a deficit: minimum effective dose, frequency versus volume, and why…

43 questions
asked by Dr_Sara_Kuusela 28k · 8 months ago
33 votes5 answers29k views
Does a DEXA repeated every three weeks give me a usable lean-mass trend?

I would like to know what to measure as much as what to do. Both of these get recommended confidently by different people, which suggests neither is obviously right.…

dexa
dexa

Dual-energy X-ray absorptiometry: what it measures, its precision limits, why hydration state and scan positioning move the numbers, and how to…

39 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
muscle-loss
muscle-loss

Loss of contractile tissue during energy deficit: what fraction of total loss is lean mass, why the commonly quoted figures are measurement…

39 questions
asked by hana_petrikova 10k · 12 months ago
33 votes 5 answers25k views
What fraction of loss on oral semaglutide is lean mass according to SOUL?

Stated plainly: oral semaglutide · SOUL. The figures are clear enough; the question is what they mean and what they do not. I can supply the numbers if the specifics…

lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
muscle-loss
muscle-loss

Loss of contractile tissue during energy deficit: what fraction of total loss is lean mass, why the commonly quoted figures are measurement…

39 questions
dexa
dexa

Dual-energy X-ray absorptiometry: what it measures, its precision limits, why hydration state and scan positioning move the numbers, and how to…

39 questions
oral-glp1
oral-glp1

Oral routes for GLP-1 receptor agonism: peptide formulations rescued by absorption enhancers such as SNAC, and true small molecules that need no…

219 questions
asked by ravenna_pace 14k · 15 months ago
32 votes 5 answers44k views
Is resistance training two times a week enough at 1,200 kcal a day?

Numbers first: two · 1,200 kcal. This is a planning question. I know what my options are; I do not know how to weigh them. What I want is the minimum viable version,…

resistance-training
resistance-training

Loaded training as the primary intervention for retaining lean mass in a deficit: minimum effective dose, frequency versus volume, and why…

43 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
exercise
exercise

Training during substantial weight loss: cardiorespiratory work, step count, low energy availability, and how exercise interacts with the appetite…

38 questions
asked by dmitri_savchuk 27k · 19 months ago
32 votes5 answers23k views
Does a DEXA repeated every twelve weeks give me a usable lean-mass trend?

The trend is what I care about; individual weeks are obviously noise. I have used one of these for a while and I am considering switching, which requires a reason.…

dexa
dexa

Dual-energy X-ray absorptiometry: what it measures, its precision limits, why hydration state and scan positioning move the numbers, and how to…

39 questions
lean-mass
lean-mass

Lean body mass as measured rather than assumed: what DEXA, BIA and air-displacement plethysmography each actually estimate, the body-composition…

127 questions
muscle-loss
muscle-loss

Loss of contractile tissue during energy deficit: what fraction of total loss is lean mass, why the commonly quoted figures are measurement…

39 questions
asked by pascal_thibault 11k · 10 months ago
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