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ForumsNutrition & SupplementationKeto vs Mediterranean vs high-protein — 12 month update

Keto vs Mediterranean vs high-protein — 12 month update

RickReta_CO Tue, Dec 2, 2025 at 5:47 AM 7 replies 1,105 viewsPage 1 of 2
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RickReta_CO
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Jan 2025
Colorado
Dec 2, 2025 at 5:47 AM#1

I tracked honestly for two weeks and averaged 68g of protein against a target of about 120g. That gap is the whole problem and no meal plan I have found is written for it.

What I am after is how people are hitting a protein target on a genuinely suppressed appetite, because volume is the binding constraint rather than willingness.

Not looking for reassurance. Looking for the part I have got wrong.

47 17matt_MKE, Dr.ReproEndo, lucas_SP_BR and 44 others
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Dr.GutHealth
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Dec 2, 2025 at 7:26 AM#2

This one has a reasonably settled answer, so here it is. The RDA is the wrong reference and it is worth understanding why. 0.8 g/kg is the intake at which nitrogen balance is not negative in healthy weight-stable adults — a floor for deficiency prevention, not an optimum, and derived in a population that is not in a deficit. In a substantial energy deficit, protein requirement rises because amino acids are being oxidised for energy and because muscle protein synthesis is blunted. The literature on preserving lean mass during weight loss lands around 1.4 to 2.0 g/kg of reference body weight, which is roughly two to two and a half times the RDA.

Last edited: Dec 2, 2025 at 12:26 PM
46 16tyler_CSCS, VanRx_Mike, steve_okc and 43 others
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amy_econ_NJ
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May 2024
Princeton, NJ
Dec 2, 2025 at 9:05 AM#3
Dr.GutHealth said:
The RDA is the wrong reference and it is worth understanding why.

True, and anyone with reduced kidney function needs that target set by a clinician rather than a forum. High protein is safe in normal kidneys and is not automatically safe in impaired ones.

If somebody has the primary source to hand I would rather cite it than paraphrase it.

45 15sean_dublin, hannah_MT, Dr.SportsMedIN and 42 others
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KarenAZ_mom
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Aug 2024
Scottsdale, AZ
Dec 2, 2025 at 10:44 AM#4
RickReta_CO said:
I tracked honestly for two weeks and averaged 68g of protein against a target of about 120g.

This matches mine closely enough to be worth saying so. Distribution matters less than total but it is not nothing. Roughly 25 to 40g per sitting with enough leucine to trigger synthesis, three or four times a day, is more effective than the same total in one enormous evening meal — and on a suppressed appetite the enormous evening meal is the one you will not finish anyway.

I would rather be corrected than agreed with, if it comes to it.

44 14LibrarianMeg, bri_stats, pete_manc_UK and 41 others
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MASHdoc_SA
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San Antonio, TX
Dec 2, 2025 at 8:23 PM#5

From the other side of the consultation, briefly.

DEXA scan update relevant to protein intake:

Scanned at months 0, 6, and 12. Here are the body comp numbers:

BaselineMonth 6Month 12
Total mass245 lbs225 lbs202 lbs
Fat mass105 lbs65 lbs52 lbs
Lean mass158 lbs148 lbs149 lbs
Body fat %38%34%21%

Lean mass preserved — actually GAINED 1-2 lbs thanks to progressive overload + 1.5g/kg protein. The protein intake discussion needs to include body comp data, not just scale weight.

Last edited: Dec 2, 2025 at 11:23 PM
43 13kate.chem, DataDave, Dr.GutHealth and 40 others
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