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Evidence-based GLP-1 & peptide discussion since 2023
ForumsNutrition & SupplementationHas anyone dealt with i literally cannot eat more than 500 calories a day - is this okay???

Has anyone dealt with i literally cannot eat more than 500 calories a day - is this okay???

mike.trainer_LA Sat, Dec 28, 2024 at 1:02 PM 15 replies 1,773 viewsPage 1 of 3
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mike.trainer_LA
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Dec 28, 2024 at 1:02 PM#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.

The arithmetic that makes it tractable: reference weight in kg times 1.6 gives the target; divide by four for a per-sitting figure; then find four foods that hit that figure in a volume you can actually finish. Most people need two of the four to be liquid or semi-liquid early on.

The question I want answered is how people are hitting a protein target on a genuinely suppressed appetite, because volume is the binding constraint rather than willingness.

Numbers rather than impressions, if you have them.

19 14Dr.AddMedPHL, newstart_MO, mia_MS2 and 16 others
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Dr.PeteFamMed
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Jan 2024
Minneapolis, MN
Dec 28, 2024 at 1:16 PM#2

This one has a reasonably settled answer, so here it is. On a suppressed appetite the winning strategy is protein density per unit of volume, not per calorie. Isolate powders, Greek yoghurt and cottage cheese, egg whites, lean fish, and tinned tuna all deliver a lot of protein in a small physical volume. Front-load it: appetite is usually least suppressed in the first hours after waking and worst on the day or two after dosing, so get the majority in early in the day and early in the week.

Ask again with the specifics and you will get a better answer than this one.

Last edited: Dec 28, 2024 at 2:16 PM
18 13tommy_boulder, hyun_seoul, jim_asheville and 15 others
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LondonLisa
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Dec 28, 2024 at 1:30 PM#3
Dr.PeteFamMed said:
On a suppressed appetite the winning strategy is protein density per unit of volume, not per calorie.

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.

17 12RetaRick_CA, JenPlateau, SallyK_inj and 14 others
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sean_dublin
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Dec 28, 2024 at 1:44 PM#4
mike.trainer_LA said:
I tracked honestly for two weeks and averaged 68g of protein against a target of about 120g.

Same position here, arrived at the long way round. 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.

16 11NurseLeah_Nash, gary_naperville, sean_dublin and 13 others
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Dr.LeslieOBGYN
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Dec 28, 2024 at 2:55 PM#5

Adding the clinical framing, because it changes how the question reads.

DEXA scan update relevant to protein intake:

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

BaselineMonth 6Month 12
Total mass256 lbs221 lbs193 lbs
Fat mass96 lbs76 lbs43 lbs
Lean mass149 lbs151 lbs150 lbs
Body fat %41%31%22%

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 28, 2024 at 8:55 PM
15 10mike_mealprep, NicoleRaleigh, james_edin and 12 others
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