gary_naperville said:

On a suppressed appetite the winning strategy is protein density per unit of volume, not per calorie.

DEXA scan update relevant to protein intake:

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

Lean mass preserved — actually GAINED 1-2 lbs thanks to progressive overload + 1.4g/kg protein. The protein intake discussion needs to include body comp data, not just scale weight.

A narrower follow-up, since the general answer is now clear:

How people are hitting a protein target on a genuinely suppressed appetite, because volume is the binding constraint rather than willingness?

SleepDoc_PDX said:

DEXA scan update relevant to protein intake: Scanned at months 0, 6, and 12.

Coming at SleepDoc_PDX’s question from a different direction. The distinction that resolves most of these threads is between what is true on average and what is true for one person. Both are real; they answer different questions and get quoted as if they were the same one.

OP back with an update, since a thread like this is useless without one.

Front-loading was the answer. Same total intake, same drug, but two thirds of the protein before midday and I am hitting the target most days now.

Dr.LeslieOBGYN said:

The distinction that resolves most of these threads is between what is true on average and what is true for one person.

Agreed on the target, with the caveat that reference weight and current weight are different numbers. Using current weight at the start of a large loss produces a target that is both unachievable and unnecessary.