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ForumsNutrition & SupplementationEating out on GLP-1 — January 2024

Eating out on GLP-1 — January 2024

Dr.NephBHM_UK Fri, Apr 19, 2024 at 1:02 PM 12 replies 2,058 viewsPage 1 of 3
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Dr.NephBHM_UK
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Jun 2024
Birmingham, UK
Apr 19, 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.

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

I would rather have one careful answer than five confident ones.

3 23Dr.CardioMD, EndoResFellow, PharmacoVig_BOS
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BenResearch_OR
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Dec 2023
Oregon
Apr 19, 2024 at 1:08 PM#2

Short answer first, then the reasoning. 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.

2 22PharmD_Rodriguez, julia.endo
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gary_naperville
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Oct 2024
Naperville, IL
Apr 19, 2024 at 1:14 PM#3
BenResearch_OR 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.

Last edited: Apr 19, 2024 at 4:14 PM
1 21TomTeleRx
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nancy_portland
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Aug 2024
Portland, ME
Apr 19, 2024 at 1:20 PM#4
Dr.NephBHM_UK said:
I tracked honestly for two weeks and averaged 68g of protein against a target of about 120g.

Can confirm the pattern Dr.NephBHM_UK describes. 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.

50 20Dr.PeteFamMed, claudia_zurich, nancy_portland and 47 others
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pat_auckland
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Jun 2024
Auckland, NZ
Apr 19, 2024 at 1:52 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 mass247 lbs242 lbs214 lbs
Fat mass117 lbs67 lbs49 lbs
Lean mass155 lbs154 lbs151 lbs
Body fat %40%34%23%

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.

49 19dan_philly, MeganSA_TX, LarryQC_SD and 46 others
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