sarah.morrison 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?

Dr.AddMedPHL said:

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

Adding the part of the answer the thread has not reached. It helps to say which part of this you are uncertain about. A precise question gets a precise answer; a general one gets everybody’s favourite anecdote.

Reporting back.

Reporting back — setting the target on reference weight rather than current weight turned an impossible number into a boring one.

sarah_TO said:

It helps to say which part of this you are uncertain about.

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.