Dr.ObesityMed said:On a suppressed appetite the winning strategy is protein density per unit of volume, not per calorie.
That reframing is the part I needed. Taking it to my next appointment.
Clinical perspective, offered as context rather than as advice.
DEXA scan update relevant to protein intake:
Scanned at months 0, 6, and 12. Here are the body comp numbers:
| Baseline | Month 6 | Month 12 | |
|---|---|---|---|
| Total mass | 256 lbs | 226 lbs | 193 lbs |
| Fat mass | 96 lbs | 76 lbs | 43 lbs |
| Lean mass | 149 lbs | 151 lbs | 150 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.
DebRD_ATL said:The intervention that works is boring and well evidenced: resistance training two to three times a week at a genuine effort, protein at 1.4 to 2.0…
Pushing back on DebRD_ATL here. I think this board over-worries about lean mass. Some lean loss is obligatory — you need less muscle to move a smaller body, and preserving mass you no longer need is not a health outcome. The question is whether strength and function held, and mine did.
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View ResultsAdding the numbers, since they settle part of this. Say what you would expect to see if you were wrong, before you look. It is a small discipline and it changes what you notice.
Moderator note: the sourcing question belongs in the vendor section and has been split out. Thread quality here is what the rules are for. Keep it up.