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ForumsNutrition & SupplementationKeto vs Mediterranean vs high-protein — January 2024

Keto vs Mediterranean vs high-protein — January 2024

nick_newbie Tue, Feb 11, 2025 at 8:54 AM 9 replies 1,538 viewsPage 1 of 2
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nick_newbie
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Feb 11, 2025 at 8:54 AM#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 whether the RDA is the wrong reference entirely during rapid weight loss, and what the actual target should be.

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

48 18robert_kc, dan_philly, MeganSA_TX and 45 others
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Dr.GutHealth
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Feb 11, 2025 at 9:00 AM#2

This one has a reasonably settled answer, so here it is. 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.

Last edited: Feb 11, 2025 at 2:00 PM
47 17tyler_CSCS, VanRx_Mike, steve_okc and 44 others
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JenPlateau
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Feb 11, 2025 at 9:06 AM#3
Dr.GutHealth said:
The RDA is the wrong reference and it is worth understanding why.

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.

46 16RunnerRach, TrialNerd_Beth, HPLC_Greg and 43 others
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HealthEcon_DC
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Feb 11, 2025 at 9:12 AM#4
nick_newbie said:
I tracked honestly for two weeks and averaged 68g of protein against a target of about 120g.

Can confirm the pattern nick_newbie describes. Distribution matters less than total but it is not nothing. Roughly 25 to 40g per sitting with enough leucine to trigger synthesis, three or four times a day, is more effective than the same total in one enormous evening meal — and on a suppressed appetite the enormous evening meal is the one you will not finish anyway.

Last edited: Feb 11, 2025 at 11:12 AM
45 15TirzTom, TrialTracker_MD, JennaRN and 42 others
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Dr.RaviCardio
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Feb 11, 2025 at 9:42 AM#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 mass282 lbs227 lbs209 lbs
Fat mass112 lbs82 lbs44 lbs
Lean mass150 lbs149 lbs156 lbs
Body fat %43%35%23%

Lean mass preserved — actually GAINED 1-2 lbs thanks to progressive overload + 1.6g/kg protein. The protein intake discussion needs to include body comp data, not just scale weight.

Last edited: Feb 11, 2025 at 10:42 AM
44 14jason_sac26, chris_chi24, tampaLisa73 and 41 others
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