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ForumsNutrition & SupplementationSmoothie recipes thread — 12 month update

Smoothie recipes thread — 12 month update

TomTeleRx Tue, Jan 9, 2024 at 9:15 PM 12 replies 2,163 viewsPage 1 of 3
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TomTeleRx
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Jan 9, 2024 at 9:15 PM#1

My appetite is suppressed enough that hitting a protein target is now the hardest part of the day, and everything I read assumes I can simply eat more.

The question I want answered is whether the RDA is the wrong reference entirely during rapid weight loss, and what the actual target should be.

Happy to be told the question itself is wrong.

43 13pete_manc_UK, anna.melb_AU, mark_tokyo and 40 others
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RetaRick_CA
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Jan 9, 2024 at 9:22 PM#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.

Happy to go further on any of that.

42 12AmyNC_wife, SkepticalSean, Dr.CardioMD and 39 others
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Admin
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Jan 9, 2024 at 9:29 PM#3
RetaRick_CA 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.

Last edited: Jan 10, 2024 at 1:29 AM
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LondonLisa
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Jan 9, 2024 at 9:36 PM#4
TomTeleRx said:
My appetite is suppressed enough that hitting a protein target is now the hardest part of the day, and everything I read assumes I can simply eat…

Same position here, arrived at the long way round. 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.

40 10JenPlateau, SallyK_inj, CryptoCarl and 37 others
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anna.melb_AU
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Jan 9, 2024 at 10:10 PM#5

From the other side of the consultation, briefly.

DEXA scan update relevant to protein intake:

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

BaselineMonth 6Month 12
Total mass268 lbs218 lbs195 lbs
Fat mass98 lbs68 lbs45 lbs
Lean mass151 lbs147 lbs152 lbs
Body fat %45%33%24%

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.

39 9Dr.LipidDallas, alex_tucson, kevin_tulsa and 36 others
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