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ForumsExercise & Body CompositionRecovery optimization on GLP-1 — September 2026

Recovery optimization on GLP-1 — September 2026

maya_sedona Tue, May 6, 2025 at 9:50 AM 9 replies 1,513 viewsPage 1 of 2
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maya_sedona
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May 6, 2025 at 9:50 AM#1

Two DEXA scans eleven months apart: down 24kg total, of which the scan says 6kg was lean. I want to know whether that ratio is bad, normal, or simply what happens.

What I actually want to know is whether resistance training and protein change the ratio or only the absolute amount.

Numbers rather than impressions, if you have them.

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Dr.NateNeph
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May 6, 2025 at 11:59 AM#2

Answering the narrow version, because the broad one does not have a single answer. The honest range is roughly 20 to 40% of total loss as lean mass without deliberate resistance training, and roughly 10 to 20% with it plus adequate protein. Both numbers need a caveat that matters: "lean mass" on a DEXA is not muscle. It includes water, glycogen and the lean fraction of organs, and glycogen alone carries about three grams of water per gram. A large early lean drop is mostly the glycogen and water going, which is why the first scan flatters and the second is the honest one.

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SurmountFan_IN
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May 6, 2025 at 2:08 PM#3
Dr.NateNeph said:
The honest range is roughly 20 to 40% of total loss as lean mass without deliberate resistance training, and roughly 10 to 20% with it plus adequate…

Agreed on the ranges, with the condition that a single DEXA is not a measurement, it is one draw from a distribution. Hydration status moves the lean compartment by a kilogram or more between scans, so any comparison of scans done at different times of day or different hydration states is noise.

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tammy_FL
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May 6, 2025 at 4:17 PM#4
maya_sedona said:
Two DEXA scans eleven months apart: down 24kg total, of which the scan says 6kg was lean.

Can confirm the pattern maya_sedona describes. There is also a quality change that the scan cannot see. Weight loss shifts fiber-type distribution toward Type I and improves mitochondrial density and insulin-stimulated glucose uptake per fiber — so the muscle you keep is metabolically better even though there is less of it. That does not make the loss irrelevant, but it explains why function often holds up better than the number suggests.

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Dr.RaviCardio
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May 7, 2025 at 5:06 AM#5

From the other side of the consultation, briefly.

Body composition tracking via bioimpedance on lean mass (InBody scan every 3 months):

MetricBaselineMonth 3Month 6Month 9
Skeletal Muscle (lbs)68687170
Body Fat (lbs)100745842
Body Fat %38%31%27%20%
Visceral Fat (cm²)1451208055

Note: skeletal muscle mass dipped initially then recovered with consistent resistance training + high protein. The visceral fat reduction is where the metabolic magic happens.

Last edited: May 7, 2025 at 6:06 AM
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