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ForumsExercise & Body CompositionBody recomposition protocol: GLP-1 + progressive overload + high protein — need advice

Body recomposition protocol: GLP-1 + progressive overload + high protein — need advice

SteveThurs Thu, Dec 5, 2024 at 5:43 PM 9 replies 1,728 viewsPage 1 of 2
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SteveThurs
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Dec 5, 2024 at 5:43 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.

So the question, as narrowly as I can put it: how people are hitting a protein target on a genuinely suppressed appetite, because volume is the binding constraint rather than willingness.

Practical detail welcome, however dull — the duller the better.

16 11MaxMetOK, MounjBrad, nick_newbie and 13 others
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Dr.PeteFamMed
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Dec 5, 2024 at 6:36 PM#2

Short answer first, then the reasoning. On a suppressed appetite the winning strategy is protein density per unit of volume, not per calorie. Isolate powders, Greek yoghurt and cottage cheese, egg whites, lean fish, and tinned tuna all deliver a lot of protein in a small physical volume. Front-load it: appetite is usually least suppressed in the first hours after waking and worst on the day or two after dosing, so get the majority in early in the day and early in the week.

15 10tommy_boulder, hyun_seoul, jim_asheville and 12 others
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Dr.CardioMD
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Dec 5, 2024 at 7:29 PM#3
Dr.PeteFamMed said:
On a suppressed appetite the winning strategy is protein density per unit of volume, not per calorie.

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.

14 9tony_orlando, Dr.NephBHM_UK, kim_atl_prep and 11 others
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tane_welly
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Dec 5, 2024 at 8:22 PM#4
SteveThurs 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…

Can confirm the pattern SteveThurs describes. 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: Dec 5, 2024 at 11:22 PM
13 8marco_milano, pam_columbus, nick_SD_fit and 10 others
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NurseAsh_DET
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Dec 6, 2024 at 1:23 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 mass271 lbs216 lbs208 lbs
Fat mass111 lbs71 lbs43 lbs
Lean mass149 lbs154 lbs155 lbs
Body fat %40%34%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.

12 7emily_PDX, Dr.SleepRoch, laura_annarbor and 9 others
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