SarahChen_PharmD said:Distribution matters less than total but it is not nothing.
I will push back on the powder-first advice. It works and it also trains people out of eating food, and when the drug stops the habits are what remain. Getting protein from meals is slower and holds up better afterwards.
One concrete data point for the thread. If you are tracking this properly: same scanner, same time of day, same hydration, at least six months apart, and read grip strength or a lift number alongside it. Function is the outcome; the scan is the proxy.
Dr.SleepRoch said:I will push back on the powder-first advice.
There is a second half to this that has not been said yet. 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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View ResultsA narrower follow-up, since the general answer is now clear:
Whether the RDA is the wrong reference entirely during rapid weight loss, and what the actual target should be?
OP back with an update, since a thread like this is useless without one.
Update: two thirds of the target before midday. Same total, same appetite, and I am hitting it most days now.