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ForumsProgress & Lab Results[PREMIUM] Swimming body transformation — before/after + DEXA + race times Page 5

[PREMIUM] Swimming body transformation — before/after + DEXA + race times

LeilaHI Tue, Mar 24, 2026 at 5:39 AM 26 replies 1,233 viewsPage 5 of 6
Dr.PeteFamMed
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Mar 25, 2026 at 11:40 PM#21
dan_philly said:
lean mass + resistance training is the combo.

Muscle fiber type changes during GLP-1-mediated weight loss, relevant to lean mass: preliminary biopsy data suggests that weight loss shifts the skeletal muscle fiber type distribution:

  • Decreased Type IIx (glycolytic, fast-twitch) fibers
  • Increased Type I (oxidative, slow-twitch) fibers
  • Improved mitochondrial density and function
  • Enhanced insulin-stimulated glucose uptake per fiber

This "metabolic remodeling" of muscle may contribute to improved insulin sensitivity independent of total lean mass changes. The muscle you keep becomes metabolically better, even if there's less of it[1].

References:
[1] Pirkmajer S, et al. Front Physiol. 2023;14:1123456.
19 17hyun_seoul, jim_asheville, matt_MKE and 16 others
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Dr.SportsMedIN
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Mar 26, 2026 at 8:42 AM#22
dan_philly said:
lean mass + resistance training is the combo.

Thank you for spelling out the reasoning rather than just the conclusion.

20 18lisa_labSD, adam_van, Dr.SurgeonPGH and 17 others
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Dr.RaviCardio
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Mar 26, 2026 at 5:44 PM#23

Adding the clinical framing, because it changes how the question reads.

DEXA scan update relevant to lean mass:

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

BaselineMonth 6Month 12
Total mass275 lbs240 lbs192 lbs
Fat mass95 lbs75 lbs42 lbs
Lean mass148 lbs150 lbs149 lbs
Body fat %44%30%21%

Lean mass preserved — actually GAINED 1-2 lbs thanks to progressive overload + 1.4g/kg protein. The lean mass discussion needs to include body comp data, not just scale weight.

21 19mark_tokyo, hans_munich, jason_sac26 and 18 others
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anders_CPH
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Mar 27, 2026 at 2:46 AM#24
Dr.RaviCardio said:
DEXA scan update relevant to lean mass: Scanned at months 0, 6, and 12.

Same experience, arrived at from the opposite direction.

Last edited: Mar 27, 2026 at 6:46 AM
22 20BethLabQueen, ChrisMacros, KetoKyle and 19 others
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josh_phd_bmore
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Mar 27, 2026 at 11:47 AM#25
Dr.RaviCardio said:
DEXA scan update relevant to lean mass: Scanned at months 0, 6, and 12.

There is a second half to this that has not been said yet. The distinction that resolves most of these threads is between what is true on average and what is true for one person. Both are real; they answer different questions and get quoted as if they were the same one.

Correct me if the detail matters more than I have assumed.

Last edited: Mar 27, 2026 at 1:47 PM
23 21tampaLisa73, KarenAZ_mom, zoe_NC and 20 others
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