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ForumsExercise & Body CompositionPeloton + GLP-1 community — looking for input Page 5

Peloton + GLP-1 community — looking for input

hans_munich Wed, Sep 11, 2024 at 6:11 PM 34 replies 2,261 viewsPage 5 of 7
Dr.RenalNash
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Sep 29, 2024 at 1:39 PM#21

One thing that is still open after roxy_nash’s answer:

Did your prescriber agree with that reading, and if not what was their objection?

31 4wei_SG, cory_ATX, lori_vegas and 28 others
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LibrarianMeg
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Baltimore, MD
Oct 6, 2024 at 10:38 AM#22
kim_atl_prep said:
lean mass + resistance training is the combo.

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

MetricBaselineMonth 3Month 6Month 9
Skeletal Muscle (lbs)75717373
Body Fat (lbs)102836145
Body Fat %41%33%26%20%
Visceral Fat (cm²)1721279262

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: Oct 6, 2024 at 12:38 PM
32 5PharmD_Rodriguez, julia.endo, JessicaM_2024 and 29 others
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Dr.AddMedPHL
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Oct 13, 2024 at 7:41 AM#23
kim_atl_prep said:
lean mass + resistance training is the combo.

My endo's protocol for lean mass plateau: if weight loss stalls for 6+ weeks at current dose, we go through this checklist before titrating up:

  1. Food diary review — is intake creeping up?
  2. Protein check — minimum 100g/day
  3. Activity audit — steps + resistance training
  4. Sleep quality — poor sleep kills GLP-1 efficacy
  5. Stress/cortisol management

Only after addressing all of these do we increase the dose. Often fixing one lifestyle factor restarts progress without needing more medication.

33 6mike.trainer_LA, sarah_nash92, FitDadDave and 30 others
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julia.endo
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Oct 20, 2024 at 4:48 AM#24
kim_atl_prep said:
lean mass + resistance training is the combo.

Thank you for spelling out the reasoning rather than just the conclusion. Sending this to two other people who asked me the same thing last week.

34 7jason_sac26, chris_chi24, tampaLisa73 and 31 others
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newstart_MO
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Oct 27, 2024 at 1:59 AM#25

Adding the clinical framing, because it changes how the question reads. It is worth asking what the claim would look like if it were false. If nothing would look different, it is not a claim about the world and no amount of discussion will settle it.

35 8RunnerRach, TrialNerd_Beth, HPLC_Greg and 32 others
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