[PREMIUM] DEXA before/after — anyone have experience?

PedsEndoPhilly said:

Bone density monitoring on lean mass: DEXA bone density at baseline and month 12.

Sharing my comprehensive lab data relevant to lean mass:

Protocol: Tirzepatide 10mg/wk, resistance training 5x/week, protein 1.5g/kg/day.

The improvements in lean mass are clearly reflected in these numbers. The inflammatory marker reduction (hsCRP) is particularly striking.

mike_mealprep said:

Right, and protein targets should be set on a reference weight rather than current weight.

Thank you for spelling out the reasoning rather than just the conclusion. Adding it to my notes with a link back to this thread.

PedsEndoPhilly said:

Bone density monitoring on lean mass: DEXA bone density at baseline and month 12.

Physical therapist weighing in on lean mass. I work with bariatric and metabolic patients daily.

The resistance training evidence is critical here:

The Lundgren 2024 JAMA paper[1] showed that structured resistance training preserved 73% more lean mass in GLP-1 patients vs medication alone. When discussing lean mass, we MUST include the exercise component.

My minimum prescription: 3x/week compound movements (squat, deadlift, press, row), progressive overload, 7-10K steps/day, and 1.2-1.6g protein/kg/day.

PeptideSynthNJ said:

I lifted three times a week throughout and still lost lean mass.

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

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

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again. Carry on.