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ForumsProgress & Lab ResultsHas anyone dealt with [premium] couple's transformation?

Has anyone dealt with [premium] couple's transformation?

marco_milano Fri, Mar 22, 2024 at 5:46 AM 42 replies 2,236 viewsPage 1 of 9
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marco_milano
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Mar 22, 2024 at 5:46 AM#1

Posting this because the summary going around does not say what the paper says, and the difference matters for how people here are using it.

Most reported plateaus are not plateaus. Weight is a noisy signal — daily variation of one to two kilograms from glycogen, sodium and gut contents — so a fortnight of flat readings is well inside the noise band. Before concluding anything, look at a rolling weekly average over at least four weeks and at a tape measure, because recomposition shows up in circumference before it shows up in weight. Then track intake honestly for a week: appetite suppression fades unevenly, and intake creeping back up is the single commonest cause.

Where I think it is weakest: the subgroup findings are the part I trust least — with enough subgroups something is always significant, and these were not all pre-registered.

The narrow version of the question is how to distinguish a genuine plateau from measurement noise and creeping intake, before changing anything. Tell me what I have not thought of.

Note on sourcing:
Figures above are from the primary publication rather than the press summary. If a number here disagrees with one you have, post yours and we will work out which of us is reading a secondary source.
17 12kevin_tulsa, Dr.PainCLE, mike_mealprep and 14 others
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mike.trainer_LA
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Mar 22, 2024 at 7:56 AM#2
marco_milano said:
Weight is a noisy signal — daily variation of one to two kilograms from glycogen, sodium and gut contents — so a fortnight of flat readings is well…

Plateau breaking story with a stall: I stalled at 204 lbs for 8 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.

What finally broke the plateau: adding HIIT cardio 2x/week. Lost 6 lbs in the next 3 weeks. Plateaus are temporary — they always break if you stay consistent.

16 11newstart_MO, mia_MS2, LeilaHI and 13 others
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TirzTom
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Mar 22, 2024 at 10:06 AM#3
marco_milano said:
Weight is a noisy signal — daily variation of one to two kilograms from glycogen, sodium and gut contents — so a fortnight of flat readings is well…

Pushing back on marco_milano here. The "it is your intake" reflex here gets tiring. Some people genuinely stop responding at a dose that worked, and telling them to track harder when they have already tracked is how people stop posting.

If somebody has the primary source to hand I would rather cite it than paraphrase it.

15 10Dr.EndoIndy, tom_AK, josh_phd_bmore and 12 others
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rachel_ABQ
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Mar 22, 2024 at 12:15 PM#4

Answering the narrow version, because the broad one does not have a single answer. Genuine plateaus happen too, and the mechanism is metabolic adaptation plus a smaller body. A body 20kg lighter needs meaningfully fewer calories at rest and less to move, so the deficit that produced the first phase is arithmetically smaller now. The options are the honest ones — increase the deficit slightly, increase activity, or accept the new plateau — and escalating the dose is only one of them.

Last edited: Mar 22, 2024 at 5:15 PM
14 9SkepticalSean, Dr.CardioMD, EndoResFellow and 11 others
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carlos_SATX
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Mar 23, 2024 at 1:05 AM#5
mike.trainer_LA said:
Plateau breaking story with a stall: I stalled at 204 lbs for 8 weeks.

Mine went the same way, slower.

Last edited: Mar 23, 2024 at 3:05 AM
13 8tommy_boulder, hyun_seoul, jim_asheville and 10 others
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