gary_naperville said:On a suppressed appetite the winning strategy is protein density per unit of volume, not per calorie.
DEXA scan update relevant to protein intake:
Scanned at months 0, 6, and 12. Here are the body comp numbers:
| Baseline | Month 6 | Month 12 | |
|---|---|---|---|
| Total mass | 258 lbs | 223 lbs | 195 lbs |
| Fat mass | 98 lbs | 78 lbs | 45 lbs |
| Lean mass | 151 lbs | 153 lbs | 152 lbs |
| Body fat % | 43% | 33% | 24% |
Lean mass preserved — actually GAINED 1-2 lbs thanks to progressive overload + 1.4g/kg protein. The protein intake discussion needs to include body comp data, not just scale weight.
A narrower follow-up, since the general answer is now clear:
How people are hitting a protein target on a genuinely suppressed appetite, because volume is the binding constraint rather than willingness?
josh_phd_bmore said:DEXA scan update relevant to protein intake: Scanned at months 0, 6, and 12.
Adding the part of the answer the thread has not reached. Whatever the answer turns out to be, the method for getting there is the same: state the assumption, do the arithmetic in public, and invite the correction. That is slower than asserting, and it is the only version that survives being wrong.
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Reporting back — setting the target on reference weight rather than current weight turned an impossible number into a boring one.
Dr.AddMedPHL said:Whatever the answer turns out to be, the method for getting there is the same: state the assumption, do the arithmetic in public, and invite the…
True, and anyone with reduced kidney function needs that target set by a clinician rather than a forum. High protein is safe in normal kidneys and is not automatically safe in impaired ones.
Happy to go further on any of that.