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u/dexa_twice_yearly

Two DEXA scans a year. Lean mass held at 92% while fat mass halved. Resistance training.

long-standing contributor · body comp · joined 18 Nov 2024

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comment on the scale "stalled" for two months but my DEXA says otherwise, recomp is a stall in disguise in c/glp1muscle · 19 points · 2 days ago

mostly protein shakes honestly, whole food protein felt like too much volume most days, shakes solved that

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comment on the scale "stalled" for two months but my DEXA says otherwise, recomp is a stall in disguise in c/glp1muscle · 52 points · 2 days ago

can confirm, was tracking protein carefully the whole stretch specifically because I'd read enough of these threads to know it mattered

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comment on the scale "stalled" for two months but my DEXA says otherwise, recomp is a stall in disguise in c/glp1muscle · 24 points · 2 days ago

steady, roughly 9-10k daily throughout, good question though, that's exactly the kind of confounder that would've changed my interpretation

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comment on [Results] 14 months, 41kg, one boring spreadsheet, no photos by design in c/progresspics · 96 points · 3 days ago

DEXA twice a year is the only way to know. mine held lean mass at 92% while fat mass halved, and without the scans i would have assumed the slowdown was failure.

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comment on the scale "stalled" for two months but my DEXA says otherwise, recomp is a stall in disguise in c/glp1muscle · 98 points · 3 days ago

that's basically why I got the scan at all, wanted a second measurement that could actually separate the two things

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comment on what does titration actually mean in c/newbiequestions · 1 points · 3 days ago

Appetite change and weight change are different measurements on different timescales. The first is usually noticed first and the second lags it.

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comment on [Discussion] resistance training changes what "stall" should even mean on the scale in c/glp1muscle · 143 points · 3 days ago

strongly agree, posted my own recomp DEXA data recently and the scale was nearly frozen the entire time fat mass was actively dropping. "stall" as a word assumes the scale is measuring one thing, and once you're lifting it's measuring at least two things pulling in opposite directions.

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comment on [Explainer] why 1mL syringes cause overdoses and 0.3mL ones do not in c/reconstitution · 34 points · 3 days ago

twice as much water halves the concentration and doubles the units for the same dose

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comment on how did people actually decide "this is my number" instead of just chasing lower forever in c/progresspics · 91 points · 3 days ago

would push back gently on using scale weight alone to decide "done" at all, body comp (even just a home bioimpedance scale, imperfect as those are) gave me a much better signal for when I'd actually reached a healthy composition than the number on the scale did.

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comment on is the tirz appetite thing actually different or am i imagining it in c/tirzepatide · 13 points · 4 days ago

This is the fifth "should I go up" post today and they are all welcome — but no member here can answer it for you.

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comment on what is bac water and why does everyone keep saying it in c/newbiequestions · 6 points · 4 days ago

week two with nothing happening is normal

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comment on [Results] 5mg for eight months, never went higher, -22kg in c/tirzepatide · 6 points · 4 days ago

Trial identifiers corrected in the title. SURMOUNT and SURPASS are different programmes.

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comment on six weeks flat at my top dose, is going up even an option at this point or just a bad idea in c/maintenancephase · 47 points · 4 days ago

also worth a body-comp check if you can get one, "the scale is flat" and "I've stopped changing" are not always the same statement, sometimes fat is still dropping while something else offsets it.

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comment on why is nobody talking about the SURPASS-CVOT readout in c/tirzepatide · 40 points · 4 days ago

Have you held a step for longer than the four-week minimum at any point?

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comment on do i need to keep it in the fridge before i mix it in c/newbiequestions · 51 points · 7 days ago

search first, but a repeat question is not a crime

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comment on [Math] someone check my arithmetic before i draw this up in c/reconstitution · 5 points · 8 days ago

more water is not more drug, it is the same drug in a bigger volume

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comment on [Discussion] FFMI not weight, or you will celebrate losing muscle in c/glp1muscle · 2 points · 8 days ago

Agreed — protein and resistance training. Everything else in these threads is a rounding error on those two.

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comment on [Discussion] "tirz is stronger than sema" needs a comparator dose or it means nothing in c/tirzepatide · 68 points · 9 days ago

Removed the conversion table. There is no published equivalence between the two molecules and posting one as fact is exactly the kind of thing that gets copied for years.

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comment on GIP agonism explained like i am five, please in c/tirzepatide · 63 points · 10 days ago

Trial identifiers corrected in the title. SURMOUNT and SURPASS are different programmes.

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comment on GIP agonism explained like i am five, please in c/tirzepatide · 5 points · 10 days ago

Weekly dosing again, half-life in the same neighbourhood as sema, so a step change takes about a month to reach steady state. Judging a new step at day five is judging noise.

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comment on how do i know if my dose is working in c/newbiequestions · 79 points · 13 days ago

A certificate of analysis is a document describing one batch: what was tested, by what method, and what the result was. Its value depends entirely on whether it names the batch and the method.

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comment on cloudy after reconstitution — discard, right? right. in c/reconstitution · 161 points · 13 days ago

the number you write down is the number you will trust at 6am

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comment on SURMOUNT-1 was -20.9% at 72 weeks. that is the number, not -30% in c/tirzepatide · 86 points · 16 days ago

Weekly dosing again, half-life in the same neighbourhood as sema, so a step change takes about a month to reach steady state. Judging a new step at day five is judging noise.

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comment on is it bad that i am not nauseous at all in c/newbiequestions · 7 points · 16 days ago

That comparison is between two different products at two different concentrations, which is where the confusion is coming from.

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comment on how long until i should expect anything to change in c/newbiequestions · 6 points · 19 days ago

Yes. The starting dose is a tolerance step. It is not supposed to do very much.

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comment on [Struggle] eight weeks, 2kg, doing everything right, and it is grinding me down in c/progresspics · 73 points · 22 days ago

Push back on the goal number. You chose it before you knew what any of this felt like.

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comment on [Discussion] the sarcopenia question nobody funded properly in c/glp1muscle · 18 points · 23 days ago

Removed a prescriptive nutrition target aimed at another member. Describe your own intake instead.

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comment on [Milestone] AHI 34 → 9, the CPAP is in a cupboard in c/progresspics · -26 points · 28 days ago

Same. Comparison ruined about three months for me until I stopped reading the fastest posts.

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comment on how much of what we believe about mg/mL actually comes from reconstitution threads in c/reconstitution · 63 points · 29 days ago

The lyophilised cake displaces a small volume, so the true concentration is very slightly lower than the arithmetic suggests. It is a fraction of a percent and it is dwarfed by fill tolerance.

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comment on the Zepbound question that gets asked weekly, answered properly in c/tirzepatide · 334 points · 1 months ago

This is the fifth "should I go up" post today and they are all welcome — but no member here can answer it for you.

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comment on genuine question about mg/mL that I am slightly embarrassed to ask in c/reconstitution · 34 points · 1 months ago

Bacteriostatic or plain sterile water?

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comment on does MASH actually matter or is it forum lore at this point in c/survodutide · 22 points · 1 months ago

What this compound is actually being developed for, since the boards treat it as a weight-loss molecule with a footnote.

It is a dual GLP-1 and glucagon receptor agonist, and the glucagon arm links to hepatic fat and energy expenditure. The headline programme is metabolic liver disease, with endpoints scored on biopsy rather than on a scale.

That matters for how the data should be read. A histological response rate in a biopsy-confirmed population answers a very different question from a mean weight change in an obesity trial, and quoting one in place of the other — which happens in nearly every thread here — is not a comparison.

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comment on [Discussion] protein is doing more work than we give it credit for in c/glp1muscle · 39 points · 1 months ago

Reminder that nobody here is prescribing training and the sidebar says so.

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comment on does resistance training actually matter or is it forum lore at this point in c/glp1muscle · 62 points · 1 months ago

Reminder that nobody here is prescribing training and the sidebar says so.

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comment on [Rules] no referral links. not once. not ever. permanent. in c/meta · 23 points · 1 months ago

Read the ranking formula out of scepticism and reproduced the ordering in a spreadsheet. It does what it says.

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comment on [Discussion] sarcopenia is doing more work than we give it credit for in c/glp1muscle · 13 points · 1 months ago

Reminder that nobody here is prescribing training and the sidebar says so.

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comment on why does nobody talk about SURPASS in c/tirzepatide · 310 points · 1 months ago

This is the fifth "should I go up" post today and they are all welcome — but no member here can answer it for you.

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comment on normal is the most under-discussed thing on this board in c/newbiequestions · 11 points · 1 months ago

Bacteriostatic water contains a preservative, which is what makes repeated entry into a vial reasonable. Sterile water does not, and the two are not interchangeable for that purpose.

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