Dr.PulmRoch said:Distribution matters less than total but it is not nothing.
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 | 247 lbs | 242 lbs | 214 lbs |
| Fat mass | 117 lbs | 67 lbs | 49 lbs |
| Lean mass | 155 lbs | 154 lbs | 151 lbs |
| Body fat % | 40% | 34% | 23% |
Lean mass preserved — actually GAINED 1-2 lbs thanks to progressive overload + 1.5g/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?
SleepDoc_PDX said:DEXA scan update relevant to protein intake: Scanned at months 0, 6, and 12.
Coming at SleepDoc_PDX’s question from a different direction. Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then measure again under the same conditions.
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Front-loading was the answer. Same total intake, same drug, but two thirds of the protein before midday and I am hitting the target most days now.
Dr.DermMIA said:Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then…
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.