anna.melb_AU said:Regarding lean mass: I accidentally injected my dose intramuscularly instead of subcutaneously last week (went in at wrong angle, too deep).
Body composition tracking via bioimpedance on lean mass (InBody scan every 3 months):
| Metric | Baseline | Month 3 | Month 6 | Month 9 |
|---|---|---|---|---|
| Skeletal Muscle (lbs) | 69 | 71 | 70 | 75 |
| Body Fat (lbs) | 106 | 85 | 57 | 45 |
| Body Fat % | 43% | 32% | 26% | 22% |
| Visceral Fat (cm²) | 156 | 111 | 91 | 56 |
Note: skeletal muscle mass dipped initially then recovered with consistent resistance training + high protein. The visceral fat reduction is where the metabolic magic happens.
DoseLogDan said:Right, and protein targets should be set on a reference weight rather than current weight.
Genuinely useful, thank you. I had the facts and not the framework.
anna.melb_AU said:Regarding lean mass: I accidentally injected my dose intramuscularly instead of subcutaneously last week (went in at wrong angle, too deep).
My endo's protocol for lean mass plateau: if weight loss stalls for 6+ weeks at current dose, we go through this checklist before titrating up:
- Food diary review — is intake creeping up?
- Protein check — minimum 100g/day
- Activity audit — steps + resistance training
- Sleep quality — poor sleep kills GLP-1 efficacy
- Stress/cortisol management
Only after addressing all of these do we increase the dose. Often fixing one lifestyle factor restarts progress without needing more medication.
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Browse GL BiochemNurseKim_ATL said:I lifted three times a week throughout and still lost lean mass.
Bone density monitoring on lean mass: DEXA bone density at baseline and month 12.
Lumbar spine T-score: -0.12 → -0.7 (stable to slightly improved)
Femoral neck T-score: -0.10 → -0.8 (stable)
No significant bone loss despite 69 lbs of weight loss. Key factors: adequate calcium (1200mg/day), vitamin D (5000 IU/day), resistance training 3x/week, and adequate protein. Weight-bearing exercise is critical for maintaining bone density during rapid weight loss.
Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Report rather than reply if it drifts again.