Dr.RenalNash said: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…
Same pattern here, and in the same order. Nothing to add that would improve it.
DoseLogDan said:lean mass + resistance training is the combo.
Body composition tracking via bioimpedance on lean mass (InBody scan every 3 months):
| Metric | Baseline | Month 3 | Month 6 | Month 9 |
|---|---|---|---|---|
| Skeletal Muscle (lbs) | 72 | 72 | 72 | 74 |
| Body Fat (lbs) | 94 | 72 | 62 | 46 |
| Body Fat % | 42% | 35% | 27% | 21% |
| Visceral Fat (cm²) | 149 | 124 | 84 | 59 |
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:lean mass + resistance training is the combo.
Back pain as a lean mass side effect: not from the medication itself, but from rapid body composition changes. Losing 55 lbs shifts your center of gravity and your core muscles need time to adjust.
Physical therapy has been essential. Core strengthening exercises (planks, dead bugs, bird dogs) daily for 10 minutes have eliminated my lower back pain. Your body is literally relearning how to carry itself.
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Shop Reference StandardsFollowing on from DoseLogDan — and this may be the naive question:
Did your prescriber agree with that reading, and if not what was their objection?