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ForumsOff-TopicWhat are you cooking tonight? (High protein edition) — need advice

What are you cooking tonight? (High protein edition) — need advice

tommy_boulder Fri, Aug 30, 2024 at 9:25 AM 8 replies 1,876 viewsPage 1 of 2
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tommy_boulder
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Aug 30, 2024 at 9:25 AM#1

My appetite is suppressed enough that hitting a protein target is now the hardest part of the day, and everything I read assumes I can simply eat more.

What I actually want to know is how people are hitting a protein target on a genuinely suppressed appetite, because volume is the binding constraint rather than willingness.

Tell me what I have not thought of.

36 6paul_denver, TinaHashiRN, robert_kc and 33 others
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HPLC_Greg
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Aug 30, 2024 at 10:45 AM#2

This one has a reasonably settled answer, so here it is. The RDA is the wrong reference and it is worth understanding why. 0.8 g/kg is the intake at which nitrogen balance is not negative in healthy weight-stable adults — a floor for deficiency prevention, not an optimum, and derived in a population that is not in a deficit. In a substantial energy deficit, protein requirement rises because amino acids are being oxidised for energy and because muscle protein synthesis is blunted. The literature on preserving lean mass during weight loss lands around 1.4 to 2.0 g/kg of reference body weight, which is roughly two to two and a half times the RDA.

Last edited: Aug 30, 2024 at 4:45 PM
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Dr.MetabolicMD
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Aug 30, 2024 at 12:05 PM#3
HPLC_Greg said:
The RDA is the wrong reference and it is worth understanding why.

Agreed on the target, with the caveat that reference weight and current weight are different numbers. Using current weight at the start of a large loss produces a target that is both unachievable and unnecessary.

34 4HealthEcon_DC, PedsEndoPhilly, SleepDoc_PDX and 31 others
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KetoKyle
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Aug 30, 2024 at 1:25 PM#4
tommy_boulder said:
My appetite is suppressed enough that hitting a protein target is now the hardest part of the day, and everything I read assumes I can simply eat…

Same position here, arrived at the long way round. Distribution matters less than total but it is not nothing. Roughly 25 to 40g per sitting with enough leucine to trigger synthesis, three or four times a day, is more effective than the same total in one enormous evening meal — and on a suppressed appetite the enormous evening meal is the one you will not finish anyway.

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DebRD_ATL
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Aug 30, 2024 at 9:09 PM#5

From the other side of the consultation, briefly.

DEXA scan update relevant to protein intake:

Scanned at months 0, 6, and 12. Here are the body comp numbers:

BaselineMonth 6Month 12
Total mass253 lbs238 lbs220 lbs
Fat mass123 lbs73 lbs55 lbs
Lean mass161 lbs148 lbs157 lbs
Body fat %38%34%24%

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.

32 2HealthEcon_DC, PedsEndoPhilly, SleepDoc_PDX and 29 others
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