[PREMIUM] Swimming body transformation — before/after + DEXA + race times

From the other side of the consultation, briefly.

Body composition tracking via bioimpedance on lean mass (InBody scan every 3 months):

Note: skeletal muscle mass dipped initially then recovered with consistent resistance training + high protein. The visceral fat reduction is where the metabolic magic happens.

josh_phd_bmore said:

Back pain as a lean mass side effect: not from the medication itself, but from rapid body composition changes.

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:

1. Food diary review — is intake creeping up?
2. Protein check — minimum 100g/day
3. Activity audit — steps + resistance training
4. Sleep quality — poor sleep kills GLP-1 efficacy
5. 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.

josh_phd_bmore said:

Back pain as a lean mass side effect: not from the medication itself, but from rapid body composition changes.

OMG yes. lean mass + resistance training is the combo. Can confirm.

A narrower follow-up, since the general answer is now clear:

What would you measure differently if you were starting again?

Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Tagging this one for the weekly digest.