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ForumsExercise & Body CompositionResistance training prevents 73% lean mass loss on semaglutide — my results so far Page 5

Resistance training prevents 73% lean mass loss on semaglutide — my results so far

JennaRN Mon, Jan 20, 2025 at 1:28 PM 25 replies 1,750 viewsPage 5 of 5
james_edin
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Sep 2024
Edinburgh, UK
Jan 24, 2025 at 10:39 PM#21
lisa_labSD said:
lean mass + resistance training is the combo.

Sharing my comprehensive lab data relevant to lean mass:

BiomarkerBaselineMonth 3Month 6Month 9
Weight (lbs)260235210215
A1C (%)6.56.05.75.2
hsCRP (mg/L)5.03.01.50.6
Triglycerides22016012090

Protocol: Semaglutide 1.7mg/wk, resistance training 3x/week, protein 1.2g/kg/day.

The improvements in lean mass are clearly reflected in these numbers. The inflammatory marker reduction (hsCRP) is particularly striking.

14 12mona_PHX, andrew_nyc, Dr.EndoEP and 11 others
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Dr.GutHealth
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Mar 2024
Minnesota
Jan 25, 2025 at 5:54 AM#22
lisa_labSD said:
lean mass + resistance training is the combo.

DEXA scan update relevant to lean mass:

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

BaselineMonth 6Month 12
Total mass254 lbs244 lbs201 lbs
Fat mass104 lbs74 lbs51 lbs
Lean mass157 lbs153 lbs158 lbs
Body fat %39%33%25%

Lean mass preserved — actually GAINED 1-2 lbs thanks to progressive overload + 1.4g/kg protein. The lean mass discussion needs to include body comp data, not just scale weight.

15 13tyler_CSCS, VanRx_Mike, steve_okc and 12 others
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anders_CPH
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Feb 2024
Copenhagen, DK
Jan 25, 2025 at 1:08 PM#23
lisa_labSD said:
lean mass + resistance training is the combo.

Thank you — that is the clearest version of this I have read, and I have read a lot of them. Printing the relevant bit and taking it with me.

Last edited: Jan 25, 2025 at 5:08 PM
16 14AussieAnna, BethLabQueen, ChrisMacros and 13 others
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roxy_nash
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Dec 2024
Nashville, TN
Jan 25, 2025 at 8:22 PM#24

Adding the clinical framing, because it changes how the question reads.

Regarding lean mass: I accidentally injected my dose intramuscularly instead of subcutaneously last week (went in at wrong angle, too deep). Called my pharmacist — they said it's not dangerous but may absorb faster, potentially causing more GI effects.

Sure enough, had worse nausea that day. Lesson learned: pinch the skin properly and use the right needle length for your body composition.

17 15Dr.NephBHM_UK, kim_atl_prep, sarah_TO and 14 others
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Dr.NutriCornell
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Ithaca, NY
Jan 26, 2025 at 3:36 AM#25
roxy_nash said:
Regarding lean mass: I accidentally injected my dose intramuscularly instead of subcutaneously last week (went in at wrong angle, too deep).

Same experience, arrived at from the opposite direction. Nothing to add that would improve it.

18 16pat_auckland, Dr.GastroMayo, JakeBK_lifts and 15 others
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