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ForumsProgress & Lab Results[PREMIUM] DEXA before/after — September 2026

[PREMIUM] DEXA before/after — September 2026

lori_vegas Fri, May 17, 2024 at 12:25 AM 10 replies 2,033 viewsPage 1 of 2
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lori_vegas
Member
378
1,678
Aug 2024
Las Vegas, NV
May 17, 2024 at 12:25 AM#1

I hit the milestone yesterday and I promised myself when I started that I would post the full data dump for anyone who wants realistic numbers. SW: 312 lbs, CW: 211 lbs, 5'10" M/38.

Monthly weigh-ins:

MonthWeight (lbs)Monthly LossDose
Baseline3120.25 mg
1301-110.25 mg
2293-80.5 mg
3284-90.5 mg
4278-61.0 mg
5271-71.0 mg
6264-71.7 mg
7257-71.7 mg
8252-52.4 mg
9245-72.4 mg
10239-62.4 mg
11232-72.4 mg
12224-82.4 mg
13217-72.4 mg
14211-62.4 mg

DEXA Comparisons:

MetricBaseline7 Months14 Months
Body Fat %41.2%33.8%24.6%
Fat Mass (lbs)128.586.951.9
Lean Mass (lbs)183.5170.1159.1
Bone Mineral (lbs)7.27.17.0
Visceral Fat (in²)18711254

Yes, I lost lean mass. About 24 lbs of it. But I also wasn't doing any structured resistance training for the first 7 months, which was a mistake. Once I started lifting at month 8, the lean mass loss slowed considerably — lost only ~11 lbs of lean over the last 7 months vs. ~13 lbs in the first 7 despite losing roughly the same total weight.

Happy to answer any questions. This community helped me enormously when I was starting out.

46 16amy_econ_NJ, bbq_ray_KC, oliver_london and 43 others
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Dr.GastroMayo
VIP Member
2,345
13,456
Jan 2024
Mayo Clinic, MN
May 17, 2024 at 12:41 AM#2

Incredible work. A few observations from someone who geeks out on this stuff:

Your visceral fat went from 187 to 54 in² — that's a 71% reduction and honestly that's where the real health transformation lives. Subcutaneous fat is cosmetic; visceral fat is what's driving metabolic disease.

The lean mass story is actually better than the headline suggests. At 312 lbs, a good portion of that "lean mass" was water retention, glycogen stores, and connective tissue that was only there to support a 312-lb frame. Functional lean mass (actual contractile muscle tissue) loss was probably closer to 12-15 lbs, which is very reasonable for 101 lbs total lost.

What does your lifting program look like now?

45 15VendorMark, COA_Karl, MikeFit_NJ and 42 others
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kevin_tulsa
Member
489
2,123
Jun 2024
Tulsa, OK
May 17, 2024 at 12:57 AM#3

This is one of the best documented journeys I've seen on here. Saving this thread.

Quick question — what was your caloric intake like? Were you tracking or just eating to appetite?

Last edited: May 17, 2024 at 2:57 AM
44 14greg_boulder, quinn_sf, NurseLeah_Nash and 41 others
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chris_chi24
Member
389
1,678
Sep 2024
Chicago, IL
May 17, 2024 at 1:13 AM#4

Thanks both. To answer:

Lifting: I do a basic upper/lower split 4 days per week. Nothing fancy — compound movements, progressive overload, 3x8-12 rep ranges. Bench, rows, overhead press, squats, RDLs, pull-ups (assisted at first, now bodyweight for 3x6).

Calories: I tracked loosely for the first 3 months, was averaging around 1,500-1,700/day which was a significant deficit from my estimated TDEE of ~2,800. After month 3 I stopped tracking and just ate to appetite, which naturally settled around 1,800-2,000. Currently eating about 2,100 as I'm prioritizing protein for lean mass retention. Protein target is 160g/day minimum.

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Dr.PulmRoch
Member
456
2,345
Jun 2024
Rochester, MN
May 17, 2024 at 2:38 AM#5

This is incredibly motivating. I'm 3 weeks in at 289 and feeling discouraged because I've only lost 4 lbs. Seeing your month-by-month makes me realize I need to zoom out and think long term.

42 12KristenIndy, MarkLI_maint, Dr.PeteFamMed and 39 others
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Amazing transformation! Starting at 287 lbs, I'm now at 162 lbs after 18 months on semaglutide 2.4mg/wk. These photos show my progress at months 3, 6, 9, 12, 15, and 18. The body recomposition has been incredible — DEXA shows 23% body fat, down from 42%...

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