TinaHashiRN 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…
Second this. Nothing to add that would improve it.
A narrower follow-up, since the general answer is now clear:
What did you change at the same time, and can you separate the two now?
Dr.PathRoch 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) | 68 | 66 | 69 | 72 |
| Body Fat (lbs) | 100 | 70 | 60 | 40 |
| Body Fat % | 40% | 31% | 25% | 22% |
| Visceral Fat (cm²) | 165 | 110 | 85 | 55 |
Note: skeletal muscle mass dipped initially then recovered with consistent resistance training + high protein. The visceral fat reduction is where the metabolic magic happens.
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Browse GL BiochemDr.PathRoch said:lean mass + resistance training is the combo.
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.
Moderator note: leaving this open. It is being argued well and the disagreement is the useful part. Thread quality here is what the rules are for. Keep it up.