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c/glp1muscle·posted 3 months ago by u/first_pen_fear

how much of what we believe about FFMI actually comes from resistance training threads

Data

how much of what we believe about FFMI actually comes from resistance training threads. Searched first, found three threads that contradict each other, hence the post.

DEXA has a meaningful coefficient of variation, and it differs between machines and protocols. Comparing scans from different clinics adds a systematic offset that is invisible on the report.

How to make a DEXA comparison mean anything.

Same machine, same clinic, same protocol. Same hydration and fasting state, as far as you can manage. At least three to four months apart, because the measurement error is large relative to short-term change. Three scans rather than two, because the first pair cannot distinguish a trend from noise.

Do less than that and you have two numbers with an offset of unknown size, which people then react to by rebuilding a training programme. The free alternative — a few tracked lifts and a monthly waist measurement — is directionally informative, costs nothing, and is far harder to over-interpret.

On comparing yourself to composition figures from trials.

Published composition data comes from supervised populations with structured protocols, standardised scanning, and analysis populations that have been defined in advance. Your two scans at a local clinic, taken in different states of hydration, are not the same measurement.

Use your own baseline. The question worth asking is whether your own trajectory is going the way you want given what you are actually doing, and the honest answer usually requires measuring protein rather than estimating it and being truthful about training frequency. Neither of those is advice — a programme and a target are things to work out with somebody who knows your history.

Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.

1,350 up / 1,196 down53% upvoted18 commentsid ey9wc4 Apr 2026

18 comments

13 in this archive, depth 5

best — the order this archive was captured in

u/annika_fonseca30 points·3 months ago

Fat-free mass index is a ratio of fat-free mass to height squared. It moves when either term does, which makes it awkward to interpret during active weight change.

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u/first_pen_fearOP21 points·3 months ago

protein and resistance training, that is the entire intervention

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u/step_count_stan25 points·3 months ago

That protein figure is grams per day, not grams per kilogram. Different claim entirely.

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u/tobias_vukovic6 points·3 months ago

Resistance training, and at what frequency?

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u/yannick_haddad4 points·3 months ago

Right — strength retention is a free proxy and it tracks better than most people expect.

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u/TitrationTortoiseslow and boring17 points·3 months ago

Yes. Nobody here is prescribing training or nutrition and the good posts say so.

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u/tuva_kirchner6 points·3 months ago

Three scans over eighteen months, same machine, same conditions. Only the third one made the first two interpretable.

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u/stubborn_batchlist_pls12 points·3 months ago

Yes. Lean mass change during weight loss is expected; the useful question is the proportion, not whether it happens.

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u/rina_nascimento10 points·3 months ago

do not compare your composition to a trial average

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u/first_pen_fearOP2 points·3 months ago

Same DEXA machine both times?

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u/freya_onwuka14 points·3 months ago

do not compare your composition to a trial average

This is the whole intervention. Protein and resistance training.

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u/hamza_zielinski-22 points·3 months ago·edited

How many weeks between the two scans?

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u/first_pen_fearOP1 point·3 months ago

Correcting myself upthread: 3 months between scans, not the figure I gave.

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About c/glp1muscle

Lean-mass retention during rapid weight loss: protein targets, resistance-training minimums, DEXA and BIA measurement reality, FFMI tracking, and the sarcopenia question that nobody funded a proper trial for.

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