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Outcomes · Body composition · continued

Ultrasound and skinfolds: operator dependence in practice posts 31–60

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

TN
t.nardoneTL3Regular26 Jun 2026#31

Precision versus accuracy: the precision you need depends on what question you are answering. "Am I losing fat?" requires less precision than "Is my lean mass preservation within the expected range?"

2 likes 1mo
CS
c.serranoTL2 Moderator26 Jun 2026#32

Worth separating two things that post #28 runs together.

Changes during titration: measuring body composition during active titration is less useful than measuring after dose is stable. Titration causes fluid shifts that confound body composition.

8 likes 1mo
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BBramleyTL3Regular27 Jun 2026 · edited#33
n.ibarra, post #13: Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently. Go to post

Maintenance phase: tracking body composition during maintenance (weight stable) is different from tracking during active loss. Changes are smaller and precision becomes more important.

26 likes in reply to #13 1mo
TT
t.tullochTL2 Moderator28 Jun 2026#34
l.osei, post #21: Coming back to post #19, because the follow-up matters more than the original answer. Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure. Go to post

Comparison to published data: the trials reported mean fat and lean mass changes. Individual results vary around that mean. Being above or below average is not a sign of something wrong.

0 likes in reply to #21 30d
VD
vial_deskTL3Regular29 Jun 2026#35

post #34 answers the question as asked. The question underneath it is different.

Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure.

0 likes 29d
EM
e.mensaTL2 Moderator29 Jun 2026#36

On post #32 — agreed on the reasoning, with one qualification.

Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone.

5 likes 29d
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HRouhaniTL1Member30 Jun 2026#37
z.szabo, post #19: Precision versus accuracy: the precision you need depends on what question you are answering. "Am I losing fat?" requires less precision than "Is my lean mass preservation within the expected range?" Go to post

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

19 likes in reply to #19 28d
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t.verhoevenTL2 Moderator1 Jul 2026#38

Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone.

0 likes 27d
TT
taper_tableTL3Regular1 Jul 2026#39

Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently.

0 likes 26d
MA
m.agyemanTL2 Moderator2 Jul 2026#40

Ultrasound: thickness of subcutaneous fat at specific sites. Less standardised than DXA and operator-dependent. Useful as a supplementary measure but not as a primary method.

2 likes 26d
DO
dr_okonkwoTL4 Moderator3 Jul 2026#41
Staff post. Actions described here are recorded in the public moderation log and may be challenged in Meta.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

0 likes 25d
CG
c.grimaldiTL2 Moderator4 Jul 2026#42

Precision versus accuracy: the precision you need depends on what question you are answering. "Am I losing fat?" requires less precision than "Is my lean mass preservation within the expected range?"

0 likes 24d
PW
PharmNotes_WhitfieldTL4Pharmacist4 Jul 2026#43
HRouhani, post #37: Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up. Go to post

I read post #41 twice before replying, because I had assumed the opposite.

DXA (dual-energy X-ray absorptiometry): the standard for body composition in research. Precision is roughly ±1 kg for lean mass. Two scans six months apart on the same machine with the same technician give you useful information. Two scans six weeks apart on different machines tell you about the machines.

20 likes in reply to #37 24d
JF
j.fonsecaTL25 Jul 2026#44
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n.nybergTL2 Moderator6 Jul 2026#45

Maintenance phase: tracking body composition during maintenance (weight stable) is different from tracking during active loss. Changes are smaller and precision becomes more important.

2 likes 22d
CL
c.lundgrenTL2 Moderator6 Jul 2026#46

post #45 answers the question as asked. The question underneath it is different.

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

0 likes 22d
CC
c.cardosoTL2 Moderator7 Jul 2026 · edited#47
c.lundgren, post #46: post #45 answers the question as asked. The question underneath it is different. I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this,… Go to post

Coming back to post #45, because the follow-up matters more than the original answer.

Lean mass loss during rapid weight reduction: depends on protein intake, resistance training volume, and total energy deficit. Adequate protein and maintaining training intensity both help preserve lean mass.

28 likes in reply to #46 21d
ML
m.lehtinenTL2 Moderator8 Jul 2026#48

Changes during titration: measuring body composition during active titration is less useful than measuring after dose is stable. Titration causes fluid shifts that confound body composition.

13 likes 20d
CL
customs_ledgerTL38 Jul 2026#49
RF
ro.friskTL2 Moderator9 Jul 2026#50
l.osei, post #21: Coming back to post #19, because the follow-up matters more than the original answer. Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure. Go to post

post #49 is right about the mechanism and I think understates the practical bit.

Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure.

21 likes in reply to #21 19d
FI
f.ibarraTL2 Moderator10 Jul 2026#51

Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently.

0 likes 18d
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OkaforTL3Regular10 Jul 2026#52

I read post #50 twice before replying, because I had assumed the opposite.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

1 like 18d
DN
d.nilsenTL2 Moderator11 Jul 2026#53

post #52 is right about the mechanism and I think understates the practical bit.

Precision versus accuracy: the precision you need depends on what question you are answering. "Am I losing fat?" requires less precision than "Is my lean mass preservation within the expected range?"

6 likes 17d
O
OTeixeiraTL3Regular12 Jul 2026#54
HRouhani, post #37: Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up. Go to post

Lean mass loss during rapid weight reduction: depends on protein intake, resistance training volume, and total energy deficit. Adequate protein and maintaining training intensity both help preserve lean mass.

16 likes in reply to #37 16d
EC
e.coelhoTL2 Moderator12 Jul 2026#55

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

0 likes 16d
FA
f.abrahamsenTL2Member13 Jul 2026#56

Maintenance phase: tracking body composition during maintenance (weight stable) is different from tracking during active loss. Changes are smaller and precision becomes more important.

3 likes 15d
ID
il.dumitruTL2 Moderator14 Jul 2026 · edited#57
l.osei, post #21: Coming back to post #19, because the follow-up matters more than the original answer. Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure. Go to post

post #56 answers the question as asked. The question underneath it is different.

Comparison to published data: the trials reported mean fat and lean mass changes. Individual results vary around that mean. Being above or below average is not a sign of something wrong.

10 likes in reply to #21 14d
GH
g.haalandTL3Regular14 Jul 2026#58
t.tulloch, post #34: Comparison to published data: the trials reported mean fat and lean mass changes. Individual results vary around that mean. Being above or below average is not a sign of something wrong. Go to post

On post #54 — agreed on the reasoning, with one qualification.

Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone.

22 likes in reply to #34 14d
MY
m.yilmazTL2 Moderator15 Jul 2026#59

DXA (dual-energy X-ray absorptiometry): the standard for body composition in research. Precision is roughly ±1 kg for lean mass. Two scans six months apart on the same machine with the same technician give you useful information. Two scans six weeks apart on different machines tell you about the machines.

23 likes 13d
GI
g.ibarraTL2 Moderator16 Jul 2026#60

Ultrasound: thickness of subcutaneous fat at specific sites. Less standardised than DXA and operator-dependent. Useful as a supplementary measure but not as a primary method.

0 likes 12d