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ForumsPublic SquareMuscle protein synthesis rates on GLP-1 — leucine threshold discussion Page 2

Muscle protein synthesis rates on GLP-1 — leucine threshold discussion

ChrisMacros Fri, Feb 27, 2026 at 8:37 AM 21 replies 460 viewsPage 2 of 5
RetaRick_CA
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Feb 27, 2026 at 11:27 AM#6

Honest question — does anyone else think we're all overthinking this? People have been losing weight for decades without obsessively tracking protein to the gram. I lost 30kg on Ozempic eating normally, didn't track a thing, and my doctor says my bloodwork is fine.

Not everyone needs to become a bodybuilder. Some of us just want to lose the weight and keep it off. 🤷‍♂️

Last edited: Feb 27, 2026 at 12:27 PM
38 24SkepticalSean, Dr.CardioMD, EndoResFellow and 35 others
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hans_munich
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Feb 27, 2026 at 11:44 AM#7

— You raise a fair point about not needing to be obsessive, but I'd push back gently. "Bloodwork is fine" doesn't tell you about body composition. You can lose 30kg and have perfect bloodwork while having lost a significant percentage of muscle mass, which has long-term metabolic consequences:

  • Lower resting metabolic rate (making regain more likely if/when you stop the medication)
  • Reduced functional strength, especially important as we age
  • Decreased bone density (muscle and bone health are linked)

You don't need to become a bodybuilder, agreed. But a basic awareness of protein intake and some resistance exercise is genuinely important medicine, not just gym-bro culture.

16 7alex_tucson, kevin_tulsa, Dr.PainCLE and 13 others
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oliver_london
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Feb 27, 2026 at 12:01 PM#8

What Marcus said. Also Steve — "my doctor says my bloodwork is fine" is doing a LOT of heavy lifting in that sentence lol. Did your doc order a DEXA? Check your grip strength? Measure your resting metabolic rate? Probably not.

I don't want to be alarmist but sarcopenia is real and GLP-1 meds accelerate it if you're not careful. Get a DEXA scan. Knowledge is power.

Last edited: Feb 27, 2026 at 1:01 PM
5 22Dr.LeslieOBGYN, MikeNYC_runner and 2 others
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MarkLI_maint
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Feb 27, 2026 at 12:18 PM#9

This thread has been super helpful. Okay, new plan:

  1. Bump protein target to 1.4g/kg (~115g/day)
  2. Prioritize protein-dense foods first at every meal
  3. Add a third lifting day and actually follow a progressive overload program
  4. Get another DEXA in 3 months to compare

Thanks everyone. Will report back with results! 💪

35 12LibrarianMeg, bri_stats, pete_manc_UK and 32 others
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TomFromTexas
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Feb 27, 2026 at 12:35 PM#10

Pinning this thread — it's one of the best protein discussions we've had. Quick mod note: remember that individual protein needs vary based on age, kidney function, activity level, and other factors. Always consult your healthcare provider before making major dietary changes, especially if you have any kidney issues where high protein intake may need to be monitored.

31 24BiostatsBrad, PeptideSynthNJ, Dr.KarenChen and 28 others
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