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ForumsProgress & Lab ResultsDEXA scan comparison — 6 months sema + lifting vs sema alone

DEXA scan comparison — 6 months sema + lifting vs sema alone

dave_SLC Sun, Mar 8, 2026 at 3:20 PM 17 replies 541 viewsPage 1 of 4
dave_SLC
Member
345
1,567
Aug 2024
Salt Lake City, UT
Mar 8, 2026 at 4:45 PM#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.

14 7mike_mealprep, NicoleRaleigh, james_edin and 11 others
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COA_Karl
Senior Member
2,123
8,901
Jan 2024
Pennsylvania
Mar 8, 2026 at 5:02 PM#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?

50 4jim_asheville, matt_MKE, Dr.ReproEndo and 47 others
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Dr.LipidDallas
VIP Member
2,678
14,567
Dec 2023
Dallas, TX
Mar 8, 2026 at 5:19 PM#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?

50 16cory_ATX, lori_vegas, Dr.PulmRoch and 47 others
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nancy_portland
Member
345
1,567
Aug 2024
Portland, ME
Mar 8, 2026 at 5:36 PM#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.

Last edited: Mar 8, 2026 at 6:36 PM
30 2Dr.PeteFamMed, claudia_zurich, nancy_portland and 27 others
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traveltech_sara
Member
156
678
Jan 2025
Remote, USA
Mar 8, 2026 at 5:53 PM#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.

1 13BenResearch_OR
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