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Evidence-based GLP-1 & peptide discussion since 2023
ForumsExercise & Body CompositionHas anyone dealt with resistance training prevents 73% lean mass loss on semaglutide?

Has anyone dealt with resistance training prevents 73% lean mass loss on semaglutide?

SaraMom3 Fri, Aug 1, 2025 at 6:43 PM 11 replies 1,220 viewsPage 1 of 3
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SaraMom3
Member
456
2,345
Aug 2024
Ohio
Aug 1, 2025 at 8:08 PM#1

I keep seeing people my age say things like "I'm too old to build muscle" or "body recomp doesn't work after 50." I'm here with the receipts to say that's not true.

M/55, 5'10". Started semaglutide January 2025, started structured lifting program simultaneously.

MetricJan 2025Aug 2025Mar 2026
Weight248 lbs218 lbs208 lbs
Body Fat % (DEXA)36.2%27.4%21.8%
Fat Mass89.8 lbs59.7 lbs45.3 lbs
Lean Mass151.6 lbs152.2 lbs156.8 lbs
ALM Index (ALM/height²)7.8 kg/m²8.0 kg/m²8.4 kg/m²

Strength Benchmarks:

LiftJan 2025Mar 2026
Bench Press95 lbs × 5185 lbs × 5
Squat135 lbs × 5245 lbs × 5
Deadlift155 lbs × 5295 lbs × 5
Overhead Press65 lbs × 5125 lbs × 5
Barbell Row95 lbs × 5175 lbs × 5

Lean mass went UP by 5.2 lbs while total weight dropped 40 lbs. At 55 years old. On a GLP-1 agonist. During a caloric deficit.

My protocol: 5/3/1 lifting program 4 days/week. Protein minimum 180g/day. Creatine 5g/day. 7+ hours sleep. Moderate deficit (not aggressive).

I know I benefited from "newbie gains" since I hadn't lifted seriously in ~20 years. But the point stands: age is not the barrier people think it is. Hormones, nutrition, and stimulus are what matter.

41 12BethLabQueen, ChrisMacros, KetoKyle and 38 others
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Dr.PainCLE
Senior Member
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6,234
Mar 2024
Cleveland, OH
Aug 1, 2025 at 8:25 PM#2

The ALM Index going from 7.8 to 8.4 kg/m² is really significant from a clinical perspective. The sarcopenia cutoff for men is typically considered 7.0 kg/m², so you went from "low-normal" to "solidly normal." This matters enormously for long-term health and independence as you age.

I often tell my patients: the muscle you build in your 50s and 60s is the muscle that will keep you independent in your 80s. Sarcopenia is one of the leading causes of falls, fractures, and loss of independence in older adults. What you're doing is investing in your future self.

Your strength numbers nearly doubled across the board. At 55, that's outstanding. The 5/3/1 program is a great choice — progressive, periodized, and joint-friendly compared to more aggressive programs.

49 12tane_welly, Dr.PathRoch, mona_PHX and 46 others
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HPLC_Greg
Senior Member
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8,901
Feb 2024
Research Triangle, NC
Aug 1, 2025 at 8:42 PM#3

I'm 53F and just started lifting 3 weeks ago after reading posts like this. Currently doing a basic full-body routine 3x/week. I'm embarrassingly weak — squatting with just the bar, doing pushups against the wall — but I'm showing up.

My question: how did you manage the protein on semaglutide? 180g seems impossible when I'm barely hungry enough to eat 1,400 calories.

50 1RetaRick_CA, JenPlateau, SallyK_inj and 47 others
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LeilaHI
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789
Jan 2025
Honolulu, HI
Aug 1, 2025 at 8:59 PM#4

First: squatting the bar and doing wall pushups is NOT embarrassing. That's exactly where you should start. Progression is what matters, not starting point. I started with 95 lbs on bench and now I'm at 185 — everyone starts somewhere.

Protein tips that work for me:

  • Protein shake with milk in the morning — easy 40g when solid food feels impossible
  • I eat my protein FIRST at every meal, before vegetables, before carbs. If I fill up, at least I got the most important macro.
  • Fairlife protein shakes (42g protein, 150 cal) are a godsend on low-appetite days
  • Greek yogurt, cottage cheese, beef jerky — high protein density snacks
  • I aim for 180g but accept that some days I hit 140-150 and that's okay
2 18LondonLisa, mike_nyc
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SleepDoc_PDX
Member
289
1,234
Sep 2024
Portland, OR
Aug 1, 2025 at 9:16 PM#5

The research on muscle protein synthesis in older adults is clear: the anabolic response to both resistance training and protein intake is preserved well into your 60s and 70s. It's somewhat blunted compared to younger individuals (a concept called "anabolic resistance"), but it can be overcome by:

  1. Higher protein intake per meal (30-40g vs. 20-25g for younger adults)
  2. Leucine-rich protein sources (whey, animal proteins)
  3. Training volume/intensity that provides sufficient mechanical tension

The OP is hitting all three. Well executed.

38 15mel_PDX, Dr.AddMedPHL, newstart_MO and 35 others
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