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If food noise returns, is that tolerance or a plateau?

Asked 29 Apr 2026Modified 26 days agoViewed 4.2k times
20

Scale weight, waist circumference and a repetition maximum, all logged weekly.

I want to know whether this is a real physical effect or an artefact of how it is measured.

What prompted the question is an inconsistency between two sources I otherwise trust.

Why does this happen, and what would falsify the usual explanation?

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LC
askedlabel_claim11k1829 Apr 2026

5 Answers

Accepted answer first, then by votes
11

Accepted answer

What the data supports is narrower than what gets recommended, so it is worth separating the two.

DEXA precision is better than people assume for fat mass and worse than people assume for lean mass in a single scan — the least significant change for regional lean mass on a well-maintained scanner is on the order of a few per cent. That means two scans three months apart can differ without anything having happened, and it means a scan sequence needs to be at least three points before a trend is interpretable.

The first four weeks of loss is substantially fluid and glycogen. Each gram of stored glycogen carries roughly three grams of water, and total glycogen is on the order of 400 to 500 g, so the obligatory water shift alone accounts for a couple of kilograms. This is why the first month looks dramatic and the second looks like a plateau when in fact the fat-loss rate has not changed.

The evidence for a higher protein intake preserving lean mass during an energy deficit is reasonably strong in resistance-trained populations and weaker in sedentary ones, with the meta-analytic estimates supporting intakes in the region of 1.6 g/kg over lower intakes when training is present[1].

Worth stating that a DEXA sequence is only as good as its protocol consistency, and most people’s sequences are not consistent enough to support the conclusions drawn from them.

A maintenance plan written before you need it is worth more than a better loss plan.

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VI
answered · acceptedvialroom87k1487 Jun 2026
4This matches what I was told by a laboratory, for whatever that is worth. – amara_nwachukwu 8 months ago
5Minor: the trial name is hyphenated in the original publication. – Dr_Ilse_Vandenberg 3 days ago
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26

Worth being precise here: the commonly quoted figures for lean-mass loss are mostly measurement artefacts, and the artefact is well understood: fat-free mass as measured includes water and glycogen, both of which fall early and neither of which is contractile tissue.

Absolute strength holds up better than scale weight during a deficit for a straightforward reason: strength is substantially neural and skill-based, and the contractile tissue you retain is being trained harder relative to its size. Grip strength and repetition maxima are therefore lagging indicators of muscle loss rather than leading ones, which is an argument for measuring both.

The relevant detail is that cardio does not interfere with lean-mass retention at the volumes anyone here is doing; the interference effect in the literature appears at high concurrent volumes in trained athletes. What cardio does at a large deficit is add to the deficit, which is either the point or a problem depending on the objective.

The STEP 1 extension reported substantial regain in the year after treatment withdrawal, with weight and cardiometabolic variables trending back toward baseline[1].

I would be careful with the supplement literature here; effect sizes are small, the studies are mostly in trained young men, and generalisation to a large deficit is not obviously valid.

Train, eat the protein, measure something functional, and give the trend three months before you interpret it.

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TR
answeredtadhg_o_riordan14k284 Jul 2026
7Thank you — the worked example is what makes this usable. – Dr_Rosalind_Achebe 7 months ago
6Related: the same reasoning applies to the counter-ion question. – micron22 6 months ago
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17

Start with the arithmetic, because the answer to the practical question is usually a number and the number is usually achievable.

Protein target, worked: at 88 kg, a target of 1.6 g/kg is 88 × 1.6 = 141 g per day. Spread across three eating occasions that is roughly 47 g each, and the leucine threshold for a maximal muscle protein synthetic response is met at around 2.5 to 3 g of leucine, which corresponds to roughly 30 to 40 g of a high-quality protein. So three meals at 40 g plus one 25 g snack gets you to 145 g and clears the per-meal threshold each time. On 900 kcal that leaves about 340 kcal for everything else, which is the actual constraint.

Specifically, food noise returning is not obviously tolerance. Receptor desensitisation is one hypothesis; a second is that the initial effect was partly novelty and partly the steep early deficit, and a third is that intake has drifted upward and the signal is being outcompeted rather than weakened. The three make different predictions about what a dose increase would do.

The body-composition substudies in the major programmes consistently report that the proportion of weight lost as fat mass is approximately three quarters or better, with the lean-mass fraction falling within the range seen in dietary weight loss of comparable magnitude[1].

The plateau is arithmetic. Treat it as arithmetic and the response follows.

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DH
answeredDr_Wren_Halliday40k381 Jun 2026
4

Concretely, the mechanism is worth having straight, because it predicts which interventions can work and which cannot.

Fibre at very low total intake is a trap. Soluble fibre needs water and motility to work; insoluble fibre adds bulk to a slow transit. At 900 kcal a day with delayed gastric emptying, an osmotic agent is more predictable than a bulking one, and adequate fluid is doing more work than either.

Adaptive thermogenesis — a fall in energy expenditure beyond that predicted by the change in body composition — is documented across weight-loss interventions and is the mechanistic basis for the plateau being expected rather than anomalous.

One qualification: none of this is a clinical assessment, and unexplained loss of function rather than of mass is a reason to see someone rather than to adjust a programme.

Two resistance sessions a week and a protein target you actually hit will do more than any refinement beyond them.

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RH
answeredrania_haddad17k286 May 2026
8Useful. I have added the accept threshold suggestion to my own notes. – kwn_analytical 2 days ago
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3

More usefully, the distinction that resolves this is between proportional loss and functional loss. Losing lean mass in proportion to total mass is what happens in every weight loss intervention. Losing function is not, and function is measurable.

The minimum effective resistance-training dose in a deficit is lower than most programmes assume. Two sessions a week covering the major movement patterns, with loads taken close to failure, is sufficient to retain most of what would otherwise be lost. Volume beyond that adds recovery cost that a large energy deficit is poorly placed to pay.

SURMOUNT-4 provides the cleanest maintenance-versus-withdrawal contrast available in the class, and it is the reference for any claim about what happens after stopping[1].

Measure strength as well as mass. It is cheaper, it is less noisy, and it is closer to what you actually care about.

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KL
answeredkirsi_lahtinen45k3825 May 2026
5This is the first explanation of that which has actually made sense to me. – Dr_Bram_Verhoeven 3 months ago
6Note that the label instructions differ between agents on precisely this point. – jana_horakova 4 months ago
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