Accepted answer
Answer first: lean mass falls during any substantial weight loss, typically as twenty to thirty per cent of the total, and the levers that change that fraction are protein intake and resistance training rather than anything pharmacological.
The conventional figure is that lean tissue accounts for roughly a quarter of total weight lost in unstructured weight loss, falling towards ten to fifteen per cent with adequate protein and progressive resistance training, and rising above a third with very rapid loss and no training stimulus.
A daily protein intake in the range of 1.6 to 2.4 grams per kilogram of reference body weight is the range the resistance-training literature supports for lean-mass preservation in a deficit. At the top of that range the marginal return is small.
The twenty-five per cent figure for lean loss in unstructured weight reduction is a long-standing result from body-composition studies across many interventions, including surgery.
The caveat is that lean mass on a scan is not muscle, and treating the two as identical over-reads the instrument.
Same machine, same time of day, same hydration state, or the series is noise.
edited 7 May 2025 by Dr_Wren_Halliday — added the method parameters