Dexa Results: 50 Years Old: Feel like this can't be accurate?

MadaFacor

Member
I'm 50 years old now and began training consistently in February 2023. I started with GLPs because I was morbidly obese—at 5'7", I was close to 290 lbs. In July 2023, I began TRT with my levels around 170. The combination of weight loss and testosterone has been life-changing. I can't believe how much my life has transformed.

I've been training four to five days a week, about 10 hours weekly, for nearly a year and a half. While I didn’t follow the best advice from many here, I added some peptides and a few other oils at moderate levels before getting into the best shape. Honestly, at 50, I wasn't willing to train for five years before trying to go big. I also made significant improvements to my diet, meal planning, and prepping. Meal prepping 15 out of 21 meals each week at a minimum. The rest of the meals are very well planned, heavy and protein with moderate carbs and limited fat. I've also focused on supplementation and have a pretty thorough supplement regime. I allowed myself at least one cheat day but always made careful and lean choices. For the first time, I focused on high protein and reducing fat intake relative to macros. Although I’ve been a bit lazy about tracking macros outside of protein, I’ve avoided most processed foods and cut back on eating out to just once a week. My fat intake has drastically decreased, though there's still room for improvement. The difference has been night and day.

Since January 2024, I haven't lost more than a pound. Despite the scale not budging, I’ve dropped four pant sizes, so I know I've made progress.

I ran a DEXA scan in January that showed 25% body fat. I was disappointed, given the progress I’d made and how much I’d been lifting. Since then, I’ve done two small cycles and stayed consistent. One cycle was six weeks, and the other was ten, but I stopped after my lipids slightly slipped out of range.

After stopping the cycle, I decided to run another DEXA scan. The results were shocking—I lost 25 lbs of fat and gained 23 lbs of lean muscle.

I’m having trouble believing the results, but on the flip side, the comments I’ve received make it clear that what I’ve been doing is working.

What are your thoughts? Is this possible?
 

Attachments

  • Screenshot_20240829_095715_Samsung Notes.jpg
    Screenshot_20240829_095715_Samsung Notes.jpg
    311.7 KB · Views: 26
That's called recomposition. Very common to newbies and given the added boost from PEDs and glp-1s it's HIGHLY possible
 
That's called recomposition. Very common to newbies and given the added boost from PEDs and glp-1s it's HIGHLY possible
If I continue to push hard you think it's possible to drop another two three percent body fat and add a few more pounds by end of year? Sticking the TRT at this point as I need my blood work to level out. But still training like banshee.
 
If I continue to push hard you think it's possible to drop another two three percent body fat and add a few more pounds by end of year? Sticking the TRT at this point as I need my blood work to level out. But still training like banshee.
i dont see why not.
also what is wrong with your blood work?
 
what are you taking to improve your lipids?
Fish oil, fiber, and "a break." Putting additional emphasis on my cardio training which had dropped to about 80 minutes per week. Moved it back to 120 minutes minimum. I do have some Ezetimibe in route. Might give red rice yeast a run as well. This has not been an issue for me, ever, except for triglycerides when I was obese and was drinking heavily. So the out of range hdl and ldl numbers took me off guard.
 
How out of range are your lipids? Asking because I’m what I consider a little out of range. Lipids were never a problem for me until I hit 40. Now I’m half way to 50 and going through a similar recomp. I want to get lipids in range before my next cycle.
 
I recommend looking into Vit d3+super K moves the calcium in our arteries to our bones and other places, basically.

Ezetimibe will do you real good, but probably wouldnt hurt to microdose resuvostatin on top of that, maybe after you get bloods again on ezetimbe.

hopefully people that know more than me can chime in.
maybe if i say something controversial they will appear

No one needs statins, its a big pharma scheme to make money, they cause alzheimers and increase all cause mortality, the higher the cholesterol the better
 
Solid work! Hell yeah you can take it further.

Remember that DEXA scans are not perfect. The 1st may have been skewed unfavorably and the 2nd may be skewed favorably. Even if that's true you've still made impressive progress. Dexa is better used to track trends over time rather than focusing on a single scan.
 
ezetimibe citrus bergamot and a high dose of k2 with d3 should be in place to improve lipids you can throw in additional OTC stuff to help lipids but you need to make sure your blood pressure is alright and you're not getting calcium build up in your arteries
 
Fish oil, fiber, and "a break." Putting additional emphasis on my cardio training which had dropped to about 80 minutes per week. Moved it back to 120 minutes minimum. I do have some Ezetimibe in route. Might give red rice yeast a run as well. This has not been an issue for me, ever, except for triglycerides when I was obese and was drinking heavily. So the out of range hdl and ldl numbers took me off guard.

You have a family history of ASCVD and FH, your ApoB is 157mg/dL and you’re going to try ezetimibe and red yeast rice?

When do you want to die? Even with those interventions you’ll be lucky to get into your 60s.

Ignore most of the bullshit in this thread, except for the comment about Repatha. Get some Rosuvastatin. Usually, I’d suggest starting with 5mg QD but for you, 10mg. Then find some bempedoic acid. Start the statin first, watch for side effects, then after a month start the ezetimibe and bempedoic acid. If you can get the Repatha add that as well.

Repatha has a copay card that’s easy to get, otherwise it ain’t cheap. Bempedoic acid ain’t cheap in the US. If your insurance won’t cover Nexlizet (bempedoic acid and ezetimibe combined) you can order it from Indian pharma spots like pct.zone.

I ain’t your cardiologist but I want to see your ApoB under 60mg/dL and I’d like you to get a CT-CAC. Of course diet and exercise are table stakes as well as psyllium fiber and fish oil. Once that’s all sorted and presuming your BP is good THEN you can ramp up the gear again and maybe not for so soon.

As for your dexa question. Same thing happened to me. I saw +13lbs of lean tissue accrual in 4 months and then lost 10 of it a few months later. First test was coming off a blast and second was in a cut. I’m pretty sure the wild swings were from being “full” while on a blast and eating plenty of carbs and being flat after. Don’t stress, keep at it. Maybe take a diet break for a while and for fuck sake get your lipids sorted.

For context I’m 52yo, on all the things I listed, have an ApoB of 57mg/dL (before starting Repatha), a calcium score of 47 or so, and presently I’m 175 at 8.5% according to dexa down from a peak of 340 and god knows what, 60% bf?
 
Top