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Lean mass preservation
Lean mass loss at this scale changes resting metabolic rate, strength, functional capacity, and the regain curve once medication is discontinued.
What the work looks like: protein floor of 1.2 to 1.6 grams per kilogram of body weight, distributed across meals, with leucine adequacy at each one. For most adults, that is thirty-plus grams of high-quality protein per meal, three or four times a day.