Accepted answer
What the data supports is narrower than what gets recommended, so it is worth separating the two.
Hydration state moves a DEXA lean-mass figure directly, because the algorithm assigns water to the lean compartment. Scanning fasted, at the same time of day, before training and without a recent high-carbohydrate day is the difference between a comparable sequence and a noisy one. Bioelectrical impedance is far more sensitive to hydration again, which is why its trend is unusable at this timescale.
What each body-composition method measures
| Method | Measures | Sensitive to | Least significant change |
|---|
| DEXA | Three-compartment by attenuation | Hydration, positioning | ~2–3 % regional lean |
| BIA (consumer) | Impedance, modelled | Hydration, food, temperature | Not usable at this timescale |
| Air displacement | Two-compartment by density | Lung volume, hair, clothing | ~1–2 % fat mass |
| Tape and scale | Circumference, mass | Technique | Surprisingly usable as a trend |
More usefully, 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.
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].
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.
Train, eat the protein, measure something functional, and give the trend three months before you interpret it.
edited 14 Jun 2026 by rhian_prydderch — fixed an arithmetic slip in the third paragraph
7Confirming from the other direction: I did the wrong thing and got exactly the predicted outcome. – eoin_mcgarry 10 months ago 6Is there a reason to prefer the second method over the first, other than cost? – deamidation_watch 8 months ago add a comment