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An 18-month record including the parts that went badly

PO
p.onwukaTL2 Moderator17 Apr 2026#1

An 18-month record including the parts that went badly — setting out what I have, and where I think it stops being reliable.

Longitudinal report with the method stated, because a number without a method is not a measurement.

Same scale, same time of day, same conditions, 81 weeks. I have also recorded protein intake and resistance-training sessions, both self-reported and both therefore optimistic.

The reason I am posting is a pattern in the middle of the series that I cannot explain and that I suspect is measurement rather than signal.

27 likes 3mo
BW
b.wikstromTL2 Moderator20 Apr 2026 · edited#2

Protein intake and resistance training: both self-reported and therefore optimistic in most reports. Recording them anyway creates a record you can look back on.

5 likes 3mo
BE
bench_entryTL3Regular23 Apr 2026#3
b.wikstrom, post #2: Protein intake and resistance training: both self-reported and therefore optimistic in most reports. Recording them anyway creates a record you can look back on. Go to post

On the opening post — agreed on the reasoning, with one qualification.

Longitudinal report with the method stated: same scale, same time of day, same conditions. A scale is a tool; use the same one each time. Consistency matters more than accuracy at capturing absolute weight.

0 likes in reply to #2 3mo
PD
p.dialloTL2 Moderator25 Apr 2026#4

post #2 answers the question as asked. The question underneath it is different.

Menstrual cycle: for people who menstruate, weight can shift by several pounds across the cycle due to fluid retention and other factors. Noting cycle phase when weighing reduces apparent noise.

0 likes 3mo
ED
e.dalgleishTL3Regular27 Apr 2026#5

Medication changes: escalating dose, or adding or removing other medications, can affect the rate of weight loss. Documenting medication changes alongside weight makes the record interpretable.

9 likes 3mo
RI
r.ilungaTL2 Moderator28 Apr 2026#6

Seasonal patterns: some people report weight loss is slower in winter than summer. Body composition and activity changes might contribute. Noting the season is useful context.

2 likes 3mo
IL
integrator_logTL3Regular30 Apr 2026#7
e.dalgleish, post #5: Medication changes: escalating dose, or adding or removing other medications, can affect the rate of weight loss. Documenting medication changes alongside weight makes the record interpretable. Go to post

Exercise volume changes: increasing exercise intensity or duration can mask weight loss (muscle gain) on the scale. Noting exercise changes when reporting weight helps interpret results.

0 likes in reply to #5 3mo
FL
f.lindholmTL2 Moderator2 May 2026#8

post #7 is right about the mechanism and I think understates the practical bit.

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

29 likes 3mo
FW
f.wojcikTL2 Moderator4 May 2026 · edited#9
f.lindholm, post #8: post #7 is right about the mechanism and I think understates the practical bit. I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this,… Go to post

Coming back to post #7, because the follow-up matters more than the original answer.

Rate of change: reporting progress as "lost 5 kg in 12 weeks" is more useful than "currently at 82 kg" because the rate tells you whether the change is steady, accelerating, or stalling.

28 likes in reply to #8 3mo
SR
s.rasmussenTL2 Moderator5 May 2026#10
integrator_log, post #7: Exercise volume changes: increasing exercise intensity or duration can mask weight loss (muscle gain) on the scale. Noting exercise changes when reporting weight helps interpret results. Go to post

Picking up post #7: that is the part I would want checked first.

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

14 likes in reply to #7 3mo
TM
t.marchettiTL2 Moderator7 May 2026#11

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

1 like 3mo
LS
l.sarkissianTL2Member8 May 2026#12

Coming back to post #10, because the follow-up matters more than the original answer.

Non-scale victories: muscle gain or maintenance, clothing fit, energy level, and capability (like climbing stairs without breathlessness) are measurements that scale-based weight misses.

6 likes 3mo
PN
p.novakTL2 Moderator10 May 2026#13

post #12 answers the question as asked. The question underneath it is different.

Plateaus and resets: if weight loss stalls and then resumes, that is ordinary. It is not evidence that the medication stopped working. It is not evidence that it is still working either. It is a data point in a longer record.

16 likes 3mo
I
IHollingworthTL2Member11 May 2026#14
l.sarkissian, post #12: Coming back to post #10, because the follow-up matters more than the original answer. Non-scale victories: muscle gain or maintenance, clothing fit, energy level, and capability (like climbing stairs without breathlessness) are measurements that scale-based weight misses. Go to post

Measurement noise: day-to-day body mass varies by more than a kilogram on hydration, glycogen, and gut contents alone. A weekly reading is a single noisy sample of a distribution. A seven-day rolling mean of daily readings has much lower noise.

31 likes in reply to #12 3mo
RS
r.sobczakTL2 Moderator13 May 2026#15
p.diallo, post #4: post #2 answers the question as asked. The question underneath it is different. Menstrual cycle: for people who menstruate, weight can shift by several pounds across the cycle due to fluid retention and other factors. Noting cycle phase when weighing reduces apparent noise. Go to post

This follows post #12 rather than contradicting it.

Plateaus and resets: if weight loss stalls and then resumes, that is ordinary. It is not evidence that the medication stopped working. It is not evidence that it is still working either. It is a data point in a longer record.

0 likes in reply to #4 3mo
EA
e.almeidaTL2Member14 May 2026#16

I read post #14 twice before replying, because I had assumed the opposite.

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

3 likes 2mo
NK
ni.kravchenkoTL2 Moderator16 May 2026 · edited#17

Seasonal patterns: some people report weight loss is slower in winter than summer. Body composition and activity changes might contribute. Noting the season is useful context.

11 likes 2mo
RJ
r.jhannsdttirTL3Regular17 May 2026#18
p.onwuka, post #1: An 18-month record including the parts that went badly — setting out what I have, and where I think it stops being reliable. Longitudinal report with the method stated, because a number without a method is not a measurement. Same scale, same time of day, same conditions, 81 weeks. I have also recorded protein intake and… Go to post

Medication changes: escalating dose, or adding or removing other medications, can affect the rate of weight loss. Documenting medication changes alongside weight makes the record interpretable.

23 likes in reply to #1 2mo
PK
p.krastevTL2 Moderator18 May 2026#19
integrator_log, post #7: Exercise volume changes: increasing exercise intensity or duration can mask weight loss (muscle gain) on the scale. Noting exercise changes when reporting weight helps interpret results. Go to post

Menstrual cycle: for people who menstruate, weight can shift by several pounds across the cycle due to fluid retention and other factors. Noting cycle phase when weighing reduces apparent noise.

0 likes in reply to #7 2mo
IS
isotonic_sheetTL3Regular20 May 2026#20

Longitudinal report with the method stated: same scale, same time of day, same conditions. A scale is a tool; use the same one each time. Consistency matters more than accuracy at capturing absolute weight.

1 like 2mo
C
chromatogramTL4Analytical chemist21 May 2026#21

Protein intake and resistance training: both self-reported and therefore optimistic in most reports. Recording them anyway creates a record you can look back on.

8 likes 2mo
AW
a.wikstromTL2 Moderator22 May 2026#22

Rate of change: reporting progress as "lost 5 kg in 12 weeks" is more useful than "currently at 82 kg" because the rate tells you whether the change is steady, accelerating, or stalling.

2 likes 2mo
SL
s.leclercTL4 Moderator24 May 2026#23
r.jhannsdttir, post #18: Medication changes: escalating dose, or adding or removing other medications, can affect the rate of weight loss. Documenting medication changes alongside weight makes the record interpretable. Go to post

On post #19 — agreed on the reasoning, with one qualification.

Non-scale victories: muscle gain or maintenance, clothing fit, energy level, and capability (like climbing stairs without breathlessness) are measurements that scale-based weight misses.

0 likes in reply to #18 2mo
CR
c.ramosTL2 Moderator25 May 2026#24
IHollingworth, post #14: Measurement noise: day-to-day body mass varies by more than a kilogram on hydration, glycogen, and gut contents alone. A weekly reading is a single noisy sample of a distribution. A seven-day rolling mean of daily readings has much lower noise. Go to post

Exercise volume changes: increasing exercise intensity or duration can mask weight loss (muscle gain) on the scale. Noting exercise changes when reporting weight helps interpret results.

20 likes in reply to #14 2mo
TH
TL4_HalvorsenTL4Leader · Journal club26 May 2026#25

Measurement noise: day-to-day body mass varies by more than a kilogram on hydration, glycogen, and gut contents alone. A weekly reading is a single noisy sample of a distribution. A seven-day rolling mean of daily readings has much lower noise.

13 likes 2mo
JV
j.vogelTL2 Moderator27 May 2026 · edited#26

This follows post #23 rather than contradicting it.

Protein intake and resistance training: both self-reported and therefore optimistic in most reports. Recording them anyway creates a record you can look back on.

4 likes 2mo
EF
endo_fellow_rkTL3Endocrinology fellow29 May 2026#27

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

0 likes 2mo
TD
t.dumitruTL2 Moderator30 May 2026#28
p.krastev, post #19: Menstrual cycle: for people who menstruate, weight can shift by several pounds across the cycle due to fluid retention and other factors. Noting cycle phase when weighing reduces apparent noise. Go to post

Rate of change: reporting progress as "lost 5 kg in 12 weeks" is more useful than "currently at 82 kg" because the rate tells you whether the change is steady, accelerating, or stalling.

27 likes in reply to #19 2mo
AA
an.adeyemiTL2 Moderator31 May 2026#29

Coming back to post #27, because the follow-up matters more than the original answer.

Exercise volume changes: increasing exercise intensity or duration can mask weight loss (muscle gain) on the scale. Noting exercise changes when reporting weight helps interpret results.

19 likes 2mo
ES
e.silvaTL2 Moderator1 Jun 2026#30

Picking up post #27: that is the part I would want checked first.

Plateaus and resets: if weight loss stalls and then resumes, that is ordinary. It is not evidence that the medication stopped working. It is not evidence that it is still working either. It is a data point in a longer record.

8 likes 2mo