Sending an update after posting about my DEXA scan last fall. Original post: https://www.reddit.com/r/Zepbound/comments/1nmex4m/dexa_scan_results/
For context, I started Zepbound in early May 2025 at 303lbs, just took my 54th shot and am at 195lbs. I’ve been on 2.5mg since the beginning and it has continued to be an effective dose for me.
I’ve maintained my lifting schedule (3X a week, progressive overload) and I average 1650-1750 calories a day, with 170g of protein. My lifts have been slowly inching back up toward my PRs. I recently got a 330 single deadlift, 245 squat and 130 bench.
A month ago I got my third DEXA scan. Here are the results:
Weight:
- May 25: 300.7 lbs
- Sept 25: 252.7 lbs
- April 26: 202.5 lbs (now at 195)
Body Fat %:
- May 25: 51.6%
- Sept 25: 46.6%
- April 26: 37.6%
Fat Mass:
- May 25: 155.2 lbs
- Sept 25: 117.6 lbs
- April 26: 76.2 lbs
Lean Mass
- May 25: 138.5 lbs
- Sept 25: 128.3 lbs
- April 26: 119.6 lbs
Android (abdominal) fat %:
- May 25: 60.5%
- Sept 25: 53.9%
- April 26: 43%
Gynoid (hip/thigh) fat %:
- May 26: 52.2%
- Sept 26: 44.2%
- April 26: 37.1%
Visceral Adipose Tissue (VAT):
- May 25: Not measurable (too high for scan validation range)
- Sept 25: 88.8 in³ → in “Increased risk” but below Very High risk threshold
- April 26: 48.7 in³ → in the “Ideal/Healthy” range!
I’m proud of the numbers and the muscle retention! I feel good, am able to move and do things I haven’t been able to do before, but am still lifting heavy and eating a sustainable amount. My second RMR came in at 1716cal (previously 1800), so that is maintaining well and it confirms that my nutrition goals are well-aligned with my current body comp. My current goal is to reach 175lbs, see where I’m at body fat-wise and go from there!