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The number on the scale might be going down—but what’s actually changing beneath the surface?

In this episode, I’m sharing a pattern I see often in clinic: people fully committed to their routines—getting their steps in, strength training, hitting their protein targets—yet their muscle mass is quietly disappearing while fat slowly increases.

It’s not about doing anything “wrong.” It’s about tracking the right things—so your efforts actually support long-term health, not just short-term weight loss. Join me as I unpack why traditional metrics can be misleading, how well-meaning habits can backfire, and what to focus on instead. 

I’ll also walk you through the simple four-step system I use with patients to track meaningful progress and make informed, sustainable changes (without obsessing over every number). If you’ve been putting in the work but feel unsure about what’s really working, this episode will help you zoom out, reassess, and move forward with clarity.

References

InBody Scale

Ep. 69 - BMI: Proof it Falls Short as a Measure of Health

The Top 5 Mistakes That People Make on a GLP-1

Get Your FREE 3-Day Hunger Hormone Reset Mini Video Series

Audio Stamps

02:30 - Why focusing solely on weight loss numbers can be misleading, plus examples of patients losing muscle while gaining fat.

08:45 - The four-step scientific approach to health: pick a plan, decide what's good enough, track consistently, and adjust based on data.

15:20 - The importance of defining "good enough" and how perfectionism prevents consistent action.

22:10 - Tracking methods, including weekly weight averages and monthly body composition measurements using tools like InBody scales.

28:35 - Dr. Rentea’s macro tracking philosophy, focusing on one

All of the information on this podcast is for general informational purposes only. Please talk to your physician and medical team about what is right for you. No medical advice is being on this podcast.

If you live in Indiana or Illinois and want to work with doctor Matthea Rentea, you can find out more on www.RenteaClinic.com

✨ Season 2 of Behind the Curtain is officially live! ✨ You can join the season on its own or take it a step further by opting into the live 21-Day Challenge with Dr. Rentea, running December 1–21—the perfect way to finish the year strong and head into the holidays with momentum.👉 JOIN HERE — spots are limited for the live challenge!

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