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Understanding Body Composition: Lean Body Mass vs Muscle Mass

When it comes to tracking your health and fitness progress, the number on the scale only tells part of the story. That’s why body composition is so important — it helps you understand what your body is actually made of, beyond just weight.

But terms like lean body mass and muscle mass often get mixed up. Let’s break down what they really mean, with some real-world examples of how they show up in everyday life.

What is body composition?

Body composition refers to the proportions of fat, muscle, bone, water, and other tissues in your body.

Think of it this way:
Two women both weigh 160 lbs and are the same height, but one has a much higher percentage of muscle and lower body fat. Even though the scale shows the same number, their bodies look and feel very different.

That’s the power of body composition — it reveals what’s really changing as you improve your health.

What is Lean Muscle Mass?

Lean body mass (LBM) is everything in your body that isn’t fat.

Lean Body Mass (LBM) = Total Weight – Fat Mass

This includes:

  • Muscles
  • Bones
  • Organs
  • Body water
  • Connective tissue/Skin

The two biggest factors that influence lean body mass are body water and muscle mass. A sudden increase in lean body mass doesn’t always mean you’ve gained muscle — it could simply be fluctuations in body water.

Body composition

Imagine a man who starts a weight-loss program and drops 15 pounds. When he checks his body composition, he finds he lost 10 pounds of fat and 5 pounds of lean body mass. Some of that lean mass could be water, but some could also be muscle — which isn’t ideal.

Muscle gains definitely contribute to LBM gains, but so does water, which can fluctuate throughout the day depending on hydration status, diet, and physical activity.

That’s why simply focusing on “weight loss” without paying attention to what kind of weight you’re losing can backfire.

What is Muscle Mass?

Muscle mass refers specifically to the weight of all the muscle tissue in your body — primarily your skeletal muscles, which help you move, lift, and support your metabolism. This is the type of muscle you can actively build through proper exercise and nutrition.

When people talk about “building muscle” with strength training and protein, they’re really referring to skeletal muscle mass or muscle mass.

Overall, muscle mass includes three types of muscle:

  • Skeletal Muscle — the voluntary muscle you can grow and strengthen through training and nutrition
  • Cardiac Muscle — the involuntary muscle of the heart
  • Smooth Muscle — the involuntary muscle found in organs and blood vessels
body composition

A woman starts strength training three times a week and eating more protein. Over 3 months, her scale weight stays the same — but her body composition shows she gained 6 pounds of muscle and lost 6 pounds of fat.
She looks leaner, feels stronger, and her clothes fit better — even though the scale didn’t budge.

Why the Difference Matters?

Knowing the difference between LBM and muscle mass helps you track progress more accurately and adjust your plan as needed.

  • If your lean body mass goes up slightly, it could just be from extra water (maybe from inflammation or a salty meal), not necessarily more muscle.
  • If your skeletal muscle mass increases, that’s a clear sign you’ve built muscle — which boosts your metabolism, strength, and appearance.
  • If your weight drops quickly and you also lose muscle mass, that could leave you feeling weaker, slower, and more likely to regain weight later.

Increasing Muscle Mass

To improve your muscle-to-fat ratio:

  • Focus on strength training at least 2–4 times a week
  • Eat enough protein (some trainers and nutritionists use different methods, its best to consume 0.7–1 gram per pound of lean muscle mass)
    • For a 168-lb person with LBM of 96-lbs would mean to eat 67-96 grams of protein/day
    • Include lean meats, eggs, dairy, and legumes
  • Avoid extreme calorie restriction, which can lead to muscle loss.
    • Its best to maintain a slight caloric surplus (eating more calories than you burn) to support muscle gains without excessive fat).
  • Stay hydrated. Muscle mass is 70–80% water so dehydration can reduce muscle performance and recovery.
  • Sleep 7–9 hours per night to allow muscle repair and growth.

Step On, Learn More: Quick & Insightful Body Composition Testing

body composition

Understanding your body composition — and the difference between lean body mass and muscle mass — helps you focus on the quality of your weight changes, not just the number on the scale.

It’s the difference between feeling skinny but weak… and feeling strong, lean, and healthy.

At Tucson Wellness MD, we offer advanced body composition analysis with our InBody machine to help you truly understand what your weight is made of. The next time you visit, take just a few minutes to step on the machine and gain valuable insights into your body fat, muscle mass, and overall health.

The Ultimate Guide to Today’s Top Weight Loss Medications: Your Questions Answered

Over the past few years, new medications for weight loss have gained widespread attention — especially semaglutide (Ozempic®/Wegovy®), tirzepatide (Mounjaro®/Zepbound™), and the newest contender, retatrutide. These medications work differently from traditional diet and exercise alone, offering powerful tools for those struggling with obesity or weight-related conditions.

If you’re curious about how these medications compare, how they work, and whether one might be right for you, here are answers to the most common questions people ask.

How do semaglutide, tirzepatide, and retatrutide work?

All three belong to a class of medications that mimic hormones in your body to help regulate appetite, insulin, and blood sugar.

Semaglutide is a GLP-1 receptor agonist. It mimics the hormone GLP-1, which helps you feel fuller longer, slows digestion, and improves insulin sensitivity.

Tirzepatide is a dual GIP and GLP-1 receptor agonist. This means it targets both GLP-1 and another hormone, GIP (glucose-dependent insulinotropic polypeptide), which may further enhance weight loss and blood sugar control compared to semaglutide.

Retatrutide is currently in clinical trials and shows even more promise. It’s a triple agonist — targeting GLP-1, GIP, and glucagon receptors — which may result in greater energy expenditure and weight loss than the other two.

Why eating protein and strength training is important

While medications like semaglutide, tirzepatide, and retatrutide can help you lose significant weight by reducing your appetite and calorie intake, it’s important to understand that not all weight loss is equal.

Without the right nutrition and exercise, some of the weight you lose may come from muscle, not just fat — and preserving your muscle is crucial for your health, strength, and metabolism.

Here’s why eating enough protein and including weight training in your routine matter:

Protects Your Muscle Mass

These medications help you eat less, but when you’re in a calorie deficit, your body may break down muscle along with fat.
Adequate protein intake and resistance training signal your body to hold onto muscle while burning fat.

Supports a Healthy Metabolism

Muscle burns more calories at rest than fat does. Losing too much muscle can slow your metabolism and make it harder to keep the weight off long term. Strength training helps maintain or even build muscle as you lose weight.

Improves Strength and Function

Keeping your muscles strong ensures you can continue to move well, stay active, and reduce your risk of injury — all of which are especially important as you lose weight.

Helps With Satiety and Recovery

Protein-rich meals help you feel fuller longer and support recovery after workouts, which is important since these medications may already reduce your appetite and make it harder to get enough nutrients.

By combining weight loss medication with a solid nutrition and exercise plan, you’re not just losing weight — you’re building a stronger, healthier, and more resilient body.

What are the side effects?

Like any medication, these have side effects — most often gastrointestinal, such as:

  • Nausea
  • Vomiting
  • Diarrhea or constipation
  • Reduced appetite

Side effects tend to be dose-dependent, often lessen as your body adjusts, and vary by person.

How long do I need to stay on the medication?

These medications work as long as you continue taking them. Stopping the medication often leads to regaining weight. That’s why they’re usually prescribed alongside lifestyle changes like improved nutrition, physical activity, and behavior therapy for long-term success.

Which medication is right for me?

There’s no one-size-fits-all answer. Factors to consider include:

  • Your medical history
  • Weight loss goals
  • How well you tolerate each medication

Discuss your options with your healthcare provider — they can guide you toward the best fit based on your unique situation. Remember, what works well for your friend may not be the right choice for you — and that’s perfectly okay!

Our commitment to quality: lab-grade medications

At Tucson Wellness MD we prioritize your safety and effectiveness above all else. That’s why we use only lab-grade weight loss medications sourced directly from trusted manufacturers.

We do not use compounded medications or products from compounding pharmacies. Compounded medications are custom-mixed formulations that may vary in quality, potency, and safety.

By choosing lab-grade medications, we ensure you receive:

  • Consistent, reliable dosing
  • The highest manufacturing standards
  • Proven safety and efficacy

Your health and results matter to us. This commitment helps us provide you with the best care possible on your weight loss journey.

Begin your weight loss journey with Tucson Wellness MD

Semaglutide, tirzepatide, and the upcoming retatrutide represent exciting advances in the treatment of obesity and metabolic disease. While they’re not magic bullets, they can provide significant support alongside lifestyle changes.

If you’re interested in learning more about these options or finding out which is right for you, schedule a consultation with a qualified provider who can help you weigh the benefits, risks, and costs.