The Edit · Founder Insights
How to lose fat and build muscle after 40: the science of recomposition, the protein and training formula, and why it works even when it is slower.

Yes, you can lose fat and build muscle at the same time after 40, and for most people over 40 the odds are better than the internet suggests. The phenomenon is called body recomposition, and it is most achievable in three groups: people new to structured training, people carrying extra body fat, and returning lifters who built muscle years ago and are coming back. The formula is unglamorous and consistent: enough protein, progressive resistance training, and a modest calorie deficit held over months, not weeks. It is slower in your 40s and 50s than it was at 25, but slower is not the same as impossible, and the muscle you protect now is the tissue that decides how the next three decades feel.
TL;DR
- Body recomposition, losing fat while building muscle, is well documented and especially likely for beginners, heavier individuals, and returning lifters over 40.
- The formula is roughly 1.6 grams of protein per kilogram of bodyweight, progressive resistance training, and a modest deficit of 300 to 500 calories per day.
- It is slower after 40 because muscle responds less readily to protein and training, a phenomenon called anabolic resistance, but the response is preserved when the stimulus is strong enough.
- You do not need a weight-loss medication to recompose, but the same muscle-protection principles apply if you are on one.
- Track lean mass and strength, not just scale weight, because the scale hides the trade you are actually making.
In this article
- 1. What body recomposition actually is the real definition and why the scale lies
- 2. Who can recompose over 40 the three populations with the best odds
- 3. Why it gets slower after 40 anabolic resistance, explained plainly
- 4. The protein number that matters how much, and why more is not better
- 5. Progressive resistance training is the engine the non-negotiable half
- 6. Why a modest deficit beats an aggressive one the recomposition sweet spot
- 7. Sleep and recovery do the rebuilding the variable most people ignore
- 8. How to measure progress without fooling yourself lean mass, strength, and the tape
- 9. A programme structure that works after 40 what a real week looks like
- How to pick what to do first
Body recomposition is the simultaneous loss of body fat and gain of skeletal muscle. It is the goal almost everyone over 40 actually wants, even when they say they want to lose weight, because what makes a body look and function younger is not a smaller number on the scale but a higher ratio of muscle to fat. The reason the topic causes so much confusion is that the scale cannot see the trade. You can finish twelve weeks two kilograms lighter and substantially leaner, or two kilograms lighter and weaker, and the scale reads identically. This article is about engineering the first outcome on purpose.
The stakes rise with age because muscle is the tissue that protects healthspan. Adults lose muscle mass and strength progressively from midlife onward unless they actively train against it, and that decline is what eventually shows up as frailty, poor balance, slower metabolism, and a higher risk of metabolic disease. Recomposition over 40 is not a vanity project. It is the most direct lever you have on how capable you will be at 60, 70, and 80.
There is a useful piece of context worth understanding up front, because it reframes the whole conversation around losing fat well. Research on medically induced weight loss has found that when people lose weight through interventions including GLP-1 medications, roughly 25 to 39 percent of the total weight lost is fat-free mass rather than fat, measured over trials of 36 to 72 weeks (Prado et al., 2024). That figure includes water and organ mass, not muscle alone, and it is not dramatically worse than the lean-mass loss seen with diet-led weight loss. But it makes the same point from a different angle: losing weight is easy to do badly, and the difference between losing weight and losing fat is whether you train. That is true on a medication and true without one, which is exactly why this article exists.
1. What body recomposition actually is
The problem with most weight-loss advice is that it optimises for the wrong number. People chase the lowest possible scale weight, and because muscle is denser and metabolically expensive, the fastest way to drop scale weight is often to lose muscle alongside fat. The result is a smaller, softer, weaker version of the same body, frequently with a slower metabolism than before, which is the mechanism behind weight regain. Recomposition is the deliberate alternative: you reshape the body's composition while the total mass barely moves.
The solution is to stop treating weight as the outcome and start treating body composition as the outcome. In practice that means two things change at once, in opposite directions: fat mass goes down, lean mass holds or goes up. Because these partly cancel on the scale, recomposition progress can look like nothing is happening if you only weigh yourself. The waistband loosening while the scale sits still is not a plateau. It is the trade working.
The evidence that this is achievable is stronger than fitness folklore allows. A 2020 review in the Strength and Conditioning Journal examined the body of research on recomposition and concluded that, contrary to the common belief that you can only build muscle and lose fat at the same time as a complete beginner, body recomposition is demonstrated repeatedly even in resistance-trained individuals, with progressive resistance training and evidence-based nutrition as the key drivers (Barakat et al., 2020). The myth that recomposition is impossible came from studies of elite athletes near their genetic ceiling. For almost everyone over 40, you are nowhere near that ceiling, which is good news.
At Catalyst we see this most clearly in the first reassessment after twelve weeks. A member will arrive convinced the programme is not working because the scale has moved three kilograms in three months, which feels slow next to the crash diets they have tried before. Then the body composition scan shows fat down five kilograms and lean mass up two, and the picture clicks: they did not lose three kilograms, they traded seven. That is the conversation the scale was hiding.
The bonus insight is that recomposition is the more durable outcome precisely because it protects the engine. Muscle is metabolically active tissue, so a body that keeps its muscle through a fat-loss phase defends its metabolic rate and is far less prone to the rebound that follows muscle-stripping diets. You are not just chasing a better photo. You are building a body that holds the result.
Do it yourself
Recomposition is a programme, not a guess. The Muscle + Fat Loss Protocol is the 12-week strength-and-protein plan our coaches use, medically reviewed by Dr Luqman Haris, MBBS, built to keep the muscle while the fat comes off.
2. Who can recompose over 40
The honest answer to who can recompose is that almost everyone can to some degree, but three populations have meaningfully better odds, and a large share of people over 40 fall into at least one of them. Knowing which group you are in sets realistic expectations and stops you quitting at week six because someone online recomposed faster.
The first group is people new to structured resistance training. If your muscles have never been exposed to a progressive, challenging strength stimulus, they respond strongly when they finally are, even in a calorie deficit. These newcomer gains are real and they coexist with fat loss. The second group is people carrying excess body fat, who have a large fuel reserve the body can draw on to power muscle growth while fat comes off. The third, and the one most overlooked over 40, is returning lifters: people who trained seriously in their twenties or thirties, drifted away, and are coming back. Previously built muscle is regained far faster than it was first built, a phenomenon often called muscle memory, and it is one of the genuine advantages of being an experienced trainee returning later in life.
The solution for all three is the same, but the framing differs. A true beginner should expect visible recomposition for the first six to twelve months and should not over-restrict food while their body is busy building. A heavier individual can run a slightly firmer deficit because the fuel reserve is there. A returning lifter should resist the urge to train at the volume their younger self handled and instead rebuild patiently, because connective tissue and recovery adapt slower than the muscle does.
The specifics matter here because the wrong expectation breaks adherence. Lean, already-trained individuals near their ceiling recompose slowly and may need to alternate dedicated muscle-building and dedicated fat-loss phases rather than chasing both at once. But that describes a small minority of the over-40 population. If you are returning after years away, or starting properly for the first time, or carrying fat you would like to lose, you are in the window where both can happen together.
We had a member in his late forties who had rowed competitively at university and not trained seriously since. He was sure that ship had sailed. Inside four months of structured lifting and adequate protein, he regained a noticeable amount of the musculature he thought was gone for good while his waist dropped two belt notches. He was not building something new from nothing. He was reclaiming a body his nervous system and muscles still remembered how to build.
The bonus insight is that age itself is rarely the limiting factor people assume. Decades of being under-muscled and under-trained is the real headwind, and that is reversible. The 50-year-old who has never trained has more recomposition runway in front of them than the 30-year-old who has trained hard for a decade.
3. Why it gets slower after 40
Recomposition is real over 40, but it is slower, and pretending otherwise sets people up to quit. The biological reason has a name: anabolic resistance. As we age, muscle becomes less responsive to the two signals that build it, dietary protein and resistance exercise. The same meal and the same workout that triggered a robust muscle-building response at 25 produce a blunted response at 55. Nothing is broken. The dial just needs turning up.
The solution follows directly from the mechanism. If older muscle responds less to a given dose of protein and training, you compensate with a larger, better-timed dose of both. A review in Nutrition and Metabolism on counteracting the anabolic resistance of ageing found that the older response is preserved when the stimulus is strong enough, and recommended distributing roughly 20 to 30 grams of high-quality, leucine-rich protein across each meal of the day rather than loading it all at dinner, paired with genuine resistance exercise (Breen and Phillips, 2011). The combination of protein and training together produces a far greater anabolic response than either alone, and that synergy is the lever older trainees pull hardest.
The specifics are about adequacy and distribution. Many people over 40 eat a protein-light breakfast, a modest lunch, and a large dinner, which means only one meal a day clears the threshold that switches muscle-building on. Spreading protein into three or four meals that each reach that threshold turns one daily anabolic signal into three or four. For an older trainee fighting anabolic resistance, that distribution change alone can be the difference between holding muscle and slowly losing it.
In the studio this shows up as a coaching conversation about breakfast more often than about the gym. A member doing everything right in their training will stall because they wake up, skip protein, train fasted at lunch, and only eat meaningfully at night. We do not add a supplement. We move thirty grams of protein to the morning, and the next reassessment moves. The training was never the bottleneck.
The bonus insight is that anabolic resistance is a reason to train harder and eat smarter, not a reason to give up. It is also progressive, which means the cost of doing nothing compounds. The longer you wait, the more resistant the tissue becomes, so the best time to start recomposing was a decade ago and the second-best time is the next time you eat.
4. The protein number that matters
Protein is where most over-40 recomposition attempts quietly fail, usually by aiming too low. In a deficit, dietary protein is what tells the body to burn fat for fuel rather than break down muscle for it. Get protein right and the deficit eats fat. Get it wrong and the deficit eats both. So the single highest-leverage number in this whole article is your daily protein target.
The solution is a defensible, evidence-based target rather than a guess. A landmark systematic review and meta-analysis in the British Journal of Sports Medicine pooled the data on protein and resistance training and found that gains in muscle mass plateaued at a total protein intake of about 1.6 grams per kilogram of bodyweight per day, with no additional benefit on average beyond that point (Morton et al., 2018). That is the number to build around: roughly 1.6 grams per kilogram. For an 80-kilogram person that is about 128 grams of protein a day. The upper edge of the confidence interval reached around 2.2 grams per kilogram, so a little more does no harm, but chasing very high intakes buys nothing.
The specifics are about hitting the number without it becoming a part-time job. Anchor each main meal with a clear protein source, a palm-to-two-palms portion of fish, poultry, eggs, dairy, tofu, or legumes, and most people land near the target across three or four meals. If you are in a deficit and over 40, lean toward the higher end of the range rather than the lower, because you are defending muscle against two headwinds at once: the deficit and anabolic resistance. You can use our free GLP-1 Muscle-Loss Calculator to see how protein and training shift the muscle-versus-fat split during weight loss, and the same logic applies whether or not a medication is involved.
We watch this number more closely than almost anything else with members. The most common single fix in the first month is not a new exercise or a fancier programme: it is raising protein from an accidental 0.8 grams per kilogram to a deliberate 1.6. The training was already adequate. The body simply did not have the raw material to build with, and once it did, the recomposition the member was chasing started showing up.
The bonus insight is that higher protein has a second, quieter benefit during fat loss: it is the most satiating macronutrient, so a protein-forward day makes a modest deficit feel less like deprivation. The number that protects your muscle also makes the diet easier to stick to, which is why it does double duty.
5. Progressive resistance training is the engine
Protein is the raw material, but resistance training is the signal that tells the body to spend that material on muscle rather than store it. Without a progressive strength stimulus, extra protein in a deficit is just calories. This is the half of the formula that cardio cannot replace, and it is the half most over-40 fat-loss plans neglect in favour of long runs and step counts.
The solution is progressive resistance training, which means working the major muscle groups against a load that is genuinely challenging, and gradually increasing the demand over time as you adapt. The word progressive is load-bearing. Doing the same light circuit every week maintains very little. Adding a small amount of weight, a rep, or a harder variation as you get stronger is the mechanism that keeps muscle on while fat comes off. The good news is that older muscle responds to this; the studies that show recomposition over 40 are built on exactly this kind of progressive training.
The specifics for a recomposition phase favour compound movements that train multiple muscle groups at once, squats, hinges, presses, rows, and carries, performed two to four times a week, working in a range that is demanding but controlled. Crucially, when fat loss is the secondary goal, the priority during training is to preserve the strength stimulus rather than to burn calories. The fat loss is driven by the diet and overall activity; the lifting exists to keep the muscle. People who flip this, who turn their lifting into frantic calorie-burning circuits, lose the recomposition entirely.
This is the most common correction we make for members arriving from a general-fitness background. They have been doing high-rep, light-weight, sweat-focused sessions for years and are surprised to be told to lift heavier and rest more between sets. Once they shift from chasing fatigue to chasing a progressive load, body composition starts moving in a way years of circuits never delivered. The session often feels less exhausting and works far better.
The bonus insight is that resistance training protects more than muscle. The combined-exercise evidence in older adults shows that resistance work also defends bone mineral density during weight loss, which matters enormously past 40 when bone is quietly thinning alongside muscle. Lifting is the one intervention that addresses both at once.
6. Why a modest deficit beats an aggressive one
The instinct when you want to lose fat is to cut calories hard and fast. For recomposition over 40, that instinct is the enemy. An aggressive deficit forces the body to break down muscle for fuel faster than training and protein can defend it, which is precisely the muscle-stripping outcome recomposition is designed to avoid. The deficit needs to be large enough to lose fat, but small enough that the body has the energy and signal to keep building.
The solution is a modest, sustainable deficit, generally in the region of 300 to 500 calories below maintenance per day. At that pace fat comes off steadily, perhaps a quarter to half a kilogram a week, while protein and progressive lifting protect, and often grow, lean mass underneath. It feels almost too slow compared to a crash diet, but the slowness is the point: it is the rate at which the body will let you reshape rather than simply shrink.
The specifics matter most over 40 because anabolic resistance and a steeper aggressive-deficit penalty stack together. Younger trainees can sometimes get away with a harsh cut and rebuild later. Older trainees who crash-diet tend to lose disproportionate muscle and struggle to regain it, ending up lighter but weaker and metabolically worse off. A modest deficit, by contrast, is the condition under which recomposition actually happens for this age group. If recomposition stalls, the fix is usually a small adjustment to the deficit or to protein, not a more punishing one.
We see the cost of aggressive deficits when members come to us after a previous crash-diet cycle. They arrive lighter than a year ago but visibly under-muscled and frustrated that the weight came back. The first phase with us often involves eating more, not less, to rebuild lost muscle before any further fat loss, because there was not enough muscle left to recompose around. Preventing that hole is far easier than digging out of it.
The bonus insight is that the modest deficit is also what makes the result permanent. Because you arrive at your goal weight with your muscle and metabolic rate intact, there is no rebound spring loaded into the diet. Slow fat loss with muscle protected is the only version of weight loss that tends to stay lost.
7. Sleep and recovery do the rebuilding
Training breaks muscle down. Protein supplies the bricks. But the actual rebuilding happens during recovery, and the single most underrated recovery variable is sleep. For an over-40 trainee trying to recompose, chronically short sleep undercuts everything else on this list, and it is the variable people are most willing to sacrifice.
The solution is to treat sleep as part of the programme rather than an afterthought. Inadequate sleep tilts the hormonal environment against recomposition: it raises appetite and cravings, making the modest deficit harder to hold, and it impairs the recovery and muscle-protein response that protein and training are meant to drive. Aiming for seven to nine hours, with a consistent schedule, is not wellness garnish. It is a performance input that decides whether the work you did in the gym and kitchen actually converts.
The specifics over 40 are that recovery capacity itself narrows, so the margin for abusing it shrinks. The same hard session that a 25-year-old shrugs off on five hours of sleep leaves a 50-year-old under-recovered, under-performing the next session, and slowly accumulating fatigue. That is why a well-structured over-40 programme builds in adequate rest between hard sessions rather than training to exhaustion daily. Recovery is not the absence of training. It is where the adaptation is banked.
In practice, when a member's progress stalls and their protein and training look correct on paper, sleep is the next thing we examine, and it is frequently the culprit. A member sleeping six broken hours because of work stress will not recompose no matter how clean the programme, and the most effective intervention that month is fixing the sleep, not adding another training day.
The bonus insight is that recovery quality is partly trainable. Managing stress, keeping a consistent sleep and wake time, and not stacking maximal sessions back to back all widen the recovery margin, and for the time-pressed professional over 40 that margin is often the real constraint on results, not effort.
8. How to measure progress without fooling yourself
The reason recomposition feels discouraging is almost always a measurement problem, not a progress problem. If your only instrument is the bathroom scale, recomposition is nearly invisible, because fat lost and muscle gained partly cancel. People abandon working programmes at week eight because the scale has barely moved, never knowing that underneath, the trade was happening exactly as designed.
The solution is to measure the things that recomposition actually changes. Three instruments beat the scale. First, a body composition measurement that separates fat mass from lean mass, repeated every two to three months, so you can see the two numbers moving in opposite directions. Second, strength in your key lifts, because rising strength in a deficit is near-proof that you are holding or building muscle. Third, a simple tape measure at the waist, because waist circumference falling while strength rises is the recomposition signature, no lab required.
The specifics are about cadence and consistency. Weigh trends across weeks rather than reacting to daily noise, take waist measurements under the same conditions, and reassess body composition on a fixed schedule rather than whenever motivation dips. The goal is a small dashboard of signals, not a single number, so that a flat scale next to a falling waist and a rising deadlift reads correctly as success rather than failure.
This is exactly what Catalyst's 4-Pillar Healthspan Assessment is built to do. It measures body composition, cardiorespiratory fitness, stability, and strength, so a member's recomposition shows up as data across the pillars rather than as a single ambiguous weight. When the scale tells one story and the assessment tells another, the assessment is the one telling the truth, and that is the conversation that keeps people on the programme long enough to win.
The bonus insight is that good measurement is itself a behaviour-change tool. People stick to what they can see working. A member who can watch lean mass tick up and waist tick down stays the course through the slow stretches, whereas a member staring at a stubborn scale quits right before the results would have shown.
9. A programme structure that works after 40
Everything above assembles into a weekly structure that is more modest and more repeatable than most people expect. The mistake is to start with a punishing six-day plan borrowed from a younger, fitter version of yourself or from someone whose job is training. Over 40, the programme that you can actually sustain for a year beats the heroic one you abandon in March.
The solution is a manageable spine: resistance training two to four times a week, organised around compound movements, with progressive overload tracked week to week, plus daily activity and some easy cardiovascular work for heart health and recovery rather than as the main fat-loss tool. Protein anchors every main meal toward that 1.6 grams per kilogram target, the deficit sits at a modest 300 to 500 calories, and sleep is protected as non-negotiable. That is the entire machine. Its power is in consistency, not complexity.
The specifics of a sensible starting week might be three full-body or upper-lower resistance sessions with a rest or easy-activity day between them, each session built on a few hard compound lifts taken close to but not into failure, with the load nudged up as it gets manageable. Two relaxed walks or a single easy cardio session round it out. There is deliberately room in this week to recover, because for an over-40 trainee the recovery is where the recomposition is realised, and a plan with no slack in it produces fatigue rather than progress.
This is broadly the shape of what we build for members at the studio, then individualise from their assessment. The combined approach is also the best-supported one in the research: in a New England Journal of Medicine trial of dieting older adults, the group doing combined aerobic and resistance exercise improved functional status the most and best preserved lean mass and bone density, outperforming either type of exercise alone (Villareal et al., 2017). A structure that lifts and moves, rather than only one or the other, is the structure the evidence points to.
The bonus insight is that this structure scales with you. The same skeleton, compound lifts, progressive overload, adequate protein, modest deficit, protected sleep, serves the 42-year-old returning lifter and the 62-year-old starting out. You do not graduate off the fundamentals. You just keep nudging the loads and let the years accumulate the result.
How to pick what to do first
If you try to fix everything at once you will fix nothing, so sequence it. The first lever, before any programme, is protein: if you are eating below roughly 1.6 grams per kilogram, raising it is the highest-return change you can make this week, and it costs nothing but attention. The second lever is starting a genuine progressive resistance programme if you are not already on one, because no amount of protein recomposes a body that is not lifting. Only once those two are in place does fine-tuning the calorie deficit and the training split earn its keep.
The honest complication is that the right answer depends on your starting point, and most people misjudge their own. A returning lifter, a true beginner, and a lean already-trained individual need different deficits, different volumes, and different expectations, and getting that wrong is the usual reason a sensible-looking plan stalls. This is where an objective baseline pays for itself: knowing your actual body composition, strength, and starting capacity turns a generic plan into the right plan for you.
That is the purpose of the 4-Pillar Healthspan Assessment. It establishes where you actually stand across body composition, cardiorespiratory fitness, stability, and strength, so the first twelve weeks target your real limiting factor rather than a guessed one. Recomposition over 40 is not about doing more things. It is about doing the two or three that matter, in the right order, long enough for the trade to show.
After 40 the scale is the worst instrument you own. Lose weight badly and you get a smaller, weaker body that gains it all back. Lose fat while you protect muscle and you reshape the next thirty years, which is exactly why you train.
Frequently asked questions
Q. Can you really build muscle and lose fat at the same time after 40?
Yes, and for most people over 40 the odds are good. Body recomposition is well documented, and it is most achievable for beginners, people carrying excess fat, and returning lifters reclaiming previously built muscle. It is slower than it was at 25 because muscle responds less readily with age, but a strong enough stimulus, adequate protein and progressive resistance training, preserves that response. The people who fail at it almost always under-eat protein, train without progression, or crash-diet too aggressively, not because their age made it impossible.
Q. How much protein do I need to lose fat and build muscle?
Aim for roughly 1.6 grams of protein per kilogram of bodyweight per day, the intake at which muscle gains plateau in the research on protein and resistance training (Morton et al., 2018). For an 80-kilogram person that is about 128 grams a day, spread across three or four meals so each one clears the threshold that switches muscle-building on. Over 40 and in a deficit, lean toward the higher end of the range, because you are defending muscle against both the calorie deficit and the age-related blunting of the muscle-building response.
Q. How long does body recomposition take over 40?
Think in months and quarters, not weeks. Visible recomposition typically shows over the first three to six months for beginners and returning lifters, with steady fat loss of around a quarter to half a kilogram a week alongside held or rising lean mass. It is deliberately slower than a crash diet because the modest deficit that preserves muscle is also the slower one. The trade-off is that what you build this way tends to stay, because you finish with your muscle and metabolic rate intact rather than primed to rebound.
Q. Do I need cardio to recompose, or just lifting?
Resistance training is the non-negotiable engine; cardio is supporting cast. Lifting provides the signal that keeps muscle on while fat comes off, which is why it cannot be replaced by running or step counts. Cardiovascular work still earns a place for heart health, recovery, and overall activity, and the combined approach is the best supported: in dieting older adults, combining aerobic and resistance exercise preserved lean mass and bone density and improved function more than either alone (Villareal et al., 2017). Lift first, move daily, and let the diet drive the fat loss.
Body recomposition over 40 is not a special trick reserved for the genetically lucky. It is the predictable result of enough protein, progressive resistance training, a modest deficit, and protected sleep, held long enough for the trade to compound. The body you protect now is the body that decides how the decades ahead feel. If you want to go deeper on the muscle side of this, read our guide to age-related muscle loss and how to reverse it, and if a weight-loss medication is part of your picture, see how to protect muscle while losing fat on a GLP-1, where the same training and protein principles do the heavy lifting.
If you want a structured, evidence-based way to do this rather than another solo attempt, The Muscle + Fat Loss Protocol is a self-paced programme built around exactly these principles: progressive resistance training, a protein and deficit framework, and the muscle-protection logic above. Or, to start from your real numbers, book a complimentary consultation and we will establish your baseline across all four pillars and map the first twelve weeks to your actual limiting factor.
Citations
Prado CM, Phillips SM, Gonzalez MC, Heymsfield SB. Muscle matters: the effects of medically induced weight loss on skeletal muscle. The Lancet Diabetes & Endocrinology. 2024.
Morton RW, Murphy KT, McKellar SR, et al. A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults. British Journal of Sports Medicine. 2018;52(6):376-384.
Villareal DT, Aguirre L, Gurney AB, et al. Aerobic or Resistance Exercise, or Both, in Dieting Obese Older Adults. New England Journal of Medicine. 2017;376(20):1943-1955.
Barakat C, Pearson J, Escalante G, Campbell B, De Souza EO. Body Recomposition: Can Trained Individuals Build Muscle and Lose Fat at the Same Time? Strength and Conditioning Journal. 2020;42(5):7-21.
Breen L, Phillips SM. Skeletal muscle protein metabolism in the elderly: Interventions to counteract the anabolic resistance of ageing. Nutrition & Metabolism. 2011;8:68.
