ConditionsMetabolic / Aging
Metabolic / Aging

Sarcopenia (Age-Related Muscle Loss)

Gabriel treats sarcopenia as preventable and reversible with comprehensive approach: resistance training (most important), adequate protein intake (higher than standard recommendations for elderly), optimize anabolic hormones (testosterone, growth hormone peptides if appropriate, DHEA), reduce inflammation, support mitochondrial function, optimize vitamin D, address insulin resistance, and use targeted supplements.

Root Causes

11 identified

Supplements

11 recommended

Lab Markers

10 to test

Treatments

1 modalities

Gabriel's Approach

Gabriel treats sarcopenia as preventable and reversible with comprehensive approach: resistance training (most important), adequate protein intake (higher than standard recommendations for elderly), optimize anabolic hormones (testosterone, growth hormone peptides if appropriate, DHEA), reduce inflammation, support mitochondrial function, optimize vitamin D, address insulin resistance, and use targeted supplements. Emphasizes sarcopenia is not normal aging but modifiable condition with profound effects on health span (falls, fractures, disability, mortality).

Root Causes

Age-related decline in anabolic hormones (testosterone, growth hormone, IGF-1)
Decreased protein synthesis
Increased protein breakdown (inflammation, oxidative stress)
Reduced physical activity and sedentary lifestyle
Inadequate protein intake
Insulin resistance
Chronic inflammation
Mitochondrial dysfunction
Vitamin D deficiency
Poor absorption of nutrients with aging
Chronic disease

Why Conventional Fails

Standard Treatment

Physical therapy, nutritional counseling (often inadequate protein recommendations), treat underlying diseases, testosterone replacement in men if deficient, generally sarcopenia underdiagnosed and undertreated.

The Problem

Sarcopenia often not screened or diagnosed (no routine DEXA for muscle mass), protein recommendations for elderly too low (0.8g/kg inadequate), resistance training not emphasized enough (most important intervention), hormone optimization rarely pursued, inadequate use of proven supplements (creatine, HMB), treated as inevitable aging rather than preventable/reversible condition, reactive (waits for falls and disability) rather than preventive.

Your Complete Protocol

A comprehensive, tiered approach combining supplements, herbs, and advanced therapies

Functional MedicinePeptide TherapyWhole Food Nutrition

Your Protocol for Sarcopenia (Age-Related Muscle Loss)

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Essential Protocol

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$75/mo

What's Included

  • Whey protein or plant-based protein 30-40g/day
  • Creatine monohydrate 5g/day (proven effective)
  • HMB (beta-hydroxy-beta-methylbutyrate) 3g/day
  • Vitamin D3 5000-10,000 IU
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Available through Fullscript

Practitioner-Grade Protocol

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Practitioner-Grade — Not Available on Amazon

$165/mo

What's Included

  • Standard Process whole food protocol
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Whole food supplements by Standard Process

Complete Protocol

Best Value
$245/mo

What's Included

  • All Practitioner-Grade supplements & herbs
  • BPC-157 (tissue repair + gut healing)
  • Thymosin Alpha-1 (immune modulation)
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Standard Process + Matter peptides

Recommended Supplements

Whey protein or plant-based protein 30-40g/day
Creatine monohydrate 5g/day (proven effective)
HMB (beta-hydroxy-beta-methylbutyrate) 3g/day
Vitamin D3 5000-10,000 IU
Omega-3 4g/day (reduces inflammation and muscle breakdown)
Leucine (BCAA) 3-5g/day
CoQ10 300mg (mitochondrial function)
Carnitine 2000mg
Magnesium 400-600mg
Vitamin K2 200mcg (with vitamin D)
Collagen peptides 15-20g

Key Lab Markers

DEXA scan (measure muscle mass and bone density)
Testosterone (total and free)
IGF-1, growth hormone
Vitamin D
HbA1c and fasting insulin
High-sensitivity CRP
IL-6
Thyroid panel
Albumin and prealbumin (protein status)
Creatinine (muscle breakdown marker)

Dietary Guidance

HIGH protein intake (1.2-2.0 g/kg body weight, higher than standard elderly recommendations), protein at every meal especially breakfast, leucine-rich foods (whey, eggs, poultry, beef), adequate calories (malnutrition worsens sarcopenia), healthy fats for hormone production, anti-inflammatory diet, omega-3 rich fish, colorful vegetables and fruits (antioxidants), avoid excessive alcohol, adequate hydration, consider protein shake post-workout.

Lifestyle Factors

Resistance training 2-4x/week (MOST IMPORTANT INTERVENTION - builds muscle at any age), progressive overload (gradually increase weight), adequate protein intake, optimize sleep (growth hormone released during deep sleep), manage chronic inflammation, maintain healthy weight (neither obese nor underweight), stay physically active daily, avoid prolonged sedentary behavior, address chronic diseases, optimize hormones if deficient, social engagement (reduces depression and inactivity).

Mind, Body & Spirit

Evidence-based practices that complement physical treatment protocols

Mind

Body

Resistance Training

strong

Weight lifting 2-4x/week most important intervention, builds muscle at any age.

High Protein Diet

strong

1.2-2.0 g/kg/day, protein at every meal especially breakfast.

Physical Therapy

strong

Supervised exercise program, progressive resistance, fall prevention.

Creatine Supplementation

strong

Proven to enhance muscle building especially combined with resistance training.

Testosterone Optimization

strong

In men with low testosterone, replacement builds muscle mass.

Nutritional Counseling

moderate

Ensure adequate protein and calorie intake.

Spirit

Group Exercise Classes

moderate

Social component improves adherence and reduces isolation.

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