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My DXA body scan dexa weight loss body fat-min

My DXA Body Scan Experience

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Last week I wrote about my weight loss struggles, and my first appointments with a naturopath and functional doctor…

Exactly how overweight am I?

As I spoke about in my first post, my weight has not budged within a 3kg range since 2010, despite following a paleo diet and exercising regularly. Everyone always tells you that muscle weighs more than fat, but does it really? Does this apply to me?

I’ve been going to the gym regularly for the last few years, and for the last year or so I’ve been doing CrossFit. My arms have distinct muscle in them that I swear didn’t used to be there, and I am making good progress on increasing the weight I can lift – so that would suggest I have more muscle than I used to. So if I do have more muscle, and it weighs more, how can my total weight still be EXACTLY THE SAME?

The naturopath had suggested I go and have a DXA (Dual-energy X-ray absorptiometry; formally called a DEXA scan) body scan performed so I could see exactly what my body composition is. I was initially quite wary about the radiation, but apparently it’s the same dose of radiation as a short flight between Sydney and Melbourne. I take domestic flights often, this is important, so I figured it was worth it.

My DXA body scan dexa weight loss body fat-min

The DXA scan

Have you had one of these body scans? It’s completely open (I was expecting it to be enclosed, like an MRI scan) and not unlike being photocopied (I’d imagine). You lie on the DXA machine and it whizzes over you for about ten minutes whilst you watch an image of your body appear on the screen on the ceiling. I found it really confronting. Your fat mass is displayed in yellow. Lying flat on your back, no tailoring can disguise the yellow fat shown in the image.

I’m not ready to post my scan images just yet – it was enough to convince myself just to write about my weight loss struggle, let me tell you! The images in this post show some example DXA scans I found online. When I go back for my follow up scan in a few months, I will post both scans, side by side to show the difference and all of the statistics that go with it.

The image shows your bone in blue and your lean body mass (i.e. muscle & vital organs) in red. What amazed me was my skeleton. It is small – the “I’m just big boned” excuse can be completely dismissed. And how much would you expect your skeleton to weigh? Well mine is just over 2.2 kilos. Incredible. These DXA scans are also used to look at bone density, so I was pleased to see my bone mineral density is excellent (note to all those who’ve been told paleo doesn’t give your body enough calcium!). I also had slight variances between my left and right side, with my right side weighing fractionally more. Interesting – I wonder if many people have exactly the same on both sides?

In terms of muscle mass, the physiologist who conducted my DXA scan, and talked me through the results was surprised by how much muscle mass I have. He seemed to think I have about 10kg more muscle than an “average” woman of my weight and height would have. This was great to hear – and also surely must mean that I have in fact lost fat – it must just be a coincidence that my total weight number has not changed…

Unsurprisingly, my fat mass was too high – but only about 6% above a healthy range (I expected it to be a lot worse than this). The DXA scan clearly showed what I already knew, I store my fat around my hips (a typical pear shape). The danger zone is storing fat around your middle (the “central abdominal zone”, so I’m glad that’s one risk factor I don’t have. My estimate had been that I needed to lose about 15kg of fat, but the actual measurements, suggest I may “only” need to lose 11.9kg. It’s still a lot, but thanks to the bonus lean muscle mass, less than I expected.

Metabolism

The scan also calculated my Resting Metabolic Rate, which has opened up a whole new avenue on my journey of discovery…. metabolism, it turns out, is absolutely crucial in weight loss.

The DXA scan measured my resting metabolic rate as 1639 kcal a day. That means just to exist with absolutely no physical activity, my body needs 1639 calories a day…

I’m going to talk a lot more about metabolism in my next weight loss post – and share with you what I’ve found out – and what it means.

Before then, please share your experiences below. Have you had a DXA body scan? What did you find out?

Is a DXA Body Scan Worth It on a Paleo Journey?

If you’ve hit a plateau with weight loss or simply want a clearer picture of your progress, a DXA body scan might be one of the most helpful tools available. Unlike the bathroom scale, which only shows one number, a DXA scan breaks it all down: lean mass, fat mass, bone density, and even metabolic rate. This gives you real insight into what’s really changing in your body — especially if you're following a Paleo diet and doing strength training like CrossFit.

It’s easy to feel disheartened when the scale doesn’t move, but this kind of scan proves that weight alone is a poor measure of health and progress. For anyone living in Australia and exploring low-carb or Paleo ways of eating, a DXA scan can be incredibly motivating and eye-opening.

Have you considered getting one? Or maybe you’ve done it and been surprised by the results? I’d love to hear your experience in the comments below — especially if you’re juggling fat loss, fitness, and real food like me.

The magic pill paleo network instant quick fix solution diet-min

The Magic Pill

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So many people seem to blame being overweight on a factor outside of their control.  It's in their genes, it's hormonal, it's their metabolism.  It can't be their diet, they eat wholemeal bread with margarine, cereal with skimmed milk and a low fat meals every day!

Articles like this one in the Daily Mail (my guilty pleasure) further fuel this lack of responsibility.

The article explains how it might not, in fact, be your fault that you are fat.  What a relief!

The magic pill paleo network instant quick fix solution diet-min

Apparently you might really be fat because you have a slow metabolism – which is made even worse by strict dieting.

Or, you might really be fat as a side effect from your medication.  Diabetes medication is listed as one potential drug with a side effect of weight gain.  But surely people commonly put weight on – and are then diagnosed with type 2 diabetes?  Anti-depressants are another drug, they tell us, that can have a side effect of weight gain.  But given the links with depression & inflammation – and diet, isn't this the wrong way round too?

The wrong type of exercise is another reason it is just not working for you, apparently. If only you'd swapped from crossfit to zumba!

“Painful Fat Syndrome” could also be your real problem.  The mind boggles…

Thyroid problems, hormone issues, polycystic ovary syndrome are other potential causes.

Or it could be genetic – or failing that, it might be your friends fault.  Seriously.

Food intolerance does get a mention, but eliminate wheat, milk or eggs and you should be fine.

Must be a coincidence how people who change to eating Paleo have more energy, lose weight, overcome depression & diabetes and stop chronic cardio?

Nope, it's nothing to do with nutrition & lifestyle.  Take a magic pill and carry on as you were.

Reclaiming Responsibility: Why the Nutrition Narrative Needs to Change

It’s easy to understand the appeal of externalising blame when it comes to health and weight struggles. Modern life is stressful, food is hyper-palatable and engineered for overconsumption, and movement has become optional. But when we accept the idea that our weight is purely out of our hands — whether due to genes, hormones, or unlucky circumstance — we hand over our power along with it.

The truth is, while some factors like genetics or health conditions can influence the rate or difficulty of weight loss, they rarely make change impossible. What matters more is consistent, intentional daily action — and diet is often the foundation.

The Issue With the “Not Your Fault” Mentality

Articles that downplay the role of nutrition and personal responsibility might feel comforting in the short term. But ultimately, they’re disempowering. They subtly imply that no matter what you do, your body is destined to be unwell or overweight — so why try?

Of course, there’s nothing empowering about guilt or shame either. But recognising that we have a choice in what we eat, how we move, and how we care for ourselves is not the same as blaming ourselves. It’s about ownership. Once you accept that your daily habits matter, you can take steps to improve them — and that’s where true health begins.

When Medication and Medical Conditions Are Real

That said, it would be unfair to pretend that medication and health conditions don’t sometimes affect weight. Thyroid dysfunction, PCOS, and insulin resistance can make weight loss slower and more complex. Certain antidepressants, antipsychotics, and even beta-blockers have been linked to weight gain.

But here's the nuance: these aren’t immovable obstacles — they’re factors to work with. A real food diet rich in protein, healthy fats and fibrous vegetables can support hormone regulation and insulin sensitivity. Movement tailored to your current capacity can help restore energy balance without triggering more stress. And for many people, reducing processed foods and inflammatory oils can dramatically shift how their body feels and functions — regardless of medication use.

Can You Really Blame Your Genes?

Genetics may predispose you to store fat more easily or respond differently to macronutrients — but they do not dictate your destiny. The field of epigenetics shows that gene expression can be influenced by environment, stress, sleep and diet. This means that even with a family history of obesity or metabolic disease, your daily actions still matter enormously.

A Paleo approach aligns well with this idea. It prioritises whole, unprocessed foods that reduce the risk of insulin spikes, support gut health, and lower systemic inflammation — all crucial in turning “bad genes” down and optimal health up.

Why Nutrition Should Be the First Port of Call

Despite what some headlines suggest, diet remains one of the most powerful levers you can pull for health. A diet based on real, nutrient-dense foods is not a trend — it’s how humans have eaten for most of history. When people strip out grains, sugars, and industrial seed oils in favour of meat, vegetables, fruit, nuts, and healthy fats, the results speak for themselves.

Weight begins to normalise. Energy increases. Sleep improves. Blood markers move in the right direction. These are not placebo effects — they’re the body’s natural response to finally receiving what it needs and shedding what it doesn’t.

Mindset Over Magic Pills

The promise of a “magic pill” — a single supplement or medication that fixes everything while you carry on with poor eating habits — is one of the biggest false hopes sold in modern wellness culture. Even when pills assist, they’re rarely the full solution.

What really works is a shift in mindset. When you see food as fuel and medicine, you naturally gravitate toward what supports your energy and clarity. When you honour movement as something that builds resilience, rather than punishes the body, you show up more consistently. When you connect to your reasons for change — whether that’s being present for your children or waking up without pain — the motivation becomes internal, not imposed.

Food Intolerances: More Than a Trend

The brief mention of food intolerances in mainstream media often doesn’t do the topic justice. While some people do have identifiable intolerances to gluten, dairy or eggs, others may simply be reacting to an overload of processed, unnatural foods that overwhelm their digestion and immune system.

Through an elimination-style approach, such as Paleo or autoimmune Paleo (AIP), many individuals discover what foods truly make them feel best — often finding that symptoms like bloating, skin issues, fatigue and joint pain resolve without needing a formal diagnosis.

The Inconvenient Truth: There Is No Shortcut

Most people know deep down that transformation takes time and effort. But the wellness industry often profits from selling quick fixes and false promises. There’s a massive market for diet pills, detox teas, fat-burning devices and metabolism-boosting powders — all designed to make you believe you can have change without effort.

But the truth is simpler and much less marketable: eat real food, move often, sleep well, and manage stress. Not flashy, not immediate — but absolutely effective.

Empowerment Through Simplicity

The good news is that taking control of your health doesn’t have to mean complicated macros, extreme workouts or expensive meal plans. A back-to-basics approach can be transformative. Swap sugary snacks for boiled eggs or avocado. Replace your morning cereal with a veggie-packed omelette. Start your day with a walk and end it with a stretch. Little changes, done consistently, lead to big results.

And when you approach it from a place of self-respect rather than punishment, it becomes something you want to do — not something you have to do.

Final Thought: Choose Ownership Over Excuses

It's tempting to believe that our health challenges are someone else's fault — genetics, the pharmaceutical industry, the media, even our friends. But there’s a quiet power in choosing ownership. When you stop waiting for someone else to fix you and instead decide to show up for yourself, everything shifts.

No, it’s not always easy. But it’s possible. And often, it starts with the simplest step — putting down the margarine-laced toast and picking up a forkful of real, nourishing food.

The magic pill isn’t magic. It’s you.