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Muscle Loss

Discover expert sarcopenia care with Dr. Scott in Houston. Whether aging, chronic illness, or medication effects contribute, our team offers evaluations, personalized nutrition plans, resistance training guidance, and advanced therapies. Regain strength, energy, and confidence to reclaim your active lifestyle.

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Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

What Is Muscle Loss?

Muscle loss, also known as muscle wasting or sarcopenia, refers to the gradual decrease in muscle mass and strength. It can result from aging, chronic illness, malnutrition, inactivity, or underlying conditions like cancer, liver disease, or hormonal imbalances. Symptoms may include fatigue, reduced endurance, weakness, and difficulty with physical tasks. Early diagnosis is important and may involve physical exams, strength assessments, and body composition scans. Treatment typically includes resistance training, increased protein intake, nutritional support, and addressing the underlying cause. Timely care can help restore strength, improve mobility, and enhance overall quality of life.

Common Causes and Risk Factors

  • Aging - Muscle mass and strength naturally decline after age 50
  • Inactivity - Prolonged bed rest or a sedentary lifestyle
  • Poor Nutrition - Insufficient protein intake and vitamin deficiencies
  • Chronic Illness - Conditions such as diabetes, kidney disease, or cancer
  • Medications - Long-term use of steroids or certain other drugs
  • Neurological Disorders - Diseases like dementia can accelerate muscle loss
  • Genetics - A family history of early muscle wasting

Signs and Symptoms

  • Weak grip - Difficulty opening jars or lifting grocery bags
  • Poor balance - Increased stumbling or risk of falls
  • Slowed movements - Trouble rising from a chair or climbing stairs
  • Visible muscle wasting - Clothes feel loose around arms and legs
  • Fatigue - Feeling unusually tired after routine activities

How Dr. Scott Diagnoses This Condition?

Dr. Scott uses a step-by-step approach:

Medical History

He reviews your diet, exercise habits, medications, and existing health conditions to identify risk factors for muscle loss.

Physical Exam

He assesses your muscle strength, grip, posture, and gait to evaluate functional performance.

Lab Tests

  • Vitamin D level to check for deficiencies
  • Thyroid function tests to rule out hormonal causes
  • Markers of inflammation and nutritional status

Functional Tests

  • Timed chair‐stand test for lower-body strength
  • 4-meter walk speed to assess mobility

Imaging (DEXA Scan)

Dual-energy X-ray absorptiometry measures bone density, lean muscle mass, and fat distribution for precise diagnosis.

Dr. Scott
Treatment

Our Team offers a full range of care for muscle loss (sarcopenia).

1. Lifestyle and Diet Modifications

  • Increase protein intake: lean meat, beans, dairy, nuts
  • Resistance training 2-3 times a week
  • Vitamin D and calcium supplementation for bone and muscle health
  • Hydration guidance to reduce cramping and support strength
  • Mental and brain health support to enhance muscle function

2. Medications

  • Hormone therapy for low hormone levels
  • Vitamin D supplements for deficiencies
  • Short-term, supervised anti-inflammatory medications

3. Minimally Invasive or Advanced Procedures

  • Ultrasound-guided injections to relieve joint pain and improve movement
  • Neuromuscular stimulation to enhance muscle activation
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

Is muscle loss a sign of dementia?

Yes. Research shows that declining muscle strength and mass can appear early in cognitive decline. Staying active supports both brain and body health.

Does Ozempic cause muscle loss?

Some users experience overall weight loss, which can include muscle. Ensuring adequate protein intake and strength training helps minimize muscle loss.

How can I prevent muscle loss on Ozempic?

Aim for 1.2-1.5 g of protein per kg of body weight daily and include resistance exercises in your routine. Dr. Scott will tailor a plan to keep your muscles strong.

Can nutrition alone fix sarcopenia?

Nutrition is essential but works best combined with regular strength training and medical oversight when needed.

When will I see results?

Most patients notice improved strength and energy within 4-8 weeks of following a balanced diet and exercise plan.

Is a DEXA scan safe for older adults?

Yes. DEXA uses very low radiation to accurately measure bone density and muscle mass, making it safe for seniors.

Do you offer virtual visits?

Yes. Dr. Scott provides secure telehealth appointments for initial consultations and follow-up visits.

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