Casey King Case Study • 845 → 245 LBS

Extreme Weight Loss Physiology & 7-Year Trajectory Explorer

MONTH 0 (YEAR 0.0) Phase 1: Pre-Bariatric Morbid Obesity

Drag scrubber to simulate 84-month metabolic & joint adaptation

M0: Baseline (845 lb) M6: Bariatric Surge M18: Metabolic Plateau M36: Resistance Recomp M84: Stable (245 lb)

Metabolic Model:

Lean Mass Preservation:

Subject: Male, 5'11" (71 in), 34yo start → 41yo end

Total Body Mass 845.0 lbs Lost: 0.0 lbs (0.0%)

Resting BMR (Adapted) 4,120 kcal/d Adaptive Slowdown: 0.0%

Knee Joint Compressive Load 3,380 lbs/step 4.00x Bodyweight Multiplier

Cardiac Workload Relieved 0.0 % Resting Output: ~10.8 L/min

Longitudinal 84-Month Trajectory: Weight vs. BMR vs. Joint Strain Month 0 | 845 lbs

Biomechanical & Physiological Organ Stress Active Vectors

Lean vs Fat Breakdown LBM: 215 lb | FAT: 630 lb

Tibiofemoral Joint Stress 3,380 lbs (Extreme)

Resting Cardiac Output 10.8 L/min (Hyperdynamic)

Metabolic Adaptation Penalty 0 kcal/d (Baseline)

Physiological Assessment at Current Month: At 845 lbs baseline, resting stroke volume and tibiofemoral articular pressures are in the critical 99.9th percentile. Total metabolic output is inflated by immense fat mass maintenance and lean structural scaffolding.

7-Year Multi-Phase Physiological Summary Ledger Validated Clinical Mileposts

Milestone Phase	Month	Weight (lbs)	Total Lost	BMR (kcal)	Adaptation (%)	Knee Load (lbs)	Cardiac Relief