Test that shows you have a “slow metabolism”

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ddsb1111
ddsb1111 Posts: 1,051 Member

I read on another thread that someone took a test that showed they had a “slow metabolism” but no thyroid issues. Is this possible? What test is it?

Replies

  • PAV8888
    PAV8888 Posts: 15,335 Member

    You can do an RMR test commercially with a korr metabrether or a metabolic cart. Oxygen and CO2 at rest.

    Major confounding for the snapshot would be stuff that would decrease or increase your rate recently

    Deficit or overage eating, recent exercise, illness, thinking too much, having had coffee, needing to pee

    Absent being substantially more than a tiny bit off the mean... a series of tests over time would be needed etc etc.

    If you log and measure your weight trend and have an "impartial" device you can estimate your tdee delta from the device.... beyond that I guess there is no reason to not spend money that you won't miss. But a single snapshot of your RMR is similar to a single weigh in. Gives some information. But not a clear picture

  • ddsb1111
    ddsb1111 Posts: 1,051 Member
    edited May 18

    Interesting- I never realized there was an accurate way to test for a slow metabolism. I always assumed a slow metabolism usually meant low NEAT. I wouldn’t personally pay for those kinds of tests, but I can understand why someone would if it’s actually possible to have high NEAT and still a slow metabolism. That would honestly surprise me, and make it more understandable why someone might want to dig deeper and at least rule out anything else going on.

    Appreciate the responses!

    ETA- They said it was a blood test. How? Again, didn’t know this was possible (and still don’t). But I wouldn’t be surprised if a doctor suggested it.

  • claireychn074
    claireychn074 Posts: 1,853 Member

    I think “slow” is subjective. It’s rare to have a truly slow or fast metabolism without hormone issues, and those are serious and need treatment. Everyone’s metabolism is on a scale and I would be really surprised if there was much difference between slow and normal in percentage points - unless indicated by hormones.

    To give context, I had a “fast” metabolism for c26 years. It was absolute hell and I felt dreadful a lot of the time with deeply unpleasant side effects. Yet it was only just classed as fast - because of the scale I mentioned. I still managed to put weight on even with a faster metabolism. It just meant I felt ill. Pretty much all the time.

  • AnnPT77
    AnnPT77 Posts: 36,964 Member

    Blood test might be comprehensive metabolic panel (CMP) which IMU doesn't test metabolism per se but rather a number of factors that affect/effect it. There's also a basic metabolic panel (BMP), a subset of those individual tests.

    These guys - usually reliably evidence based - say the variation of metabolic rate among people is fairly small in statistical terms.

    https://examine.com/faq/does-metabolism-vary-between-two-people/

    I think that's readable without an Examine account but not positive.

    They cite a study that

    . . . noted that one standard deviation of variance for resting metabolic rate (how many calories are burnt by living) was 5-8%; meaning 1 standard deviation of the population (68%) was within 6-8% of the average metabolic rate. Extending this, 2 standard deviations of the population (96%) was within 10-16% of the population average.

    Obviously, we'd expect a few (4%) outliers beyond the 2 standard deviations, higher or lower.

    The link above discusses some of the sources of variability.

    This is the study they're citing:

    https://pubmed.ncbi.nlm.nih.gov/15534426/

  • ddsb1111
    ddsb1111 Posts: 1,051 Member

    Absolutely agree, at least from what I understand, too. What threw me off was the idea of a blood test where a doctor simply says, “you have a slow metabolism.” It sounds like my instincts were pretty close, that the test isn’t directly measuring metabolism speed, but rather identifying factors that could contribute to a slower overall rate. I tend to take things very literally, so I just wanted to clarify.

  • ddsb1111
    ddsb1111 Posts: 1,051 Member
    edited May 18

    @AnnPT77 I ended up doing the same research after posting, but I’m really glad you linked the studies, super helpful. For anyone who hasn’t read them, we’re talking about a difference of roughly 200 calories, which isn’t a huge gap. I’d be surprised if any test could confidently pinpoint that, since it seems like such a small variation. The studies don’t really explain why some people have slower metabolisms (outside of mean), which I still suspect might be tied to muscle mass, NEAT, or even temporary effects from very strict dieting, something that can sometimes correct itself over time. But that’s just a working theory for now.

  • ddsb1111
    ddsb1111 Posts: 1,051 Member

    Totally agree, and that’s exactly why I wanted the statement clarified. It can be discouraging when people are given reasons to doubt their ability to make progress, especially when what they really need is clarity and support. Sometimes those kinds of labels just make it harder to stay focused on what can be changed.

  • AnnPT77
    AnnPT77 Posts: 36,964 Member

    Things like EPOC and the process of adding lean mass (hypertrophy) affect metabolism in the calorie-needs sense, too. I suspect healing other injuries does. I think unusual consumption of calories above maintenance technically does, too, since things like core temperature upregulate.

    Some of those would be transitory effects, and generally not huge.

    Personally, I don't see the point of worrying about it as an individual. My metabolic rate is what it is. Some things I do might increase it, but I do them for other reasons, not with metabolic increase as the main point. (Examples: Strength training, over-eating 😉.) Given the small effect size, doing them just to burn extra calories seems like the same kind of silly majoring in the minors like eating hot peppers or other foods that increase calorie expenditure by some trivial amount.

    Oh the flip side, if my metabolism is slow, what would I personally do or suggest? Run the 4-6 weeks/one menstrual cycle calorie experiment, and personalize goal based on real world results. Increasing NEAT or exercise will have a bigger calorie impact than trying to jack around with "metabolic hacks".

    Mostly - and I say this as someone hypothyroid, old, menopausal myself - saying "it's so hard because I have a slow metabolism" is just another "it's so hard because . . . ".

    Not meaning to be harsh, but everyone's got some kind of hard. I feel like the only point of thinking about roadblocks is figuring out how to get over, around, through or otherwise past them. Anything else is unproductive . . . and maybe just whining.

  • ddsb1111
    ddsb1111 Posts: 1,051 Member
    edited May 18


    Given the small effect size, doing them just to burn extra calories seems like the same kind of silly majoring in the minors like eating hot peppers or other foods that increase calorie expenditure by some trivial amount.

    Not meaning to be harsh, but everyone's got some kind of hard. I feel like the only point of thinking about roadblocks is figuring out how to get over, around, through or otherwise past them. Anything else is unproductive . . . and maybe just whining.

    😂😂😂 Oh, the excuses we tell ourselves just to dodge a little accountability. It is hard, but I don’t think the excuses help or make us feel any better.

  • Corina1143
    Corina1143 Posts: 4,946 Member
    edited May 18

    Not sure if this is what you mean, but

    Years ago, I had a major life trauma, gained 60 pounds in 3 months, went to a well-respected bariatric Dr. (No surgery). He had me strip to underwear, lay quietly in a clear coffin-like box that was supposed to measure calories burned. After, he told me I burned about 800 calories a day, and unfortunately, there was nothing he could do to help me—don't come back.

    After a while, I got over the trauma and my bmr and tdee are pretty close to average/expected.

  • AnnPT77
    AnnPT77 Posts: 36,964 Member

    I guess cheesy marketing is a reason, then. 😆

    To the extent I know about metabolic tests for athletic performance, there are some tests that might be considered to be in that category but that are usually done for reasons that aren't the ones we're thinking about here (purely calorie needs), and maybe not done for strictly "metabolic" reasons at all.

    I'm thinking of things like VO2max testing. VO2max affects metabolism, but AFAIK it's tested in athletes to know VO2max itself for training planning or even athletic selection (to participate on a team, say) not as a gauging of the athlete's "metabolism" in calorie terms.

    The sport I participate in (and have some teensy coaching credentials in) is one in which some participants lose weight when it's undesirable for that to happen. I've not known of cases like that where their metabolism was tested: It's assumed to be about training load, and they're usually ordered to consume extra calories, often some kind of high calorie reasonably nutritious shakes in addition to meals. Maybe they'd get medical tests if they don't respond normally to ultra-high calories, don't know.

    More generically, I think things like CMP would be run to look for signs of health conditions that need treatment or monitoring. Think about "metabolic syndrome" for example, which is about much more than calorie expenditure.

    Exhaled gasses tests (indirect calorimetry) for RMR are often related to people wanting to know their calorie needs better (surprise!), and sure, that might be in part to better support a fitness plan. Those tests can also shed light on which fuel substrates- fat or carbs - are used under certain conditions, which does relate to things like fueling strategies for some sports.

    I feel like we here on MFP are sometimes biased into thinking of the term "metabolism" as almost purely a synonym for calorie needs (BMR/RMR calories), which it kind of is . . . but the term pops up in contexts that have a slightly different slant or broader implications (like the aforementioned "metabolic syndrome" or "metabolic panels").

    I've thought about paying for indirect calorimetry testing myself. Experientially, I figured out that I have X calories higher than average calorie needs for my demographic. That much info is really all I need for weight management purposes.

    I have some speculations about why that might be so in my case, some of which would technically be "metabolic". However, I know it's more likely statistically to be something like underestimated/inobvious NEAT. I'm curious if my RMR is unusual, and could afford the test: Nothing more complicated than that.

  • AnnPT77
    AnnPT77 Posts: 36,964 Member

    Yeah, that sounds like one of the indirect calorimetry tests.

    And yes, I'm sure some health-improving interventions improve metabolic rate. Some also increase NEAT in not- necessarily-obvious ways, too. (Example: Betcha people getting good sleep are less fatigued, so probably move more and rest less in daily life but don't necessarily notice that activity increase.)

    There some health-promoting interventions that tend to reduce metabolic rate, too, though, right? Like losing a large amount of weight? 😉

  • ddsb1111
    ddsb1111 Posts: 1,051 Member

    That’s such a powerful example, thanks for sharing it. It really shows how extreme trauma can cause temporary disruptions in metabolism without it being a permanent condition or a thyroid issue. I’m not sure if a blood test would’ve picked that up, but what stands out is how it eventually corrected itself once the underlying stress was resolved.

    It makes me wonder why people casually say “I have a slow metabolism” so often. Outside of rare or extreme cases like yours, it seems more like a default excuse. In most situations, metabolism can be improved through things like NEAT, muscle gain, and diet. So unless someone truly knows they’re an exception, using that line might just be holding them back from what they can change.

    Hope you’ve fully healed from that trauma. It’s incredibly hard to prioritize health when you’re just trying to stay afloat.

  • PAV8888
    PAV8888 Posts: 15,335 Member

    Though I admit to being "normal" (as it turns out) when I started losing weight and very much scaling in line with population parameters, it doesn't mean that the expectation of finding a significant number of people who run "slow" is not there.

    Using the examine.com numbers (article is available on free play): "Extending this into practical terms and assuming an average expenditure of 2000kcal a day, 68% of the population falls into the range of 1840-2160kcal daily while 96% of the population is in the range of 1680-2320kcal daily. Comparing somebody at or below the 5th  percentile with somebody at or above the 95 th  percentile would yield a difference of possibly 600kcal daily, and the chance of this occurring (comparing the self to a friend) is 0.50%, assuming two completely random persons."

    Let's just look at the 2000 to 1680. That's 320 Cal. This means that the 1680 person would probably "not lose any weight" when trying to implement -500 Cal a day (logging errors and inability to see progress at a small deficit would ensure of that)

    But that's only 2% of the population… nothing, right?

    That's 800,000 people in Canada
    That's 1,400,000 people in the UK
    That's 7,000,000 people in the USA.
    That's 164,000,000 people in the WORLD.

    How many users does MFP have?
    Supposedly, 2.5% of the world's population are users ;-)
    (I sincerely doubt that even a quarter are both unique and active users)

    Sure, Ann is part of the "other side" of the 2%. I'm part of the 68% metabolically, albeit with a much much higher tdee.

    But how do we know ahead of time that MFP users are actually a representative sample?
    How do we know that MFP users are not self selected, overwhelmingly, from the low 2%?

    In which case "slow metabolism" could be 20% instead of 2% of the MFP population… (or any other %, currently unknown)

  • Corina1143
    Corina1143 Posts: 4,946 Member
    edited May 18

    Yes, that was many years ago. All over now. But both the bariatric Dr. And my family Dr. said they had no explanation. Just "God works in mysterious ways". I wonder if anyone can

    explain it now.

  • sollyn23l2
    sollyn23l2 Posts: 2,024 Member

    Sure, but I can also bemoan the reality that someone who weighs 200 pounds will burn 2 to 3 times more calories than me just walking. The reality is we're all different, with different bodies, so really, bemoaning a slow metabolism is unhelpful at best. There are other factors that affect our caloric intake much more.

  • ddsb1111
    ddsb1111 Posts: 1,051 Member

    I agree it’s important to acknowledge that even 2% of a population can represent a lot of people in absolute terms. But I think we’re mixing two separate ideas here: the statistical range of total daily energy expenditure (TDEE) and the narrative of having a “slow metabolism.”

    The Examine data you cited reflects normal variance in energy expenditure, not metabolic dysfunction. A TDEE of 1680 isn’t a “broken” metabolism, it’s on the lower end of normal, and typically reflects things like lower body mass, less NEAT, or both. It doesn’t mean someone is metabolically damaged.

    As for MFP users, sure, they might not represent the population evenly, but if the theory is that a large chunk of them fall into the bottom 5%, that still doesn’t make “slow metabolism” the correct explanation. It’s more likely that what feels like a slow metabolism is-

    1. Normal but low energy expenditure due to lifestyle/body comp
    2. Underreporting (which is common and well-documented)
    3. Frustration from not seeing fast results, especially on small or inaccurate deficits

    So yes, the 1680 person might struggle to lose on a perceived 500 cal deficit, but not because their metabolism is “slow.” It’s because they’re closer to maintenance than they think and probably misestimating intake/output along the way. That’s a reality worth addressing, but calling it “slow metabolism” may only fuel more confusion and discouragement.

  • Corina1143
    Corina1143 Posts: 4,946 Member
    edited May 18

    And getting old.

    At 50, 250 pounds, I steadily lost 10 pounds/month on 1600 calories

    At 75, 180 pounds, retired, inactive, tdee is close to 1600

    Both pretty close to predicted/average.

  • AnnPT77
    AnnPT77 Posts: 36,964 Member
    edited May 19

    Okay, I can accept the premise that people with an actual "slow metabolism" may be over-represented here.

    But I still think the answer is to run the 4-6 week/1 cycle experiment, get a more personalized calorie needs estimate from that, and run with it. If the personalized number is woefully low, then we sometimes suggest people see their doctor in case there is a medical explanation, so that option is in the mix, too.

    I think some people are probably like me: Starting out, I assumed I had a "slow metabolism" because I was old, severely hypothyroid, menopausal (extra early menopausal at that), ate mostly healthy whole foods (whole grains, veggies, etc. - even was vegetarian) and had stayed quite overweight despite years of a fairly intense workout schedule. I thought I ate "normal amounts", too. But it wasn't true, once I quit assuming it was true and seriously committed to weight loss.

    I understand and appreciate that I turned out to be extra lucky in calorie needs terms. But that "slow metabolism" attitude and assumption was my starting default, and probably a significant part of the reason I hadn't seriously buckled down and tried to lose weight earlier.

    I think it's a common assumption, and probably one that's well represented here, too. How often do we see "I'm eating clean and working out, but I can't lose weight", from people who turn out not to be consistently calorie counting? (That was me, too. 😉)

  • AnnPT77
    AnnPT77 Posts: 36,964 Member

    Yes, for clarity, I think we need to say whether we mean RMR/BMR when we're talking about slow metabolism, or instead including NEAT.

    The Examine.com article and the research review paper I linked are - in the mentions of 5-8% being one standard deviation - are talking about RMR, not including NEAT.

    In fact, the abstract of the research review says "Total daily energy expenditure varies several-fold in humans, not due to variation in res ting metabolic rate, diet-induced thermogenesis, or exercise thermogenesis, but rather, due to variations in nonexercise activity."

    In other words, NEAT is the biggie explaining caloire-needs differences among people. On a statistical level, intentional exercise is a substantially smaller explanation of variation than NEAT (or RMR).

    Generally, when "slow metabolism" is mentioned here on MFP, I think people are referring to factors that are outside their personal control, at least in any reasonably short term sense. If that's the case, I think it could contribute to a general sense of disempowerment in the bodyweight realm.

  • PAV8888
    PAV8888 Posts: 15,335 Member
    edited May 19

    In case it is not clear, I am 100% on the measure your results over weeks not days and adjust. And that knowing one's exact RMR is of somewhat limited utility. No matter what your RMR is… it is the TDEE that counts.

  • ddsb1111
    ddsb1111 Posts: 1,051 Member

    I think we’re all on the same page, I was just thrown by the whole “I have a slow metabolism, my blood work says so, and I don’t have a thyroid issue” comment. Like… how? From what I understand of the research, most people’s RMR falls within ±5–8% of the average, which is a difference of maybe 75–120 calories, not hundreds. Even those in the bottom 2.5% might be burning 200–250 fewer calories at rest, but that’s rare and usually tied to low muscle mass, small body size, or a diagnosed endocrine issue like hypothyroidism.

    And that’s the thing, true metabolic disorders are uncommon and typically show up clearly in lab results. Outside of that, most standard bloodwork doesn’t actually measure metabolism. Unless someone had indirect calorimetry, claims of “slow metabolism” often come down to miscommunication, misunderstood hormone levels, or frustration with slow progress.

    The cite points out that NEAT is the biggest driver of calorie burn (and thankfully) it’s something we can influence, which is why I think it’s so important to focus, and understand, what’s modifiable rather than medical. Feeling like your body is broken can be incredibly discouraging, especially when most people are still well within the bounds of normal, just at different points along the curve. So even if someone’s at the lower end of the bell curve, that still makes them normal, just with a bit less wiggle room. And the good news is, there are still plenty of levers to pull, especially with NEAT and strength training.

  • StealthyJen
    StealthyJen Posts: 10 Member

    You can get a precise number of how many calories you burn on average in a day by tracking your calories and weight changes. To do this, I set MFP to maintenance based on my height and weight and then tracked calories at (or around) that number for a week, plus logged daily weights. If at the end of the week, you gained weight, say one pound as an example, you know that the maintenance calories MFP gives you is over by 3500 calories, or 500 calories a day. That’s an even example. It could be a gain of .25 lbs (1/4 of 3500 calories) or a loss of a lb. You use the figure of 3500 calories equals a pound and multiply that by whatever you lost or gained. In my case, I lost on MFP’s calculations and learned that I need about 500 more calories a day than it suggests. Probably that’s why I could never stick to their calories for weight loss and would end up binging when I tried….The one caveat is that if you lose, you should scrap about the first 7 days of data and start over again because the first several pounds people lose in a deficit is glycogen stores and water weight.

    Let’s do an example:

    Calorie logs:

    Sunday 2300

    Monday 2275

    Tuesday 2180

    Wednesday 2400

    Thursday 2370

    Friday 2100

    Saturday 2200

    Average of 7 days: 2260

    Lost 1.25 lbs: 3500x1.25=4375

    so your deficit was 4375 calories for the week. Divided by 7 equals 625. Add that back to your average of 2260 and you get 2885, which is what you’re burning on average per day.

    Create a deficit from that number. It could go the other way and you could gain, in which case do the same math but in reverse.

  • AnnPT77
    AnnPT77 Posts: 36,964 Member

    I support this general method, definitely, as a calorie needs experiment to learn TDEE (not "metabolism" in the sense of BMR/RMR). That will give a more useful average TDEE estimate than any calorie calculator or fitness tracker. Also, 100% agree that the first week can be misleading.

    But IMO one week isn't enough. Even fast fat loss - 2 pounds a week - is barely over a quarter pound of fat change daily on average. Personally, I've seen water retention shifts of as much as 6 pounds in one day, and I've seen others here report bigger water/waste fluctuations than that. That's extra true for some women who have monthly cycles. It's not the most common pattern, but there have been women here who reported only seeing a new low weight once a month, at a particular point in their cycle.

    Those water/waste fluctuations can distort the usefulness of bodyweight scale information for a surprisingly long time, certainly more than a week, by masking fat loss on the scale. If weighing only weekly (or less) a person can even catch a relatively low weight on the first reading, and a high one the next week, not having seen the lowest weight they hit during the week.

    I'd strongly, strongly suggest using a 4-6 week average on a given eating/activity routine, or at least one full menstrual cycle if that applies, before adjusting calorie goal.

    Definitely using personal results is the best way of adjusting goals: Entirely agree about that. It's not perfect - even careful logging includes estimate - but it's the most useful available method.

  • StealthyJen
    StealthyJen Posts: 10 Member

    All great points. I am a menopausal woman who no longer menstruates, so I hadn’t considered the effect of that. Also, this is an ongoing thing for me, tracking weight frequently and calories always and updating the math. I think that makes it more accurate for me since I see it as an ongoing thing.