Looks like I am back on the tracking bandwagon. I started working with a strength coach that my doctor recommended. They are excited to see how my body will respond now that my hormones are pretty much back in order. The goal is to put on 10 - 15 lbs of lean mass in the next 1 - 2 years while staying around the same weight.
My previous program had been based on 5/3/1 with extra volume to make it more of a power building style of program. This new program is hypertrophy focused 4 day upper / lower split. It generally has 2 - 3 primary lifts per day with 3 - 5 accessory exercises using machines. Lots more dumbbell / machine work than I did previously. This should help to resolve some of my left / right symmetry. Working in these new rep ranges is a different kind of exhausting than training for strength. The accessories follow '12s progression' which the first week is 12,12,12 and then the next work out the goal is at least 13,12,12. Do this until you get to 15s and then increase the weight. I did 3x14 dumbbell lunges this week with 80 lbs. and my legs were jelly.
The goal now is get slowly ramp up my calories until I start gaining weight and then back off slightly. Doing more of a recomp approach this time around rather than a bulk / cut. Currently I am at around 2400 calories / day and so far I am still losing weight. After we have built the mass there will most likely be a more aggressive cut to finish things off. That is pretty far into the future.
I went and got a DEXA scan as well to kick things off. 5'9" / 185 lbs / 17.5% BF. I am still moderately skeptical of DEXA as calipers / cloth tape formulas put me around 20 - 22%. Assuming the DEXA is correct, this puts me around 145 lbs of lean mass currently. If I can get up to 165 lbs lean at 185 lbs it would put me in the 10 - 12% body fat range which would be the lowest I have ever been. I am really curious about how the skin around my midsection will respond once I drop that low. I have a fair bit of sag from when I was obese, but I am hoping if more surface fat gets shredded the skin will start to tighten up. At the very worst, having a larger chest / back should pull the skin tighter.