PharmD_Rodriguez said:

Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.

Positive side effects of mental health that surprised me:

1. Clearer skin — inflammation reduction improved my rosacea
2. Better sleep — weight loss resolved mild sleep apnea
3. Improved libido — better body image + improved cardiovascular health
4. Less joint pain — obvious mechanical benefit
5. More energy — metabolic improvements across the board

Not everything about GLP-1 therapy is a struggle. There are genuinely wonderful changes too. ✨

maya_sedona said:

Recovering from an eating disorder and using mental health: this is a complex situation and I want to be transparent about it.

This is exactly what I could not find anywhere else. Printing the relevant bit and taking it with me.

PharmD_Rodriguez said:

Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.

Body image adjustment with mental health: I've lost 76 lbs but when I look in the mirror, I still see my old self sometimes. "Phantom fat" is a real phenomenon.

My therapist specializes in body image issues with weight loss patients. She says it can take 12-18 months for your brain's body map to update. In the meantime: take progress photos (your eyes lie but cameras don't), try on old clothes, and be patient with yourself.

NurseLeah_Nash said:

The weight came off and the harder part started, which is not what any of the material I read had prepared me for.

One year anniversary on mental health — reflections:

What I wish I'd known: the side effects are temporary, the benefits compound over time, protein is more important than I thought, and the mental health aspect needs as much attention as the physical.

What surprised me: how much my relationship with food changed, the cascade of health improvements beyond weight, and how supportive this community is.

What I'd do differently: start therapy earlier, prioritize resistance training from day 1, and stop comparing my progress to others. Everyone's journey is unique.

Moderator note: leaving this open. It is being argued well and the disagreement is the useful part. Report rather than reply if it drifts again.