From the other side of the consultation, briefly.

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 3. Not depression exactly, but a weird flatness. Food was my main coping mechanism and without that, I had to develop new ones.

Therapy has been essential. I'd strongly recommend anyone starting GLP-1 therapy also invest in mental health support. The physical transformation is only half the journey.

lisa_labSD said:

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 3.

Can confirm. Same sequence, different timescale. The detail I would add is minor and it is already implied above.

lisa_labSD said:

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 3.

Therapy insights from my mental health journey: my therapist introduced me to the concept of "identity updating" — the psychological work of becoming a new version of yourself.

Key realizations: I used food to manage emotions, I had internalized fatphobia that I'm still unpacking, my social identity was partly built around being "the big guy/girl," and learning to accept compliments is surprisingly hard when you've been invisible for years.

Physical transformation without emotional processing is unstable. Do both.

Adding the numbers, since they settle part of this. Practical: whatever you change, write down the date and the reason. In three months the reason is what you will have forgotten, and the reason is what makes the record worth having.

Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Carry on.