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ForumsPsychological & BehavioralRelationship changes after weight loss — my results so far

Relationship changes after weight loss — my results so far

Dr.Martinez Sat, Aug 16, 2025 at 4:57 PM 42 replies 1,822 viewsPage 1 of 9
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Dr.Martinez
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Aug 16, 2025 at 4:57 PM#1

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

What I am after is how people separated a drug effect from the ordinary consequences of a large deficit and disrupted sleep, because I cannot.

Numbers rather than impressions, if you have them.

19 14AttorneyGrant, DebRD_ATL, KristenIndy and 16 others
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mike.trainer_LA
Senior Member
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Apr 2024
Los Angeles, CA
Aug 16, 2025 at 6:13 PM#2
Dr.Martinez said:
The weight came off and the harder part started, which is not what any of the material I read had prepared me for.

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. ✨

18 13newstart_MO, mia_MS2, LeilaHI and 15 others
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jason_sac26
New Member
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Jan 2026
Sacramento, CA
Aug 16, 2025 at 7:29 PM#3
mike.trainer_LA said:
Positive side effects of mental health that surprised me: Clearer skin — inflammation reduction improved my rosacea Better sleep — weight loss…

When to call your doctor about mental health side effects — a reference I wish I'd had:

Call immediately:

  • Severe abdominal pain (could be pancreatitis)
  • Vision changes (thyroid concern)
  • Lump in neck (thyroid nodule)
  • Severe vomiting/can't keep fluids down for 24h+

Schedule an appointment:

  • Persistent nausea beyond 4 weeks
  • Significant hair loss
  • Mood changes or depression
  • Gallbladder symptoms (RUQ pain after eating)
17 12stefan_berlin, Dr.EM_Chicago, pete_RVA and 14 others
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josh_phd_bmore
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Jul 2024
Baltimore, MD
Aug 16, 2025 at 8:45 PM#4
Dr.Martinez said:
The weight came off and the harder part started, which is not what any of the material I read had prepared me for.

Second this.

16 11KarenAZ_mom, zoe_NC, Dr.ObesityLA and 13 others
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GenomicsKate
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Oct 2024
Cambridge, MA
Aug 17, 2025 at 4:06 AM#5

Clinical perspective, offered as context rather than as advice.

Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about regaining weight.

This is more common than people admit. A therapist who specializes in weight management has been invaluable. Don't neglect the mental health side of this journey.

15 10claudia_zurich, nancy_portland, rick_sfbay and 12 others
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