LipidDoc_ATL said:Body image adjustment with mental health: I've lost 79 lbs but when I look in the mirror, I still see my old self sometimes.
Genuinely useful, thank you. I had the facts and not the framework. Taking it to my next appointment.
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.
BariatricNurseD 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.
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View Resultsmaria_elpaso said:The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.
Positive side effects of mental health that surprised me:
Not everything about GLP-1 therapy is a struggle. There are genuinely wonderful changes too. ✨
Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful. Tagging this one for the weekly digest.