Dr.SleepRoch said:Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 3.
Thank you — that is the clearest version of this I have read, and I have read a lot of them. Adding it to my notes with a link back to this thread.
Adding the clinical framing, because it changes how the question reads.
When to call your doctor about mental health side effects — a reference I wish I'd had:
Call immediately:
Schedule an appointment:
roxy_nash said:Therapy insights from my mental health journey: my therapist introduced me to the concept of "identity updating" — the psychological work of becoming…
Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about loose skin.
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.
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View ResultsDr.AddMedPHL said:The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.
Before/after narrative for mental health — one year in:
Before (292 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (197 lbs): Run 3 miles regularly, pain-free, A1C normal, down to 1 medication, bought a swimsuit for the first time in a decade, actually enjoy being photographed.
Total weight lost: 77 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.
Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Report rather than reply if it drifts again.