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ForumsMetabolic Health & DiabetesAdiponectin and leptin changes on GLP-1 therapy — my results so far Page 2

Adiponectin and leptin changes on GLP-1 therapy — my results so far

rachel_ABQ Mon, Apr 13, 2026 at 5:12 AM 12 replies 812 viewsPage 2 of 3
Dr.CardioMD
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Apr 13, 2026 at 7:26 AM#6
kate.chem said:
Before/after narrative for mental health — one year in: Before (279 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications,…

Filing a mild objection. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. I would be careful about how confidently the flatness reports get attributed. Rapid weight loss, a large deficit and disrupted sleep produce low mood on their own, and separating that from a drug effect is genuinely hard.

Last edited: Apr 13, 2026 at 1:26 PM
22 17kim_atl_prep, sarah_TO, wendy_avl and 19 others
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SleepDoc_PDX
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Apr 13, 2026 at 8:18 AM#7
rachel_ABQ said:
My mood has been flatter since about month four and I genuinely cannot work out whether that is the drug, the deficit, or the fact that I no longer…

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.

Last edited: Apr 13, 2026 at 11:18 AM
21 16hank_denver, carlos_SATX, sophie_paris and 18 others
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Dr.Martinez
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Apr 13, 2026 at 9:10 AM#8
Dr.CardioMD said:
I would be careful about how confidently the flatness reports get attributed.

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. ✨

20 15rachel_ABQ, traveltech_sara, AttorneyGrant and 17 others
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dan_philly
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Apr 13, 2026 at 10:02 AM#9

Following on from AttorneyGrant — and this may be the naive question:

How would you tell the difference between that and the alternative explanation?

Last edited: Apr 13, 2026 at 1:02 PM
19 14Dr.CardioMD, EndoResFellow, PharmacoVig_BOS and 16 others
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rachel_ABQ
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Apr 13, 2026 at 2:13 PM#10

Reporting back.

Update: I got the sleep and the intake sorted before deciding it was the drug, and most of the flatness went with them. Not all of it, and I am watching the rest.

15 13Dr.CardioMD, EndoResFellow, PharmacoVig_BOS and 12 others
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