Body dysmorphia after significant weight loss — seeking support

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 4. 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.

A narrower follow-up, since the general answer is now clear:

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

Dr.SportsMedIN said:

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 4.

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)

Dr.SportsMedIN said:

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 4.

True, with the qualification that this is a self-selected group. The people for whom it did not work post less, and that shapes everything we think we know.

I would rather be corrected than agreed with, if it comes to it.

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