Therapy + GLP-1 = the combination nobody talks about enough

Adding the clinical framing, because it changes how the question reads.

Before/after narrative for mental health — one year in:

Before (265 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.

After (180 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: 80 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.

Dr.MetabolicMD said:

Before/after narrative for mental health — one year in: Before (265 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications,…

Mine went the same way, slower.

Dr.MetabolicMD said:

Before/after narrative for mental health — one year in: Before (265 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications,…

Recovering from an eating disorder and using mental health: this is a complex situation and I want to be transparent about it.

I have a history of binge eating disorder. My psychiatrist, therapist, and prescribing doctor all collaborate on my care. The GLP-1 agonist has actually been therapeutic — it removes the biological urgency of binge impulses without relying on restriction.

This is NOT appropriate for all ED patients. Anorexia, bulimia, and restrictive EDs require different approaches. But for BED specifically, the evidence and my personal experience are positive. Always involve your mental health team.

One concrete data point for the thread. For anyone reading later: the numbers in this thread are worth checking against a primary source before you act on them, including mine. Half the figures circulating in this community trace back to a secondary summary that dropped a qualifier.

Moderator note: the sourcing question belongs in the vendor section and has been split out. No action needed from anybody.