Imposter syndrome after weight loss — feeling like a fraud in my new body

Clinical perspective, offered as context rather than as advice.

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 thing that is still open after kim_atl_prep’s answer:

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

Dr.DermMIA said:

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

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.DermMIA said:

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

That holds where the measurement is reliable. Where it is noisy — and a lot of what gets tracked here is noisy — the same reasoning produces confident nonsense.

Moderator note: a post naming a supplier has been edited. Discuss suppliers in the review sections, not here. Carry on.