Dr.EndoEP said:PurityPaulOR said: ...mental health should only be used alongside therapy...
Bookmarking. The distinction being drawn above is the one nobody else makes.
Clinical perspective, offered as context rather than as advice.
One year anniversary on mental health — reflections:
What I wish I'd known: the side effects are temporary, the benefits compound over time, protein is more important than I thought, and the mental health aspect needs as much attention as the physical.
What surprised me: how much my relationship with food changed, the cascade of health improvements beyond weight, and how supportive this community is.
What I'd do differently: start therapy earlier, prioritize resistance training from day 1, and stop comparing my progress to others. Everyone's journey is unique.
CarlaRPh_TPA said:Body image adjustment with mental health: I've lost 76 lbs but when I look in the mirror, I still see my old self sometimes.
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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Browse GL BiochemDr.AddMedPHL said:The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.
Therapy insights from my mental health journey: my therapist introduced me to the concept of "identity updating" — the psychological work of becoming a new version of yourself.
Key realizations: I used food to manage emotions, I had internalized fatphobia that I'm still unpacking, my social identity was partly built around being "the big guy/girl," and learning to accept compliments is surprisingly hard when you've been invisible for years.
Physical transformation without emotional processing is unstable. Do both.
Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful.