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ForumsPsychological & BehavioralCompulsive shopping reduction on GLP-1 — 6 month update Page 3

Compulsive shopping reduction on GLP-1 — 6 month update

KarenAZ_mom Sat, Jan 3, 2026 at 12:52 PM 22 replies 1,119 viewsPage 3 of 5
mel_PDX
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Jan 6, 2026 at 5:57 PM#11
DebRD_ATL said:
Recovering from an eating disorder and using mental health: this is a complex situation and I want to be transparent about it.

Saving this. It is the first explanation that did not require me to already understand it. I will report back once I have actually tried it.

Last edited: Jan 6, 2026 at 11:57 PM
26 24Dr.NateNeph, PharmD_Rodriguez, julia.endo and 23 others
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Dr.MetabolicMD
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Jan 7, 2026 at 3:04 PM#12

Clinical perspective, offered as context rather than as advice.

Body image adjustment with mental health: I've lost 70 lbs but when I look in the mirror, I still see my old self sometimes. "Phantom fat" is a real phenomenon.

My therapist specializes in body image issues with weight loss patients. She says it can take 12-18 months for your brain's body map to update. In the meantime: take progress photos (your eyes lie but cameras don't), try on old clothes, and be patient with yourself.

Last edited: Jan 7, 2026 at 5:04 PM
27 0PedsEndoPhilly, SleepDoc_PDX, RegAffairsDC and 24 others
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COA_Karl
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Jan 8, 2026 at 12:10 PM#13
Dr.KarenChen said:
Before/after narrative for mental health — one year in: Before (265 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications,…

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.

28 1hyun_seoul, jim_asheville, matt_MKE and 25 others
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PharmacoVig_BOS
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Jan 9, 2026 at 9:16 AM#14
KarenAZ_mom said:
The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.

Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about people treating me differently.

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.

29 2kate.chem, DataDave, Dr.GutHealth and 26 others
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Jan 10, 2026 at 6:21 AM#15

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

30 3PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 27 others
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