Eating disorder history and GLP-1 therapy — my results so far

Clinical perspective, offered as context rather than as advice.

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 2. 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.

BariatricNurseD said:

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 2.

Positive side effects of mental health that surprised me:

1. Clearer skin — inflammation reduction improved my rosacea
2. Better sleep — weight loss resolved mild sleep apnea
3. Improved libido — better body image + improved cardiovascular health
4. Less joint pain — obvious mechanical benefit
5. More energy — metabolic improvements across the board

Not everything about GLP-1 therapy is a struggle. There are genuinely wonderful changes too. ✨

BariatricNurseD said:

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 2.

That is right, and it stops being right at the edges. The general case is well behaved; the interesting cases in this thread are all at the boundary where the general case breaks.

BariatricNurseD said:

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 2.

This answered a question I did not know how to ask. Printing the relevant bit and taking it with me.

Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful. Tagging this one for the weekly digest.