When your doctor doesn't believe in GLP-1 therapy — 6 month update

A narrower follow-up, since the general answer is now clear:

What did you change at the same time, and can you separate the two now?

carl_compliance said:

Before/after narrative for mental health — one year in: Before (286 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications,…

I do not accept the framing. The question has been narrowed to the version that has a tidy answer, and the part that was dropped is the part the OP actually asked about.

If somebody has the primary source to hand I would rather cite it than paraphrase it.

carl_compliance said:

Before/after narrative for mental health — one year in: Before (286 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications,…

That is right for the common case. Whether it is right for the case being asked about depends on a detail that has not been given.

carl_compliance said:

Before/after narrative for mental health — one year in: Before (286 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications,…

That reframing is the part I needed. Printing the relevant bit and taking it with me.

Adding the clinical framing, because it changes how the question reads. Worth answering the question that was asked rather than the one behind it. The narrow version usually has an answer; the broad version usually does not, and answering the broad one is how a thread stops being useful.