Dr.PeteFamMed said:Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.
Thank you for spelling out the reasoning rather than just the conclusion. Taking it to my next appointment.
From the other side of the consultation, briefly.
Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 3. 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.
Dr.Martinez said:Positive side effects of mental health that surprised me: Clearer skin — inflammation reduction improved my rosacea Better sleep — weight loss…
Before/after narrative for mental health — one year in:
Before (289 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (184 lbs): Run 3 miles regularly, pain-free, A1C normal, down to 1 medication, bought a swimsuit for the first time in a decade, actually enjoy being photographed.
Total weight lost: 89 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.
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View ResultsDr.PainCLE said:The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.
Body image adjustment with mental health: I've lost 67 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.
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