LindaRN_retired said:Body image adjustment with mental health: I've lost 88 lbs but when I look in the mirror, I still see my old self sometimes.
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.
TrialTracker_MD said:Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 4.
That reframing is the part I needed. Adding it to my notes with a link back to this thread.
LindaRN_retired said:Body image adjustment with mental health: I've lost 88 lbs but when I look in the mirror, I still see my old self sometimes.
When to call your doctor about mental health side effects — a reference I wish I'd had:
Call immediately:
- Severe abdominal pain (could be pancreatitis)
- Vision changes (thyroid concern)
- Lump in neck (thyroid nodule)
- Severe vomiting/can't keep fluids down for 24h+
Schedule an appointment:
- Persistent nausea beyond 4 weeks
- Significant hair loss
- Mood changes or depression
- Gallbladder symptoms (RUQ pain after eating)
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Browse GL BiochemSaraMom3 said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
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.