Dr.SurgeonPGH said:DanielChem_CHI said: ...mental health should only be used alongside therapy...
Pushing back on Dr.SurgeonPGH here. I would be careful about how confidently the flatness reports get attributed. Rapid weight loss, a large deficit and disrupted sleep produce low mood on their own, and separating that from a drug effect is genuinely hard.
DanielChem_CHI said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
Before/after narrative for mental health — one year in:
Before (295 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (175 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: 95 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.
sarah.morrison said:I would be careful about how confidently the flatness reports get attributed.
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.
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Update: I got the sleep and the intake sorted before deciding it was the drug, and most of the flatness went with them. Not all of it, and I am watching the rest.