JennaRN said:Dr.NateNeph said: ...mental health should only be used alongside therapy...
This is where I part company with the consensus forming above. 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.
Dr.NateNeph 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 (263 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (198 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: 93 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.
SarahChen_PharmD said:I would be careful about how confidently the flatness reports get attributed.
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.
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Browse GL BiochemFollowing on from fiona_glasgow — and this may be the naive question:
What would you measure differently if you were starting again?
Closing the loop on my own question.
Follow-up — I put something in the gap where food used to be rather than waiting for the gap to close on its own. That was the part nobody told me.