Dr.AddMedPHL said:The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.
Dr.AddMedPHL said:...mental health should only be used alongside therapy...
I'd say therapy should be AVAILABLE to all GLP-1 patients, but requiring it as a precondition for treatment would create an access barrier.
Not everyone can afford therapy. Not everyone needs it. Some people do just fine with medication + lifestyle changes. But for those with emotional eating, body image issues, or disordered eating history, therapy is extremely valuable.
My recommendation: make mental health screening part of the initial assessment, offer therapy as a recommended adjunct, but don't gatekeep medication access behind it.
A narrower follow-up, since the general answer is now clear:
How long did you give it before you decided it was working?
raj_cambridge said:Dr.AddMedPHL said: ...mental health should only be used alongside therapy...
Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about regaining weight.
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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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.
Dr.RenalNash said:Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.
Positive side effects of mental health that surprised me:
- Clearer skin — inflammation reduction improved my rosacea
- Better sleep — weight loss resolved mild sleep apnea
- Improved libido — better body image + improved cardiovascular health
- Less joint pain — obvious mechanical benefit
- More energy — metabolic improvements across the board
Not everything about GLP-1 therapy is a struggle. There are genuinely wonderful changes too. ✨