My mood has been flatter since about month four and I genuinely cannot work out whether that is the drug, the deficit, or the fact that I no longer have my main coping mechanism.
The narrow version of the question is how people separated a drug effect from the ordinary consequences of a large deficit and disrupted sleep, because I cannot.
If the honest answer is that nobody knows, that is a useful answer and I would rather have it.
LondonLisa said:My mood has been flatter since about month four and I genuinely cannot work out whether that is the drug, the deficit, or the fact that I no longer…
Recovering from an eating disorder and using mental health: this is a complex situation and I want to be transparent about it.
I have a history of binge eating disorder. My psychiatrist, therapist, and prescribing doctor all collaborate on my care. The GLP-1 agonist has actually been therapeutic — it removes the biological urgency of binge impulses without relying on restriction.
This is NOT appropriate for all ED patients. Anorexia, bulimia, and restrictive EDs require different approaches. But for BED specifically, the evidence and my personal experience are positive. Always involve your mental health team.
amsterdam_pete said:Recovering from an eating disorder and using mental health: this is a complex situation and I want to be transparent about it.
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. ✨
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Browse GL BiochemLondonLisa said:My mood has been flatter since about month four and I genuinely cannot work out whether that is the drug, the deficit, or the fact that I no longer…
Mine went the same way, slower. Nothing to add that would improve it.
Clinical perspective, offered as context rather than as advice.
Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about people treating me differently.
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.