Dr.ObesityMed said:PharmD_Rodriguez said: ...mental health should only be used alongside therapy...
I read this differently from Dr.ObesityMed, on substance rather than tone. 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.
PharmD_Rodriguez said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
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)
anders_CPH said:I would be careful about how confidently the flatness reports get attributed.
Before/after narrative for mental health — one year in:
Before (292 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (197 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: 92 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.
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Browse GL BiochemA narrower follow-up, since the general answer is now clear:
What would you measure differently if you were starting again?
OP back with an update, since a thread like this is useless without one.
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.