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.
What I am trying to establish is how people separated a drug effect from the ordinary consequences of a large deficit and disrupted sleep, because I cannot.
Practical detail welcome, however dull — the duller the better.
kevin_tulsa 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…
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.
Dr.KarenChen said:Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.
Dr.KarenChen 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.
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Browse GL Biochemkevin_tulsa 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…
Can confirm. Same sequence, different timescale.
Clinical perspective, offered as context rather than as advice.
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)