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ForumsPsychological & BehavioralGLP-1 and gambling reduction — case reports and dopamine theory Page 3

GLP-1 and gambling reduction — case reports and dopamine theory

Dr.AddMedPHL Wed, May 27, 2026 at 4:40 AM 14 replies 527 viewsPage 3 of 3
PeptideSynthNJ
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May 28, 2026 at 1:26 AM#11
Dr.NateNeph said:
Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.

This is exactly what I could not find anywhere else.

31 6wanda_boise, NurseAsh_DET, BenResearch_OR and 28 others
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pat_auckland
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Jun 2024
Auckland, NZ
May 28, 2026 at 9:25 AM#12

From the other side of the consultation, briefly.

Therapy insights from my mental health journey: my therapist introduced me to the concept of "identity updating" — the psychological work of becoming a new version of yourself.

Key realizations: I used food to manage emotions, I had internalized fatphobia that I'm still unpacking, my social identity was partly built around being "the big guy/girl," and learning to accept compliments is surprisingly hard when you've been invisible for years.

Physical transformation without emotional processing is unstable. Do both.

30 5wanda_boise, NurseAsh_DET, BenResearch_OR and 27 others
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Dr.ReproEndo
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May 28, 2026 at 5:25 PM#13
ingrid_STO said:
Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 4.

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.

29 4Dr.EndoEP, GraceAZ_72, carl_compliance and 26 others
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josh_phd_bmore
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Baltimore, MD
May 29, 2026 at 1:25 AM#14
Dr.AddMedPHL said:
The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.

Before/after narrative for mental health — one year in:

Before (285 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.

After (175 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: 70 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.

Last edited: May 29, 2026 at 3:25 AM
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May 29, 2026 at 9:25 AM#15

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again. Thread quality here is what the rules are for. Keep it up.

Last edited: May 29, 2026 at 1:25 PM
27 2PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 24 others
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