NurseKim_ATL said:

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 4.

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

Before (258 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.

After (178 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: 88 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.

kim_atl_prep said:

LipidDoc_ATL said: ...mental health should only be used alongside therapy...

That reframing is the part I needed. I will report back once I have actually tried it.

NurseKim_ATL said:

Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 4.

Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about whether I deserved to feel good.

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.

MariaRD said:

The weight came off and the harder part started, which is not what any of the material I read had prepared me for.

Positive side effects of mental health that surprised me:

1. Clearer skin — inflammation reduction improved my rosacea
2. Better sleep — weight loss resolved mild sleep apnea
3. Improved libido — better body image + improved cardiovascular health
4. Less joint pain — obvious mechanical benefit
5. More energy — metabolic improvements across the board

Not everything about GLP-1 therapy is a struggle. There are genuinely wonderful changes too. ✨

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again.