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ForumsPsychological & BehavioralGoal weight anxiety — need advice

Goal weight anxiety — need advice

anna.melb_AU Sat, Apr 26, 2025 at 2:51 PM 39 replies 2,130 viewsPage 1 of 8
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anna.melb_AU
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Apr 2024
Melbourne, AU
Apr 26, 2025 at 2:51 PM#1

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.

So the question, as narrowly as I can put it: how people separated a drug effect from the ordinary consequences of a large deficit and disrupted sleep, because I cannot.

Tell me what I have not thought of.

48 18DerekSJ_a1c, paige_pharma, emma_london and 45 others
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pete_manc_UK
Senior Member
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Mar 2024
Manchester, UK
Apr 26, 2025 at 3:49 PM#2
anna.melb_AU 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…

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. ✨

47 17RunnerRach, TrialNerd_Beth, HPLC_Greg and 44 others
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sarah_nash92
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Jun 2024
Nashville, TN
Apr 26, 2025 at 4:47 PM#3
pete_manc_UK said:
Positive side effects of mental health that surprised me: Clearer skin — inflammation reduction improved my rosacea Better sleep — weight loss…

One year anniversary on mental health — reflections:

What I wish I'd known: the side effects are temporary, the benefits compound over time, protein is more important than I thought, and the mental health aspect needs as much attention as the physical.

What surprised me: how much my relationship with food changed, the cascade of health improvements beyond weight, and how supportive this community is.

What I'd do differently: start therapy earlier, prioritize resistance training from day 1, and stop comparing my progress to others. Everyone's journey is unique.

46 16ZaraB_AL, JakeSmashed95, NauseaFreeNow and 43 others
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josh_phd_bmore
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Jul 2024
Baltimore, MD
Apr 26, 2025 at 5:45 PM#4
anna.melb_AU 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…

This matches mine closely enough to be worth saying so out loud.

45 15KarenAZ_mom, zoe_NC, Dr.ObesityLA and 42 others
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Dr.GutHealth
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Mar 2024
Minnesota
Apr 26, 2025 at 11:13 PM#5

Adding the clinical framing, because it changes how the question reads.

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)
Last edited: Apr 27, 2025 at 4:13 AM
44 14MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 41 others
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