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ForumsPublic SquareBody dysmorphia after significant weight loss — need advice Page 7

Body dysmorphia after significant weight loss — need advice

Dr.RheumBOS Sat, Apr 26, 2025 at 2:19 PM 54 replies 1,998 viewsPage 7 of 11
FranDenver
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Oct 2024
Denver, CO
Aug 13, 2025 at 8:07 AM#31

One thing that is still open after Dr.NateNeph’s answer:

What would you measure differently if you were starting again?

33 6Dr.RenalNash, LipidDoc_ATL, BariatricNurseD and 30 others
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PeptideChemSF
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Jan 2024
San Francisco, CA
Aug 21, 2025 at 9:39 PM#32
Dr.RheumBOS said:
Update — my curve sits below the published mean and the explanation is that the trial arm had support I do not have.

This is where I part company with the consensus forming above. I think the framing smuggles in the conclusion. Ask it the other way round and the obvious answer reverses, which usually means the question is doing the work.

Ask again with the specifics and you will get a better answer than this one.

Last edited: Aug 22, 2025 at 1:39 AM
34 7dave_SLC, FDA_TrackerJim, ricardo_MIA and 31 others
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jason_paloalto
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Palo Alto, CA
Aug 30, 2025 at 11:16 AM#33
Dr.RheumBOS said:
Update — my curve sits below the published mean and the explanation is that the trial arm had support I do not have.

Correct as far as it goes. The part it does not cover is what to do when the honest answer is "not enough data", which is more often than anyone likes.

35 8mona_PHX, andrew_nyc, Dr.EndoEP and 32 others
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NurseAsh_DET
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Sep 2024
Detroit, MI
Sep 8, 2025 at 12:58 AM#34
Dr.RheumBOS said:
Update — my curve sits below the published mean and the explanation is that the trial arm had support I do not have.

Genuinely useful, thank you. I had the facts and not the framework. Printing the relevant bit and taking it with me.

36 9labquiet_amy, emily_PDX, Dr.SleepRoch and 33 others
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Dr.EndoEP
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Oct 2024
El Paso, TX
Sep 16, 2025 at 2:45 PM#35

Adding the clinical framing, because it changes how the question reads. Whatever the answer turns out to be, the method for getting there is the same: state the assumption, do the arithmetic in public, and invite the correction. That is slower than asserting, and it is the only version that survives being wrong.

Last edited: Sep 16, 2025 at 4:45 PM
37 10LindaRN_retired, tommy_boulder, hyun_seoul and 34 others
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