sarah_TO said:Body image adjustment with mental health: I've lost 57 lbs but when I look in the mirror, I still see my old self sometimes.
Thank you for spelling out the reasoning rather than just the conclusion.
Clinical perspective, offered as context rather than as advice.
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.
jim_asheville said:labquiet_amy said: ...mental health should only be used alongside therapy...
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.
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View ResultsDr.EndoIndy said:The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.
When to call your doctor about mental health side effects — a reference I wish I'd had:
Call immediately:
Schedule an appointment:
Moderator note: leaving this open. It is being argued well and the disagreement is the useful part. Report rather than reply if it drifts again.