LibrarianMeg said:Body image adjustment with mental health: I've lost 80 lbs but when I look in the mirror, I still see my old self sometimes.
Positive side effects of mental health that surprised me:
- Clearer skin — inflammation reduction improved my rosacea
- Better sleep — weight loss resolved mild sleep apnea
- Improved libido — better body image + improved cardiovascular health
- Less joint pain — obvious mechanical benefit
- More energy — metabolic improvements across the board
Not everything about GLP-1 therapy is a struggle. There are genuinely wonderful changes too. ✨
Dr.PathRoch said:One year anniversary on mental health — reflections: What I wish I'd known: the side effects are temporary, the benefits compound over time, protein…
Thank you for spelling out the reasoning rather than just the conclusion. Adding it to my notes with a link back to this thread.
LibrarianMeg said:Body image adjustment with mental health: I've lost 80 lbs but when I look in the mirror, I still see my old self sometimes.
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)
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View ResultsJessicaM_2024 said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
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.
Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Report rather than reply if it drifts again.