TrialNerd_Beth said:Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.
Filing a mild objection. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. I would be careful about how confidently the flatness reports get attributed. Rapid weight loss, a large deficit and disrupted sleep produce low mood on their own, and separating that from a drug effect is genuinely hard.
sean_dublin said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
Before/after narrative for mental health — one year in:
Before (265 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (175 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: 95 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.
kate.chem said:I would be careful about how confidently the flatness reports get attributed.
kate.chem said:...mental health should only be used alongside therapy...
I'd say therapy should be AVAILABLE to all GLP-1 patients, but requiring it as a precondition for treatment would create an access barrier.
Not everyone can afford therapy. Not everyone needs it. Some people do just fine with medication + lifestyle changes. But for those with emotional eating, body image issues, or disordered eating history, therapy is extremely valuable.
My recommendation: make mental health screening part of the initial assessment, offer therapy as a recommended adjunct, but don't gatekeep medication access behind it.
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View ResultsFollowing on from pam_stl — and this may be the naive question:
Was that from a primary source or from a summary of one?
Reporting back.
Update: I got the sleep and the intake sorted before deciding it was the drug, and most of the flatness went with them. Not all of it, and I am watching the rest.