The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
The question I want answered is how people separated a drug effect from the ordinary consequences of a large deficit and disrupted sleep, because I cannot.
If the honest answer is that nobody knows, that is a useful answer and I would rather have it.
mona_PHX 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 (284 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (179 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: 84 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.
TirzTom said:Before/after narrative for mental health — one year in: Before (284 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications,…
Body image adjustment with mental health: I've lost 92 lbs but when I look in the mirror, I still see my old self sometimes. "Phantom fat" is a real phenomenon.
My therapist specializes in body image issues with weight loss patients. She says it can take 12-18 months for your brain's body map to update. In the meantime: take progress photos (your eyes lie but cameras don't), try on old clothes, and be patient with yourself.
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View Resultsmona_PHX said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
Mine went the same way, slower. The detail I would add is minor and it is already implied above.
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.