Dr.CardioMD said:AmyNC_wife said: ...mental health should only be used alongside therapy...
Pushing back on Dr.CardioMD here. 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.
AmyNC_wife 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 (271 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (186 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: 86 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.
Dr.BariatricHTX said:I would be careful about how confidently the flatness reports get attributed.
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 ResultsOne thing that is still open after Dr.LeslieOBGYN’s answer:
What did you change at the same time, and can you separate the two now?
Closing the loop on my own question.
Follow-up — I put something in the gap where food used to be rather than waiting for the gap to close on its own. That was the part nobody told me.