KarenAZ_mom said:The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.
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.
kate.chem said:Therapy insights from my mental health journey: my therapist introduced me to the concept of "identity updating" — the psychological work of becoming…
Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 4. Not depression exactly, but a weird flatness. Food was my main coping mechanism and without that, I had to develop new ones.
Therapy has been essential. I'd strongly recommend anyone starting GLP-1 therapy also invest in mental health support. The physical transformation is only half the journey.
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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.
Dr.PulmRoch said:Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 4.
Before/after narrative for mental health — one year in:
Before (262 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (192 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: 92 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.