The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
What I am after is how people separated a drug effect from the ordinary consequences of a large deficit and disrupted sleep, because I cannot.
Numbers rather than impressions, if you have them.
JessicaM_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.
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.
Dr.ObesityMed said:Mood changes on mental health: I want to be transparent — I went through a rough patch emotionally around month 4.
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.
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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.
Second this. I had assumed I was the exception until I read this.
Clinical perspective, offered as context rather than as advice.
Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about loose skin.
This is more common than people admit. A therapist who specializes in weight management has been invaluable. Don't neglect the mental health side of this journey.