Dr.PainCLE said:Therapy insights from my mental health journey: my therapist introduced me to the concept of "identity updating" — the psychological work of becoming…
I read this differently from Dr.PainCLE, on substance rather than tone. 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.
hannah_MT said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
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)
Dr.MetabolicMD said:I would be careful about how confidently the flatness reports get attributed.
Body image adjustment with mental health: I've lost 79 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 ResultsA narrower follow-up, since the general answer is now clear:
Did your prescriber agree with that reading, and if not what was their objection?
Closing the loop on my own question.
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.