DataDave said:maya_sedona said: ...mental health should only be used alongside therapy...
This is where I part company with the consensus forming above. 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.
maya_sedona said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
Recovering from an eating disorder and using mental health: this is a complex situation and I want to be transparent about it.
I have a history of binge eating disorder. My psychiatrist, therapist, and prescribing doctor all collaborate on my care. The GLP-1 agonist has actually been therapeutic — it removes the biological urgency of binge impulses without relying on restriction.
This is NOT appropriate for all ED patients. Anorexia, bulimia, and restrictive EDs require different approaches. But for BED specifically, the evidence and my personal experience are positive. Always involve your mental health team.
LarryQC_SD said:I would be careful about how confidently the flatness reports get attributed.
Before/after narrative for mental health — one year in:
Before (299 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.
After (199 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.
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View ResultsFollowing on from quinn_sf — and this may be the naive question:
How would you tell the difference between that and the alternative explanation?
OP back with an update, since a thread like this is useless without one.
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.