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.
Practical detail welcome, however dull — the duller the better.
FitDadDave said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
FitDadDave said:...mental health should only be used alongside therapy...
I'd say therapy should be AVAILABLE to all GLP-1 patients, but requiring it as a precondition for treatment would create an access barrier.
Not everyone can afford therapy. Not everyone needs it. Some people do just fine with medication + lifestyle changes. But for those with emotional eating, body image issues, or disordered eating history, therapy is extremely valuable.
My recommendation: make mental health screening part of the initial assessment, offer therapy as a recommended adjunct, but don't gatekeep medication access behind it.
DanielChem_CHI said:FitDadDave said: ...mental health should only be used alongside therapy...
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.
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View ResultsFitDadDave said:The weight came off and the harder part started, which is not what any of the material I read had prepared me for.
This matches mine closely enough to be worth saying so out loud. The detail I would add is minor and it is already implied above.
Clinical perspective, offered as context rather than as advice.
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)