andrew_nyc said:The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.
Body image adjustment with mental health: I've lost 69 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.
One thing that is still open after LipidDoc_ATL’s answer:
How long did you give it before you decided it was working?
FDA_TrackerJim said:Body image adjustment with mental health: I've lost 69 lbs but when I look in the mirror, I still see my old self sometimes.
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)
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View ResultsClosing 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.
Dr.BariatricHTX said:When to call your doctor about mental health side effects — a reference I wish I'd had: Call immediately: Severe abdominal pain (could be…
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.