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Wellbeing · Mental health

A history of disordered eating: proceeding carefully

RB
r.bruunTL2 Moderator6 Nov 2025#1

A history of disordered eating: proceeding carefully Writing it up because I had to work it out twice and would rather nobody else did.

Asking about a population rather than about a person.

The published trials in this class mostly enrolled a fairly specific group, and the questions here frequently come from people well outside it. I would like to understand what the honest position is when someone falls outside the studied population: not "it is fine" and not "there is no data", but what the reasoning actually looks like.

50 likes 9mo
EK
e.kuuselaTL2 Moderator9 Nov 2025#2

Disordered eating history: a history of anorexia, bulimia, or other eating disorders changes the risk-benefit calculation. Appetite suppression might trigger relapse. Specialist input is prudent.

13 likes 9mo
PE
ppm_errorTL3Analytical chemist11 Nov 2025#3
e.kuusela, post #2: Disordered eating history: a history of anorexia, bulimia, or other eating disorders changes the risk-benefit calculation. Appetite suppression might trigger relapse. Specialist input is prudent. Go to post

Coming back to the opening post, because the follow-up matters more than the original answer.

Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant.

2 likes in reply to #2 9mo
BV
b.vanheckeTL2 Moderator13 Nov 2025#4
r.bruun, post #1: A history of disordered eating: proceeding carefully Writing it up because I had to work it out twice and would rather nobody else did. Asking about a population rather than about a person. The published trials in this class mostly enrolled a fairly specific group, and the questions here frequently come from people well outside it. I… Go to post

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

0 likes in reply to #1 8mo
NH
n.haddadTL2 Moderator15 Nov 2025#5

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

0 likes 8mo
NS
n.stanescuTL2 Moderator16 Nov 2025#6

post #5 is right about the mechanism and I think understates the practical bit.

Identity and self-image: for some people, weight and body size are central to identity. Large change to body size can affect identity. This is not pathological; it is human.

19 likes 8mo
JM
j.mwangiTL4 Moderator18 Nov 2025#7
Staff post. Actions described here are recorded in the public moderation log and may be challenged in Meta.

Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging.

4 likes 8mo
SC
s.coelhoTL2 Moderator19 Nov 2025#8
j.mwangi, post #7: Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging. Go to post

Sleep and mental health: these compounds can affect sleep for some people. Sleep deprivation worsens mood and anxiety. Addressing sleep separately from mood matters.

0 likes in reply to #7 8mo
MS
m.silvaTL2 Moderator21 Nov 2025#9

On post #5 — agreed on the reasoning, with one qualification.

Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.

0 likes 8mo
CV
c.vermeulenTL2 Moderator22 Nov 2025#10

post #9 answers the question as asked. The question underneath it is different.

Body image and weight loss: large weight loss changes a person's relationship with their body in ways that can be psychologically complex. Some of that is positive; some might involve adjustment or processing.

26 likes 8mo
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IMainwaringTL3Regular23 Nov 2025#11

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

16 likes 8mo
LL
l.lundgrenTL225 Nov 2025#12
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TamburelloTL2Member26 Nov 2025#13

This follows post #10 rather than contradicting it.

Mood and anxiety: mood changes and anxiety are reported by some people. Baseline mental health status matters for risk. Someone with a history of depression should plan closer monitoring.

1 like 8mo
VO
v.okonkwoTL2 Moderator27 Nov 2025#14

I read post #12 twice before replying, because I had assumed the opposite.

Mood and anxiety: mood changes and anxiety are reported by some people. Baseline mental health status matters for risk. Someone with a history of depression should plan closer monitoring.

6 likes 8mo
AK
a.kwiatkowskiTL2Member29 Nov 2025#15
j.mwangi, post #7: Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging. Go to post

post #14 answers the question as asked. The question underneath it is different.

Identity and self-image: for some people, weight and body size are central to identity. Large change to body size can affect identity. This is not pathological; it is human.

22 likes in reply to #7 8mo
MA
m.amankwahTL2 Moderator30 Nov 2025#16
IMainwaring, post #11: Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up. Go to post

Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.

0 likes in reply to #11 8mo
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NardoneTL2Member1 Dec 2025 · edited#17

Body image and weight loss: large weight loss changes a person's relationship with their body in ways that can be psychologically complex. Some of that is positive; some might involve adjustment or processing.

3 likes 8mo
LV
l.vermeulenTL2 Moderator2 Dec 2025#18

Coming back to post #16, because the follow-up matters more than the original answer.

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

10 likes 8mo
CI
c.inglethorpeTL33 Dec 2025#19
FC
f.chowdhuryTL2 Moderator5 Dec 2025#20

Worth separating two things that post #16 runs together.

Sleep and mental health: these compounds can affect sleep for some people. Sleep deprivation worsens mood and anxiety. Addressing sleep separately from mood matters.

16 likes 8mo
DW
diluent_watchTL2Member6 Dec 2025#21
IMainwaring, post #11: Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up. Go to post

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

12 likes in reply to #11 8mo
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z.vogelTL2 Moderator7 Dec 2025#22

Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging.

4 likes 8mo
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ZieglerTL3Regular8 Dec 2025#23

Support and community: some people process weight change through community (online or in-person). Others prefer privacy. Knowing what you need and seeking it proactively helps.

0 likes 8mo
MD
m.dumitruTL2 Moderator9 Dec 2025#24
l.vermeulen, post #18: Coming back to post #16, because the follow-up matters more than the original answer. Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had been repeating something I had not checked carefully enough. Go to post

Picking up post #21: that is the part I would want checked first.

Disordered eating history: a history of anorexia, bulimia, or other eating disorders changes the risk-benefit calculation. Appetite suppression might trigger relapse. Specialist input is prudent.

0 likes in reply to #18 8mo
HN
h.nicolaidesTL3Regular10 Dec 2025#25
m.amankwah, post #16: Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment. Go to post

When to involve a professional: if mood changes are persistent, deepen over weeks, or interfere with function, involving a mental health professional is appropriate. These are not trivialities to ignore.

18 likes in reply to #16 8mo
IG
in.guerreroTL2 Moderator11 Dec 2025#26

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

7 likes 8mo
GL
glossary_lineTL1Member12 Dec 2025 · edited#27

I read post #25 twice before replying, because I had assumed the opposite.

Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging.

1 like 8mo
CV
ca.vermeulenTL2 Moderator13 Dec 2025#28

This follows post #25 rather than contradicting it.

Sleep and mental health: these compounds can affect sleep for some people. Sleep deprivation worsens mood and anxiety. Addressing sleep separately from mood matters.

0 likes 7mo
R
RidgewayTL3Regular14 Dec 2025#29

On post #25 — agreed on the reasoning, with one qualification.

Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant.

25 likes 7mo
IG
i.grimaldiTL2 Moderator16 Dec 2025#30

post #29 answers the question as asked. The question underneath it is different.

Body image and weight loss: large weight loss changes a person's relationship with their body in ways that can be psychologically complex. Some of that is positive; some might involve adjustment or processing.

12 likes 7mo