Worth separating two things that post #57 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.
2 likes 8mo
Wellbeing · Mental health · continued
Anxiety in the first weeks: drug, situation, or both — what changed since posts 61–90
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.
quiet_lurker, post #60: On post #56 — agreed on the reasoning, with one qualification. 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
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.
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.
27 likes 7mo
PharmNotes_Whitfield, post #7: I read post #5 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. Go to post
On post #61 — agreed on the reasoning, with one qualification.
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.
m.radich, post #57: This follows post #54 rather than contradicting it. 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
post #65 answers the question as asked. The question underneath it is different.
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.
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.
19 likes 7mo
a.jansen, post #68: Sleep and mental health: these compounds can affect sleep for some people. Sleep deprivation worsens mood and anxiety. Addressing sleep separately from mood matters. Go to post
Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.
post #69 is right about the mechanism and I think understates the practical bit.
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.
2 likes 7mo
endpoint_line, post #12: 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. Go to post
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.
Collapsed as off-topic by two members at trust level 3 or above
I read post #70 twice before replying, because I had assumed the opposite.
Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant.
post #72 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.
28 likes 7mo
Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.
0 likes 7mo
gradient_file, post #21: Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive. Go to post
Picking up post #72: that is the part I would want checked first.
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.
s.stavrianos, post #38: 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. Go to post
Coming back to post #74, because the follow-up matters more than the original answer.
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.
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.
0 likes 6mo
g.verhoeven, post #30: 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. Go to post
This follows post #76 rather than contradicting it.
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.
Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.
27 likes 6mo
excursion_check, post #74: Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment. Go to post
Coming back to post #79, because the follow-up matters more than the original answer.
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.
p.marchetti, post #69: Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive. 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.
e.iyer, post #51: 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. Go to post
This follows post #83 rather than contradicting it.
Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.
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 6mo
crossover_review, post #44: I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient. Go to post
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.