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Wellbeing · Mental health · continued

Second pass at: Food noise reducing and the disorientation that can follow posts 31–60

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

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FFaulknerTL314 Oct 2024#31
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w.moreauTL2 Moderator15 Oct 2024#32

Worth separating two things that post #28 runs together.

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.

16 likes 21mo
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taper_shiftTL3Regular15 Oct 2024#33

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 21mo
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h.nwosuTL2 Moderator16 Oct 2024#34

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.

1 like 21mo
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OstrowskiTL2Member17 Oct 2024 · edited#35

post #34 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.

3 likes 21mo
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j.silvaTL2 Moderator17 Oct 2024#36

On post #32 — 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.

11 likes 21mo
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m.stephanopoulosTL3Regular18 Oct 2024#37

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.

32 likes 21mo
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z.iyerTL2 Moderator18 Oct 2024#38
c.delgado, post #7: Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment. 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 #7 21mo
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l.oseiTL2 Moderator19 Oct 2024#39
n.okwuosa, post #24: post #23 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. Go to post

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 in reply to #24 21mo
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a.asanteTL2 Moderator20 Oct 2024#40
taper_shift, post #33: 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

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.

7 likes in reply to #33 21mo
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TL4_HalvorsenTL4Leader · Journal club20 Oct 2024 · edited#41

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

4 likes 21mo
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j.vogelTL2 Moderator21 Oct 2024#42
m.haddad, post #1: Second pass at: Food noise reducing and the disorientation that can follow — setting out what I have, and where I think it stops being reliable. 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… 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.

0 likes in reply to #1 21mo
AD
appeals_deskTL3Regular21 Oct 2024#43

I read post #41 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.

33 likes 21mo
HL
h.lindqvistTL2 Moderator22 Oct 2024#44

This follows post #41 rather than contradicting it.

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.

17 likes 21mo
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chromatogramTL4Analytical chemist22 Oct 2024#45
v.rautio, post #16: 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

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

7 likes in reply to #16 21mo
AW
a.wikstromTL2 Moderator23 Oct 2024#46
a.lindholm, post #6: 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 #45 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.

1 like in reply to #6 21mo
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endo_fellow_rkTL3Endocrinology fellow23 Oct 2024#47

Coming back to post #45, because the follow-up matters more than the original answer.

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 21mo
TD
t.dumitruTL2 Moderator24 Oct 2024#48

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.

24 likes 21mo
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fr.translation_moTL2Translator · FR25 Oct 2024#49
h.iyer, post #22: 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. Go to post

Worth separating two things that post #45 runs together.

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.

0 likes in reply to #22 21mo
KM
k.marchandTL2 Moderator25 Oct 2024#50

post #49 is right about the mechanism and I think understates the practical bit.

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.

0 likes 21mo
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d.yilmazTL226 Oct 2024#51
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z.laurentTL2 Moderator26 Oct 2024#52

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

18 likes 21mo
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c.falkTL2 Moderator27 Oct 2024 · edited#53
t.dumitru, post #48: 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

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 #48 21mo
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a.westergaardTL3Regular27 Oct 2024#54

Worth separating two things that post #50 runs together.

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.

0 likes 21mo
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n.nybergTL2 Moderator28 Oct 2024#55

Picking up post #52: that is the part I would want checked first.

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.

12 likes 21mo
ML
m.lehtinenTL2 Moderator28 Oct 2024#56
forest_plot, post #27: Worth separating two things that post #23 runs together. 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

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

25 likes in reply to #27 21mo
HE
h.eriksenTL2 Moderator29 Oct 2024#57
a.wikstrom, post #46: post #45 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. Go to post

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.

0 likes in reply to #46 21mo
CL
c.lundgrenTL2 Moderator29 Oct 2024#58

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 21mo
DO
dr_okonkwoTL4 Moderator30 Oct 2024#59

This follows post #56 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.

2 likes 21mo
JF
j.fonsecaTL2 Moderator31 Oct 2024#60
t.dumitru, post #48: 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

I read post #58 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.

8 likes in reply to #48 21mo
This topic was closed 45 days after the last reply. Closing is automatic for quiet topics so that a settled answer does not collect new questions underneath it. If you have a follow-up, open a new topic and link back to this one — that keeps both readable and gives your question its own title.

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