SleepFixSam said:The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.
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)
Following on from andrew_nyc — and this may be the naive question:
Was that from a primary source or from a summary of one?
kate.chem 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…
Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me. Change — even positive change — is stressful. I was anxious about loose skin.
This is more common than people admit. A therapist who specializes in weight management has been invaluable. Don't neglect the mental health side of this journey.
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Follow-up — I put something in the gap where food used to be rather than waiting for the gap to close on its own. That was the part nobody told me.
EndoResFellow said:Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.
Body image adjustment with mental health: I've lost 75 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.