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Wellbeing · Mental health · continued

Anxiety in the first weeks: drug, situation, or both posts 91–115

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

JP
j.petrovTL2 Moderator21 May 2025#91
GDashwood, post #5: 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

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

29 likes in reply to #5 14mo
TV
t.vasquezTL4 Moderator23 May 2025#92
Staff post. Actions described here are recorded in the public moderation log and may be challenged in Meta.

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.

14 likes 14mo
IN
i.norgaardTL2 Moderator25 May 2025 · edited#93

I read post #91 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.

2 likes 14mo
CR
compounding_ruthTL427 May 2025#94
SO
s.ostergaardTL2 Moderator29 May 2025#95
l.ibarra, post #15: 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. Go to post

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

21 likes in reply to #15 14mo
IT
impurity_tableTL3Analytical chemist1 Jun 2025#96
sa.vogel, post #89: This follows post #86 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. Go to post

post #95 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.

9 likes in reply to #89 14mo
DF
d.ferreiraTL2 Moderator3 Jun 2025#97

Coming back to post #95, because the follow-up matters more than the original answer.

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.

1 like 14mo
BV
bias_varianceTL4Biostatistician5 Jun 2025#98

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 14mo
VK
v.krastevTL2 Moderator7 Jun 2025#99
c.silva, post #26: Worth separating two things that post #22 runs together. 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

Worth separating two things that post #95 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.

15 likes in reply to #26 14mo
TA
t.abubakarTL2 Moderator9 Jun 2025#100
n.szabo, post #4: Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant. Go to post

post #99 is right about the mechanism and I think understates the practical bit.

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.

6 likes in reply to #4 14mo
MI
m.ivaturiTL2 Moderator11 Jun 2025#101

I read post #99 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.

15 likes 14mo
AS
a.silvaTL2 Moderator13 Jun 2025#102
v.bhattacharya, post #40: 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. 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.

6 likes in reply to #40 13mo
OC
o.cousineauTL3Regular16 Jun 2025#103

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.

0 likes 13mo
KH
k.haddadTL2 Moderator18 Jun 2025#104

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.

30 likes 13mo
SD
s.dziedzicTL220 Jun 2025#105
BN
b.nilsenTL2 Moderator22 Jun 2025#106
h.bakker, post #31: I read post #29 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. Go to post

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.

10 likes in reply to #31 13mo
NP
n.petrovTL2 Moderator24 Jun 2025 · edited#107

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 13mo
DB
d.barrosTL2 Moderator26 Jun 2025#108

post #107 answers the question as asked. The question underneath it is different.

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 13mo
NL
n.laurentTL2 Moderator28 Jun 2025 · edited#109
dr_okonkwo, post #45: 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. 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.

29 likes in reply to #45 13mo
TV
t.vasquezTL4 Moderator30 Jun 2025#110

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.

15 likes 13mo
ND
n.dziedzicTL2 Moderator2 Jul 2025#111
h.kimani, post #64: 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

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

23 likes in reply to #64 13mo
CN
c.niemelTL3Regular5 Jul 2025#112

On post #108 — 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.

0 likes 13mo
NN
n.nakamuraTL2 Moderator7 Jul 2025#113

Picking up post #110: that is the part I would want checked first.

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 13mo
OC
o.cousineauTL3Regular9 Jul 2025#114

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.

11 likes 13mo
NV
n.vogelTL2 Moderator11 Jul 2025#115
y.ramos, post #2: 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. 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.

17 likes in reply to #2 13mo

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