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ForumsMetabolic Health & DiabetesAdiponectin and leptin changes on GLP-1 therapy — 12 month update

Adiponectin and leptin changes on GLP-1 therapy — 12 month update

Dr.PathRoch Sun, Oct 6, 2024 at 8:34 PM 12 replies 1,878 viewsPage 1 of 3
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Dr.PathRoch
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Oct 6, 2024 at 8:34 PM#1

Writing this once so I can stop repeating it across threads. It is about mood and mental health, and it is deliberately narrow — everything I am not confident about is marked as such.

What is actually established

The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously. On the positive side: reduced anxiety around food, better self-image, more confidence. On the difficult side: grief for the years lost, identity disruption, relationships built around eating, and the loss of food as a coping mechanism with nothing put in its place. Rarer but real: anhedonia and emotional flatness. Regulators have started asking for validated patient-reported outcomes in this class; the existing data gap is not evidence of absence.

The condition it depends on

For anyone with an eating-disorder history this needs a clinician in the loop rather than a forum. The same drug can be therapeutic in binge-eating disorder and actively harmful in a restrictive disorder.

What I am not sure about

The narrow version of the question is how people separated a drug effect from the ordinary consequences of a large deficit and disrupted sleep, because I cannot. I would rather have one careful answer than five confident ones.

— Dr.PathRoch · corrections welcome and will be edited into this post with credit
21 16MikeFit_NJ, InsuranceTom, WendyG_ATL and 18 others
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BenResearch_OR
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Oregon
Oct 6, 2024 at 9:20 PM#2
Dr.PathRoch said:
The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.

One year anniversary on mental health — reflections:

What I wish I'd known: the side effects are temporary, the benefits compound over time, protein is more important than I thought, and the mental health aspect needs as much attention as the physical.

What surprised me: how much my relationship with food changed, the cascade of health improvements beyond weight, and how supportive this community is.

What I'd do differently: start therapy earlier, prioritize resistance training from day 1, and stop comparing my progress to others. Everyone's journey is unique.

20 15PharmD_Rodriguez, julia.endo, JessicaM_2024 and 17 others
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sarah.morrison
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Oct 6, 2024 at 10:06 PM#3
Dr.PathRoch said:
The mental-health dimension is under-measured in the trial literature and the reports here are consistent enough to take seriously.

Pushing back on Dr.PathRoch here. I would be careful about how confidently the flatness reports get attributed. Rapid weight loss, a large deficit and disrupted sleep produce low mood on their own, and separating that from a drug effect is genuinely hard.

19 14tony_orlando, Dr.NephBHM_UK, kim_atl_prep and 16 others
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TrialTracker_MD
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Oct 6, 2024 at 10:52 PM#4
sarah.morrison said:
I would be careful about how confidently the flatness reports get attributed.

Before/after narrative for mental health — one year in:

Before (280 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.

After (180 lbs): Run 3 miles regularly, pain-free, A1C normal, down to 1 medication, bought a swimsuit for the first time in a decade, actually enjoy being photographed.

Total weight lost: 80 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.

18 13Dr.PulmRoch, maya_sedona, stefan_berlin and 15 others
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tampaLisa73
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Oct 7, 2024 at 3:09 AM#5
BenResearch_OR said:
One year anniversary on mental health — reflections: What I wish I'd known: the side effects are temporary, the benefits compound over time, protein…

Same pattern here, and in the same order. I had assumed I was the exception until I read this.

17 12TomFromTexas, mike.trainer_LA, sarah_nash92 and 14 others
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