Eating disorder history and GLP-1 therapy — need advice

Clinical perspective, offered as context rather than as advice.

Positive side effects of mental health that surprised me:

1. Clearer skin — inflammation reduction improved my rosacea
2. Better sleep — weight loss resolved mild sleep apnea
3. Improved libido — better body image + improved cardiovascular health
4. Less joint pain — obvious mechanical benefit
5. More energy — metabolic improvements across the board

Not everything about GLP-1 therapy is a struggle. There are genuinely wonderful changes too. ✨

Dr.RaviCardio said:

Anxiety increase on mental health: counterintuitive, but losing weight rapidly triggered anxiety for me.

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

Before (264 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications, dreaded mirrors, avoided photos, social anxiety about my weight.

After (199 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: 94 lbs. Total life gained: immeasurable. This isn't just about weight — it's about reclaiming your identity.

One thing that is still open after Dr.RaviCardio’s answer:

Did your prescriber agree with that reading, and if not what was their objection?

PharmacoVig_BOS said:

Before/after narrative for mental health — one year in: Before (264 lbs): Winded climbing stairs, chronic back pain, pre-diabetic, on 3 medications,…

I do not accept the framing. The question has been narrowed to the version that has a tidy answer, and the part that was dropped is the part the OP actually asked about.

Moderator note: a post naming a supplier has been edited. Discuss suppliers in the review sections, not here.