Compulsive shopping reduction on GLP-1 — looking for input

Adding the clinical framing, because it changes how the question reads.

Recovering from an eating disorder and using mental health: this is a complex situation and I want to be transparent about it.

I have a history of binge eating disorder. My psychiatrist, therapist, and prescribing doctor all collaborate on my care. The GLP-1 agonist has actually been therapeutic — it removes the biological urgency of binge impulses without relying on restriction.

This is NOT appropriate for all ED patients. Anorexia, bulimia, and restrictive EDs require different approaches. But for BED specifically, the evidence and my personal experience are positive. Always involve your mental health team.

A narrower follow-up, since the general answer is now clear:

Was that from a primary source or from a summary of one?

PharmHunterJen said:

Recovering from an eating disorder and using mental health: this is a complex situation and I want to be transparent about it.

Body image adjustment with mental health: I've lost 94 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.

PharmHunterJen said:

Recovering from an eating disorder and using mental health: this is a complex situation and I want to be transparent about it.

That is correct as far as it goes, and here is where it stops going. Yes, and the corollary is less popular: if the reasoning holds, it also holds where it produces an answer we do not like.

Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful.