Anxiety in the first weeks: drug, situation, or both — what changed since

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.

This is the sort of thing that ought to be settled and apparently is not.

Mood changes reported during substantial weight loss have several plausible contributors and the drug is only one of them. Energy restriction alone is a well-documented one.

The social side of this — how other people respond to visible change — comes up constantly and has nothing to do with pharmacology.

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.

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.

Narrowing post #71, because the general version has more than one answer.

Tracking mood alongside dose and weeks, on a simple scale, produces a record that is far more useful than a recollection at an appointment.

Answering the Anxiety question as asked, then the question I think is meant. As asked: yes, with the qualification below. As meant: it depends on how the first measurement was taken.

I would call the community position on Anxiety likely rather than established, and I would be comfortable defending that hedge.

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

If this contradicts something upthread, the upthread version may well be the better one.