On post #59 — agreed on the reasoning, with one qualification.
Second-hand on body image, so weight it accordingly — someone whose method I trust told me this and I have not verified it myself.
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.
On post #59 — agreed on the reasoning, with one qualification.
Second-hand on body image, so weight it accordingly — someone whose method I trust told me this and I have not verified it myself.
Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.
Marking my place. If it changes for me I will come back and say so.
Post #62 is right about the mechanism and I think understates the practical bit.
My position on body image is current rather than settled. I have revised it once already and I expect to again, so treat it accordingly.
Reframing body image slightly, because I think the disagreement is about the question rather than the answer. If the question is "does it happen", yes. If it is "how often", nobody here knows.
Expectations set by other people's reported trajectories are a documented source of distress, and the trajectories posted are not representative.
This is where my knowledge stops and I would rather mark the edge than blur it.
Post #67 answers the question as asked. The question underneath it is different.
The documentation on body image is better than this thread and I say that as someone who has posted in the thread.
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.
Reading it again, the caveat matters more than the finding.
The arithmetic in post #67 is right; the assumption feeding it is the part to check.
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.
I have left out the parts I could not verify.
The social side of this — how other people respond to visible change — comes up constantly and has nothing to do with pharmacology.
Answering the question post #68 raises rather than the one it answers.
Two questions I would want answered before drawing anything from the body image data above: how were the cases selected, and what happened to the ones that dropped out.
The practical version of body image is three sentences long. The rigorous version is three pages and reaches the same conclusion with the conditions attached.
Narrowing post #74, because the general version has more than one answer.
I would keep body image and the decision it usually gets used for separate in this thread. They are related and they are not the same question, and merging them is why the last one went badly.
Everything in post #72 holds. The case it does not cover is the one I have.
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.
On balance I think that is right, and I would not bet much on it.
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.
Two people can read the same figure differently here and both be reasonable.
An honest declaration on body image: I have a prior here and it is strong enough that you should weight what I say downward. Stating it rather than hiding it.
Answering the body image 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.
Post #81 and I disagree about the size of the effect, not about the direction.
Nobody has said the unglamorous part of body image yet, so: most of the variation is explained by things that are boring to write about and easy to check.
Clear enough that I do not think I have a follow-up, which is unusual.
Worth separating two things that post #85 runs together.
The question underneath body image is usually "how would I tell?" rather than "what is true?", and that one has a method attached to it.
Write down what you would expect to see under each hypothesis before you collect anything. If they predict the same observation, collecting it will not help.
Maintenance brings a different set of psychological questions from loss, and the discussion here is much thinner on that phase.
I looked this up rather than remembered it, which is the right order.
Post #85 describes the usual case. This is about the unusual one.
Before the thread moves on from body image — what is the sample size behind the claim? I am not being difficult; I have seen the same figure quoted from an n of four and from an n of four hundred.