this post was submitted on 23 Oct 2025
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Mental Health

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some time during the middle of the year in 2024 i reached my highest weight of 363 lbs. i am a 5'9" male. i was morbidly obese and i could feel the effects of it. i wasn't always this big. in fact, i only started gaining weight around the age of 10. i suffered long-term abuse and one of my coping mechanisms was to eat. my mother only attempted to control my habit but never gave any real effort about it. i was able to eat whatever and whenever. to be fair, she was dealing with the worst of it.

needless to say, my depression developed and it became severe. because of contributing factors of how i was raised, how society sees fat people, and how i started internalizing the hate back to myself, over time those negative thoughts became how i saw myself. i hated my weight, i hated my body. i was ashamed and couldn't find a single thing to be even OK with.

no matter what i did throughout my life it never stuck. i started accepting i was the problem even with the addiction i had to food. i knew that this was likely some sort of disease but i still felt culpable. "there's more i can do," i kept telling myself. blame, blame, blame. "i just don't give a shit enough," i'd say. it made me hate myself even deeper.

then, a classification of diabetes medication referred to as GLP-1s were brought to mainstream attention. most of us heard about them through rumor mill gossip, but the reason they became suddenly popular was due to the fact that these medications were rather effective at treating metabolic disorder and therefore obesity. it had an initial negative connotation as it was treated as a celebrity fad drug and jokes were made about how 5 years from now the negative side effects will impact them all. some people dismissed it, some people praised it. GLP-1s had a mixed reception then. You likely heard of the first big one to be noticed: Ozempic.

eventually, a friend of mine tells me they are starting a newer GLP-1, Zepbound, which is just like Ozempic but targets an additional hormone, making it a dual receptor agonist and more effective at treating metabolic disorder. he ended up losing 60 lbs before it convinced me to try for myself.

i began in November of last year. i was skeptical but very enthusiastic as i did my research and found the science amazing. this isn't some kind of designer drug meant as a temporary fix or a treatment that is worse than the illness. GLP-1s have been around for a while successfully controlling diabetes. doctors realized it was also helping patients lose weight. the mechanics are triggered by hormonal interactions which over time alter your brain and imprint upon you new behavioral traits. the disorder of obesity itself is treated more than at the weight level; it actually treats your brain and stops the impulse to overeat and the reward for consuming unhealthy food and quantities.

and that is what happened to me. i am now 224 lbs today, having lost ~138 in total. i have exerted very little willpower and haven't exercised routinely. if i did both of those things i would no doubt be at a bigger loss, which is fucking insane because 138 is A LOT within a year. i state this because i want you all to understand that this is a genuine treatment for obesity. it changed not only my body but my mind.

i am not the same person i was before i started Zepbound. i have felt this way now for about half the year and it hasn't left me. i'm realizing i may have entered a permanent shift in identity and purpose. i do not despise my body anymore. sure, i need to lose about 50 more lbs, but that's it????? wow i.. i'm really going to do it. this is real. i can accept that this is real now because i am so close. this medication has worked non-stop even during the plateaus.

i can access a deeper level of emotions than i realized i was capable of. everything i felt before was filtered through not only my major depressive disorder but it was additionally being weighed down by literally my own weight. and i couldn't feel that anymore because it became my default. i thought i was expressing my values and my care as fully as i could, because i genuinely felt the passion and believed in how i felt about things and people. having lost all this weight it is like night and day. the depth i can feel things at now feels more aligned with my inner self; the me outside of my disorders.

i am now able to tackle concepts of my depression and anxiety that i simply wasn't ready for before. in fact, i am in a PHP right now and i was here three years ago and exited the program. i didn't complete it. i couldn't. i tried, believe me. i truly wanted it to work. ...so i hated myself for it. again, must be my fault. i'm a bad person.

no. i was and am a sick person. not only do i have mental illness but i have a metabolic disorder. i have a disease. obesity is a disease and you have to stop shaming yourself. it is okay to accept this reality and get help. there is help finally. we have a medication to control your dysfunction. you owe it to yourself to talk to a doctor about a GLP-1 med. i strongly recommend Zepbound but that's me. i say that because it is currently the only dual-receptor agonist on the market.

not a single day goes by i do not consider how happier i feel lately. again, not a fulfilment because i'm not where i want to be, but i can see myself as a fucking person finally. that matters, trust me. it matters. you might not be able to work on your depression because you hate yourself more than you realize even if you admit to hating yourself. i bet you aren't consciously aware of how deep those roots are.

i'm sorry this is so, so long. if this helps anybody seek treatment then it was worth it. feel free to ask any questions btw either here or DM. obese folks who hate themselves: hey, stop it! listen to me! talk to your doctor, i promise.

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[–] dingus@lemmy.world 13 points 1 week ago (1 children)

I'm so very happy for you! :)

I have known one person who took something like Ozempic and she described it the same way...the "food noise" was significantly reduced. Also she got sick if she overate which seemed to be very unpleasant for her, but it helped to further control some of it.

Interestingly, I have another friend who is on metformin instead for diabetes specifically. As an unintended effect, she also describes food being less appealing overall to her and having some weight loss as an unintended, but helpful side effect.

So it's interesting how these drugs not only seem to have physical effects, but mental ones as well.

Curious...are you planning to take Zepbound for the rest of your life? Unfortunately, the person I know who was taking a similar drug couldn't afford it again and found that all of her "symptoms" came back on discontinuation.

[–] chosensilence@pawb.social 5 points 1 week ago

yes, lifelong for me unless the future brings about something else.

[–] CrayonDevourer@lemmy.world 7 points 1 week ago (1 children)

Insurance won't cover it. Check and mate.

[–] chosensilence@pawb.social 4 points 1 week ago (1 children)

yeah that’s a big barrier. you can pay out of pocket through Eli Lilly directly for 50% off at $500/month. it sucks. i hated doing it. i was able to make it work though and i would’ve given up a lot of things to keep it going. it is absolutely worth it although it shouldn’t cost anything.

[–] CrayonDevourer@lemmy.world 3 points 1 week ago* (last edited 1 week ago) (2 children)

I can't even afford to put food on my table. A hospital just pushed the wrong medicine and gave my wife a heart attack, killing her for 15 minutes. Yet they are denying claims for her recovery care...she lost the use of her left leg from all of it, and she can't walk normally anymore and as a result we're now on a single income instead of two.

It's more than "a big barrier". It's an impossible feat for many of us.

I think 90% of people's mental health issues would disappear if we had universal health care...

[–] chosensilence@pawb.social 1 points 1 week ago (1 children)

yes, universal health care is a must. i am sorry you are struggling.

[–] CrayonDevourer@lemmy.world 1 points 1 week ago* (last edited 1 week ago) (1 children)

Moreso than anything, I think many of us already know about Ozempic, and Zepbound, etc -- it's just -- How can we get it? How can we afford it?

Also thanks. If I had the capability to move to another nation, say, Canada - I would in a heartbeat. But now that my wife is disabled, immigration doesn't seem to be a path I could take.

[–] TrumpetX@programming.dev 2 points 1 week ago

My sister in law pays something like $65/mo for a compounding pharmacy to give what is effectively wegovy (with some vitamin d).

Many insurances will cover glp1s if your BMI is greater than 30. If you're close, but not quite over 30, just have a massive meal of rice and drink a shit ton of water before your annual physical. BMI is basically a height & weight calculation. Look up the table.

[–] WoodScientist@lemmy.world 1 points 1 week ago (1 children)

If you go the grey market route, a GLP-1 agonist will pay for itself in reduced food costs alone.

[–] Cris_Color@lemmy.world 6 points 1 week ago* (last edited 1 week ago)

This wouldn't be helpful to me (I'm trying really hard to put weight on) but I wanted to stop by and say I'm glad you've found something that's really helped for you! ☺️

[–] cmeu@lemmy.world 3 points 1 week ago (1 children)

Were you experiencing a lot of the disgusting burps or diarrhea after starting the glp-1? What dosage did they give you?

[–] chosensilence@pawb.social 4 points 1 week ago

hah, yes. i was pretty gassy during 2.5mg and 5mg, but i haven’t had those in months and months now. i didn’t experience any diarrhea. if anything i go less frequently.

[–] Treczoks@lemmy.world 1 points 1 week ago (1 children)

Regardless what your problem is, as long as it is not immediately life-threatening, I'd stay far away from Ozempic & friends.

Just look at the side effects that have been discovered in the last months...

[–] chosensilence@pawb.social 0 points 1 week ago* (last edited 1 week ago) (2 children)

literally nothing has been "discovered" in the last months lol what are you talking about and what misinformation are you trying to spread? also, morbid obesity is life threatening, which is what i said i had. so what is the point of your comment if not to sow division and add irrational doubt to these medications?

edit: ???? what's with the downvotes this dude is spreading misinformation and fearmongering a lifesaving drug

[–] Treczoks@lemmy.world -1 points 1 week ago (1 children)

So you have not read the study on ozempic destroying users optical nerves?

[–] chosensilence@pawb.social 6 points 1 week ago

there isn’t one lmao there’s just a court case claiming irreversible eye damage. where’s this peer reviewed study citing your claim?

[–] Nomad -4 points 1 week ago (2 children)

There is some evidence that it causes massive depression after the high of losing weight goes away. I don't need to tell you that morbidly obese people usually have a reason that they eat so much. It's not like that pill cures that.

[–] chosensilence@pawb.social 7 points 1 week ago (1 children)

also, it’s not a pill lol. you don’t even know the drug you’re talking about. thankfully i am in a mental health treatment program as well addressing my issues.

[–] Nomad -1 points 1 week ago (1 children)

Hope you get better my dude. Wish you only the best and to be in that 5%. Sadly it is not a magic "pill".

https://pubmed.ncbi.nlm.nih.gov/35441470/

[–] chosensilence@pawb.social 1 points 1 week ago

it is a “magic pill,” actually. these drugs completely treat my metabolic disorder. your study is about cessation of a different glp-1 medication. i am staying on this drug lifelong.

[–] chosensilence@pawb.social 4 points 1 week ago (1 children)

it doesn’t go away as long as you stay on it for life, which i am and most people will too.

[–] Nomad 0 points 1 week ago (1 children)

Probably less unhealthy to stay on it for life than staying that obese. Still not without risk.

https://medicine.washu.edu/news/study-identifies-benefits-risks-linked-to-popular-weight-loss-drugs/

Please enjoy your positive change and stick with the mental health stuff so you can get off that stuff with time.

Stay healthy and happy.

[–] chosensilence@pawb.social 4 points 1 week ago (2 children)

i am not going to get off this drug because it carries some risk. so did being morbidly obese as long as i did. this is the safest of the two options. this is not just emotional or mental, i have a disease. if i stop taking this drug my symptoms will return. that is not something therapy will treat.

[–] LemmyKnowsBest@lemmy.world 1 points 1 week ago (1 children)

I'm convinced that the people who deride this revolutionary medication are shills from the junk food & restaurant industries who've reported significant loss in revenue since a significant percentage of the population has been on GLP-1s, getting healthy & eating less. Food is no longer our comfort, our playground, our pastime, and the food industry has taken a hit. The predatory food industry with their intentionally addictive foods can suck it. Turn the suffering back to them for all the damage they've done to our health for decades. We're reclaiming our lives & bodies & minds & health & happiness.

Hey OP, come post over at the semaglutide community. It exists but with only ONE post so far.

[–] chosensilence@pawb.social 1 points 1 week ago

it’s so transparent lol. they’re either shills or wrapped up in the identity of needing to shame fat people and feeling superior. they are so mad that i have a disease i can treat.

[–] Nomad -1 points 1 week ago (1 children)

I'm sure you just have heavy bones. ;)

[–] chosensilence@pawb.social 1 points 1 week ago* (last edited 1 week ago) (1 children)

no i have a metabolic disorder which causes morbid obesity.

edit: to anyone reading this exchange, ask yourself if this would be an appropriate push back and line of questioning if i were taking a diabetes or cancer drug.

[–] LemmyKnowsBest@lemmy.world 1 points 1 week ago

Exactly! Can you imagine somebody who has just gone through chemotherapy and people are insulting them for it and naming all the negative side effects 🙄

GLP-1 shaming is just a neverending extension of fat shaming. I hope those GLP-1 shamers suffer in some equal way in their own miserable lives.