🍪 CompoundTalk uses cookies to improve your experience, analyze traffic, and personalize content. By continuing to use this site, you agree to our Cookie Policy.
Evidence-based GLP-1 & peptide discussion since 2023
ForumsPsychological & BehavioralThe psychology of plateaus — mental health during weight loss stalls

The psychology of plateaus — mental health during weight loss stalls

Dr.ObesityMed Wed, Feb 25, 2026 at 10:39 AM 11 replies 431 viewsPage 1 of 3
Dr.ObesityMed
VIP Member
3,456
19,234
Nov 2023
Denver, CO
Online
Feb 25, 2026 at 12:04 PM#1

I need to talk about something and I don't know where else to do it.

I've lost 70lbs. Everyone says I look amazing. My health markers are perfect. And I feel... lost? Like my whole identity was "the big guy" and now I don't know who I am. I look in the mirror and don't recognize myself. I should be happy. I AM happy about the health stuff. But I'm also grieving someone and I can't explain who.

Please tell me I'm not the only one.

17 11EndoResFellow, PharmacoVig_BOS, SurmountFan_IN and 14 others
Reply Quote Save Share Report
paige_pharma
Member
289
1,234
Sep 2024
Omaha, NE
Feb 25, 2026 at 12:21 PM#2

you are NOT the only one. I went through the exact same thing around the 60lb mark. It's called "identity disruption" and it's incredibly common with major physical changes. You spent years building a life, personality, and defense mechanisms as a larger person. That doesn't just evaporate because the weight did.

It gets better. But please talk to someone — a therapist, ideally one who specializes in bariatric/weight loss psychology. You deserve support through this. ❤️

Last edited: Feb 25, 2026 at 1:21 PM
47 9Dr.SurgeonPGH, rachel_ABQ, traveltech_sara and 44 others
Reply Quote Save Share Report
mike_mealprep
Member
412
1,890
Jul 2024
Chicago, IL
Feb 25, 2026 at 12:38 PM#3

The part nobody warned me about: when you lose weight, you find out who liked you and who tolerated you. People who ignored me for years suddenly want to hang out. And that feels... awful? Like was I not worthy of your time before?

38 24Dr.AddMedPHL, newstart_MO, mia_MS2 and 35 others
Reply Quote Save Share Report

PeptideMeter — Independent Peptide Analytics

Community-driven peptide testing and vendor rating platform. Transparent results. Unbiased analysis. Trusted by thousands.

View Results
amsterdam_pete
Senior Member
1,567
6,789
Feb 2024
Netherlands
Feb 25, 2026 at 12:55 PM#4

Q, that hits hard. I've noticed the same thing. People are nicer to me now. Strangers make eye contact. It should feel good but instead it makes me angry about how I was treated before.

Last edited: Feb 25, 2026 at 6:55 PM
3 0KetoKyle, CanadaChris, ZaraB_AL
Reply Quote Save Share Report
RunnerRach
Member
467
2,123
Aug 2024
Boston, MA
Feb 25, 2026 at 1:12 PM#5

Everything in this thread is valid and important. A few things:

  • Identity grief after major weight loss is well-documented and real
  • Anger about changed social treatment is a normal and healthy response
  • If you had disordered eating patterns before, GLP-1 can sometimes unmask other patterns. Please monitor this with your care team
  • Joy and grief can coexist. You don't have to pick one

This thread might be the most important one on this entire forum. Thank you OP for starting it.

Last edited: Feb 25, 2026 at 4:12 PM
35 4tyler_CSCS, VanRx_Mike, steve_okc and 32 others
Reply Quote Save Share Report

Similar Threads

The neuroscience of "food noise" reduction on GLP-119 replies
Body dysmorphia after significant weight loss — seeking support19 replies
GLP-1 and addiction pathways — dopaminergic modulation evidence18 replies
Eating disorder history and GLP-1 therapy — clinical considerations7 replies
Quality of life improvements on GLP-1 — IWQOL-Lite data18 replies
ForumsNewTrendingMembersAccount

Log In

Forgot password?
No account? Register