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ForumsPsychological & BehavioralEating disorder history and GLP-1 therapy — need advice Page 5

Eating disorder history and GLP-1 therapy — need advice

fiona_VT Sun, Jan 4, 2026 at 11:15 AM 38 replies 1,462 viewsPage 5 of 8
LeilaHI
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Jan 2025
Honolulu, HI
Jan 4, 2026 at 6:20 PM#21

Just wanted to say — for anyone reading this Eating disorder thread who is feeling discouraged: it gets better. The first few weeks are the hardest. Hang in there. 💪

15 18COA_Karl, MikeFit_NJ, InsuranceTom and 12 others
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LondonLisa
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Mar 2024
London, UK
Jan 4, 2026 at 6:37 PM#22

Want to share my personal experience related to Eating disorder history and since I think it might help others in a similar situation.

I started my GLP-1 journey in October 2024 at 250 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.

Now, 12 months later: I am down 45 lbs, my labs have normalized, and I am off 2 of my 3 medications. The Eating disorder aspect specifically was something that made a big difference in my journey.

This community helped me every step of the way.

Last edited: Jan 4, 2026 at 8:37 PM
46 19Dr.MetabolicMD, RetaRick_CA, JenPlateau and 43 others
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julia.endo
Senior Member
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Feb 2024
Cincinnati, OH
Jan 4, 2026 at 6:54 PM#23

Clinical perspective on Eating disorder history and GLP-1:

I have managed ~150 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that proper titration prevents most adverse events.

For this specific question, I would recommend: reviewing the relevant clinical guidelines.

Last edited: Jan 5, 2026 at 12:54 AM
14 23hans_munich, jason_sac26, chris_chi24 and 11 others
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emma_london
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Oct 2024
London, UK
Jan 4, 2026 at 7:11 PM#24

Thank you LondonLisa! This is incredibly helpful. Taking this to my next appointment. 🙏

10 11JessicaM_2024, TomFromTexas, mike.trainer_LA and 7 others
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SleepDoc_PDX
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Sep 2024
Portland, OR
Jan 4, 2026 at 7:28 PM#25

Relevant to Eating disorder history and — here is my latest bloodwork comparison:

Key improvements: A1C 7.2% → 5.3%, triglycerides 243 → 113 mg/dL, hsCRP 6.0 → 1.3 mg/L. All on tirzepatide for 11 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

Last edited: Jan 4, 2026 at 10:28 PM
24 1mel_PDX, Dr.AddMedPHL, newstart_MO and 21 others
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