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ForumsPsychological & BehavioralBody dysmorphia after significant weight loss — my results so far Page 2

Body dysmorphia after significant weight loss — my results so far

steph_laguna Fri, Jul 25, 2025 at 11:28 AM 30 replies 1,616 viewsPage 2 of 6
maria_elpaso
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Jul 25, 2025 at 2:18 PM#6

Sending you so much love. I know this exact feeling. I lost my "character." I was the jolly one, the approachable one. People literally told me I was "less fun" after losing weight. Less fun! As if my personality lived in the fat cells.

You'll find yourself. The real you was always there — you just couldn't hear her over the survival performance. Give her time to speak up. She's worth meeting.

42 3FitDadDave, RunnerRach, TrialNerd_Beth and 39 others
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Dr.NateNeph
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Jul 25, 2025 at 2:35 PM#7

There's interesting neuroscience behind this. The brain maintains a "body schema" — a neural representation in the posterior parietal cortex that encodes body dimensions and spatial boundaries.1 This schema is updated through sensory feedback (proprioception, touch, vision) but it has significant temporal lag, especially after rapid changes.

Studies on phantom limb patients show the same principle — the brain's body map persists even when the physical reality has changed. After significant weight loss, the old body schema can persist for 6-24 months.2

One study found that individuals who lost >50 lbs still overestimated their body width by an average of 17% six months post-loss.3

The brain WILL recalibrate. But it's a gradual, neuroplastic process, not a switch.


1 Longo & Haggard, "An implicit body representation underlying human position sense," PNAS, 2010.
2 Ramachandran & Hirstein, "The perception of phantom limbs," Brain, 1998.
3 Chalklin et al., "Body size estimation following weight loss," Body Image, 2019.

16 22NauseaFreeNow, SteveThurs, B12Beth and 13 others
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LondonLisa
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Mar 2024
London, UK
Jul 25, 2025 at 2:52 PM#8

This is such an important thread. A few things:

1. If you're struggling with body image after weight loss, you are not ungrateful, broken, or crazy. You are having a completely normal neurological and psychological response to rapid physical change.

2. Therapy is not a luxury here — it's practically a medical necessity for many people going through this. Ask your prescribing physician for a referral if cost is a barrier.

3. If you find yourself unable to see ANY change despite significant loss, or if you're developing obsessive checking/avoidance behaviors around mirrors, please flag this to a professional. Body dysmorphic disorder (BDD) is a clinical condition that deserves clinical attention.

You all are so brave for talking about this. Keep going.

8 15RetaRick_CA, JenPlateau, SallyK_inj and 5 others
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Dr.RenalNash
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Jul 25, 2025 at 3:09 PM#9

I just want to say thank you to everyone in this thread. I've read every reply three times. I don't feel so alone anymore.

I showed this thread to my therapist and she said "these are your people." She's right. You are.

I'm going to try the body-neutral language approach suggested above. "My body fits in this airplane seat without a seatbelt extender." That's a fact. I can start with facts.

One day at a time.

Last edited: Jul 25, 2025 at 8:09 PM
9 10anders_CPH, Dr.NutriCornell, pam_stl and 6 others
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