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ForumsPsychological & BehavioralBody dysmorphia after significant weight loss — July 2024 Page 2

Body dysmorphia after significant weight loss — July 2024

maria_elpaso Mon, Oct 14, 2024 at 12:38 PM 15 replies 1,666 viewsPage 2 of 3
ChrisMacros
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Sep 2024
Michigan
Oct 14, 2024 at 3:28 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.

32 22RunnerRach, TrialNerd_Beth, HPLC_Greg and 29 others
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JenMemphis
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Jan 2025
Memphis, TN
Oct 14, 2024 at 3:45 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.

Last edited: Oct 14, 2024 at 8:45 PM
7 23BenResearch_OR, MikeKY_noInsulin, Dr.RaviCardio and 4 others
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JessicaH_TX
Senior Member
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13,456
Dec 2023
Houston, TX
Oct 14, 2024 at 4:02 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.

Last edited: Oct 14, 2024 at 8:02 PM
21 9kim_atl_prep, sarah_TO, wendy_avl and 18 others
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tom_AK
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Jan 2026
Anchorage, AK
Oct 14, 2024 at 4:19 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: Oct 14, 2024 at 8:19 PM
42 12jennifer_SEA, tyler_CSCS, VanRx_Mike and 39 others
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