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ForumsPsychological & BehavioralI do not recognize myself in photos and it is messing with my head

I do not recognize myself in photos and it is messing with my head

JenMemphis Thu, Apr 30, 2026 at 9:46 AM 11 replies 504 viewsPage 1 of 3
JenMemphis
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Jan 2025
Memphis, TN
Apr 30, 2026 at 11:11 AM#1

It is late and I can not sleep so I am posting about i do not recognize myself in.

I have been putting off posting this but here goes.

Sorry if this is rambly — I just needed to get it out somewhere that people would understand. You all have been through it.

44 9MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 41 others
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HPLC_Greg
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Research Triangle, NC
Apr 30, 2026 at 11:28 AM#2

Good question. For I do not recognize myself in photos, here is what the evidence says:

  • The clinical trial data (SELECT program) supports this approach
  • Real-world results from this community generally confirm the trial findings
  • Individual variation is real — give it at least 8 weeks before judging

Happy to go deeper on any of these points if helpful.

Last edited: Apr 30, 2026 at 5:28 PM
17 12JenPlateau, SallyK_inj, CryptoCarl and 14 others
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carlos_SATX
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Oct 2024
San Antonio, TX
Apr 30, 2026 at 11:45 AM#3
HPLC_Greg said:
For I do not recognize myself in photos, here is what the evidence says:The clinical trial data (SEL

Completely agree with HPLC_Greg. I would add that I do not recognize myself in also has implications for body composition that sometimes get overlooked in these discussions.

In my case, following a similar approach led to fewer side effects compared to what I was doing before.

12 6Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 9 others
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james_edin
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Sep 2024
Edinburgh, UK
Apr 30, 2026 at 12:02 PM#4

Agreed. My doctor said the same thing about I do not recognize.

36 22oliver_london, tane_welly, Dr.PathRoch and 33 others
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GenomicsKate
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Oct 2024
Cambridge, MA
Apr 30, 2026 at 12:19 PM#5

As a healthcare provider, I want to add some clinical context to this discussion on I do not recognize myself in photos and.

Building on what JenMemphis said — the evidence base here is well-established. The key publications to reference are from the SELECT program[1].

Key clinical points:

  1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
  2. Side effect profile is predictable and usually manageable with standard protocols
  3. Monitoring should include baseline labs and follow-up at 3-month intervals
  4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.

References:
[1] See thread title for relevant study identification.
33 17claudia_zurich, nancy_portland, rick_sfbay and 30 others
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