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ForumsPsychological & BehavioralSocial media comparison trap — need advice

Social media comparison trap — need advice

AussieAnna Mon, Jul 22, 2024 at 4:39 PM 50 replies 2,150 viewsPage 1 of 10
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AussieAnna
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Sydney, AU
Jul 22, 2024 at 6:04 PM#1

My endo and I disagree about social media comparison trap need advice and I want a reality check.

They are saying that I do not need to worry about it but everything I have read here suggests otherwise.

I trust this community's collective knowledge but I also do not want to go against medical advice without good reason. What would you do?

49 17TrialNerd_Beth, HPLC_Greg, LibrarianMeg and 46 others
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PharmD_Rodriguez
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Jan 2024
Miami, FL
Jul 22, 2024 at 6:21 PM#2
AussieAnna said:
Social media comparison trap need advice

Gonna push back on this one. Social media comparison trap need is not that straightforward in my experience. I have been on this for 18 months and the reality is messier than the trials suggest.

Don't get me wrong — the medication works. But adherence is harder than people admit. We should be honest about that.

36 13TinaHashiRN, robert_kc, dan_philly and 33 others
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jason_sac26
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Jan 2026
Sacramento, CA
Jul 22, 2024 at 6:38 PM#3
AussieAnna said:
Social media comparison trap need advice

This is exactly right. AussieAnna articulated what I have been trying to explain to my friends for months. The Social media comparison aspect is what made the difference for me.

29 12stefan_berlin, Dr.EM_Chicago, pete_RVA and 26 others
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newstart_MO
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Feb 2026
Springfield, MO
Jul 22, 2024 at 6:55 PM#4

Clinical perspective on Social media comparison trap need:

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 the medication works best as part of a comprehensive approach.

For this specific question, I would recommend: getting comprehensive baseline labs first.

6 24TrialNerd_Beth, HPLC_Greg, LibrarianMeg and 3 others
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Dr.GutHealth
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Jul 22, 2024 at 7:12 PM#5
jason_sac26 said:
AussieAnna articulated what I have been trying to explain to my friends for months

I respect jason_sac26 perspective but I think this oversimplifies things a bit. Re: Social media comparison trap — the subgroup analyses show meaningful heterogeneity.

I am not saying jason_sac26 wrong entirely — just that the picture is more nuanced than a blanket statement. The SURMOUNT data specifically shows baseline BMI-dependent responses.

25 18MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 22 others
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