Anxiety got tougher for me after 16 months on GLP meds. Can't tell if it's from switching between drugs or adding something new, but I'm having a harder time managing it like before. Mirtazapine helps - lets me sit with the anxiety without it taking over.
been on it 1.5 years, down 60. stuck with 1mg compounded. then had surgery and took 2 weeks off. restarted and it's just not the same appetite-wise. thinking maybe higher dose or try something else.
The 'always in the finals if not the podium' framing for pre-medication drinking habits is more honest than most people manage in these threads. The GLP-1 reset on reward-driven behavior tends to hit hardest in the first few months regardless of what the starting habits were.