Most patients feel calmer with weight loss. A minority report increased anxiety. Both are real.
Why anxiety can improve
Reduced inflammation, better sleep, improved confidence, smaller blood-sugar swings. All flow into a more stable mood baseline.
Why it can worsen for some
Rapid identity shift ('I don't recognise myself'), social anxiety as relationships adjust, fear of weight regain. These are real and worth addressing.
If it's worsening
Tell us. Sometimes the molecule, sometimes the dose, sometimes a parallel referral to therapy. We don't ignore mental health changes.
