                                        {"id":1393,"date":"2026-06-06T18:35:46","date_gmt":"2026-06-06T18:35:46","guid":{"rendered":"https:\/\/metrotransitreview.com\/?p=1393"},"modified":"2026-06-06T18:35:46","modified_gmt":"2026-06-06T18:35:46","slug":"people-are-battling-ghost-fat-after-losing-weight-on-glp-1s","status":"publish","type":"post","link":"https:\/\/metrotransitreview.com\/?p=1393","title":{"rendered":"People are battling &#8216;ghost fat&#8217; after losing weight on GLP-1s"},"content":{"rendered":"<div>\n<p>Sometimes, seeing isn\u2019t believing.<\/p>\n<p>Across the country, Americans are losing weight faster than ever thanks to blockbuster obesity drugs like Wegovy and Zepbound, with roughly one in eight US adults now turning to GLP-1s to slim down.<\/p>\n<p>Read more <a href=\"https:\/\/metrotransitreview.com\/?p=1391\">Exclusive | Art critic who died in Brazil hotel was \u2018forced to eat her own vomit\u2019 at hellhole Baptist boarding school<\/a><\/p>\n<p>But for some users, the dramatic physical changes come with an unexpected psychological twist. <\/p>\n<p>Experts are calling it \u201cghost fat,\u201d a phenomenon in which people who have lost significant amounts of weight still see themselves as being in a larger body than the one they now inhabit.<\/p>\n<p>It\u2019s sort of like a cousin to phantom limb syndrome, the strange sensation that an amputated body part is still attached, functioning and even capable of feeling pain.<\/p>\n<p>At its core, ghost fat reflects a disconnect between the brain and the body. A person\u2019s internal self-image \u2014 shaped by years of emotional memories, body dissatisfaction, trauma, stigma and other factors \u2014 can lag behind physical reality.<\/p>\n<p>\u201cWe see this not only with weight loss but with other body-altering procedures. It takes the brain time to catch up to the new appearance,\u201d Dr. David Sarwer, director of the Center for Obesity Research and Education at Temple University\u2019s Barnett College of Public Health, told Medscape.\u00a0<\/p>\n<p>\u201cIn rhinoplasty, for example, it may take patients a while before they become accustomed to looking at their new face in the mirror after decades of looking at a more prominent nose.\u201d<\/p>\n<p>Researchers believe ghost fat may be more prevalent among people who lose weight rapidly, like through bariatric surgery or GLP-1s, compared with those who slim down more gradually.<\/p>\n<p>One study of 40 women who were 18 to 30 months post-bariatric surgery found that nearly two-thirds still perceived themselves as obese despite having lost a substantial amount of weight.<\/p>\n<p>That disconnect can affect behavior in surprising ways. <\/p>\n<p>Someone struggling with ghost fat might automatically reach for a larger clothing size than they need or choose a wider seat out of habit. They may also instinctively turn sideways when walking through tight spaces, even when there\u2019s plenty of room.<\/p>\n<p>Others continue avoiding mirrors or photographs, conditioned by years of dissatisfaction with their appearance.<\/p>\n<p>The feeling of still being in a larger body despite significant weight loss can take a real emotional toll, fueling low self-esteem, anxiety, depression and a sense of disconnect from one\u2019s own self-image.<\/p>\n<p>For some, it leads to social withdrawal. Others become preoccupied with their appearance, constantly checking the mirror or seeking reassurance from those around them.<\/p>\n<p>Read more <a href=\"https:\/\/metrotransitreview.com\/?p=1389\">The Democrats want another long, hot summer of violence<\/a><\/p>\n<p>Adding another layer of complexity, many people who lose a significant amount of weight are left with loose, sagging skin. Those folds can look and move in ways that closely resemble body fat, making it difficult for some to recognize just how much their bodies have changed.<\/p>\n<p>Fortunately, in most cases, the brain eventually catches up, and a person\u2019s self-image begins to align with their new physical reality.<\/p>\n<p>Experts say several strategies may help speed the process along.<\/p>\n<p>\u201cFor my weight-loss patients, I have started to recommend cognitive behavior therapy,\u201d Dr. Fred Pescatore, a physician who has experienced ghost fat himself, told First For Women.\u00a0<\/p>\n<p>\u201cI truly believe this can help them navigate their \u2018new world.\u2019 They have to learn to align their inner thoughts with their body image,\u201d he continued. \u201cIt takes time to overcome the stigma of your weight.\u201d<\/p>\n<p>Mindfulness practices such as meditation, body scans and breathing exercises may also help people pull themselves out of their heads and reconnect with their physical selves.<\/p>\n<p>Experts also recommend shifting attention away from appearance and the number on the scale.<\/p>\n<p>Instead of focusing solely on how you look, it can be helpful to celebrate achievements that reflect improved health and fitness \u2014 whether that\u2019s climbing a flight of stairs without getting winded or lowering your cholesterol levels.<\/p>\n<p>For some people, the solution can be surprisingly simple: spend more time looking in the mirror.<\/p>\n<div>\n<\/div>\n<p>Take Sandra, a GLP-1 user who lost 41 pounds over six months but continued seeing her pre-weight-loss body staring back at her.<\/p>\n<p>Normally, she avoided her reflection. But for one week, she challenged herself to stop and really look.<\/p>\n<p>The exercise initially made her anxious. By the end of the week, however, she said she was already beginning to feel more comfortable in her new shape.<\/p>\n<p>\u201cIt\u2019s not that I forgot what my previous body looked like,\u201d she told Psychology Today. \u201cIt\u2019s more like I finally started seeing what felt like me in the mirror instead of a stranger.\u201d<\/p>\n<p>Read more <a href=\"https:\/\/metrotransitreview.com\/?p=1387\">Poison center reports rose 39% for a common supplement \u2014 after it was incorrectly touted as a measles cure<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The phenomenon can lead to emotional turmoil, fueling low self-esteem, anxiety and social withdrawal even after significant progress toward weight-loss goals.<\/p>\n","protected":false},"author":1,"featured_media":1392,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-1393","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mental-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>People are battling &#039;ghost fat&#039; 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