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I still look fat, and I am not. (TW: dysmorphia)

32 replies20 peopleFeb 14, 2026☆ Follow
Summary

why do people who lose a lot of weight still see themselves as fat in the mirror

The thread shows that long-term obesity leaves a persistent mental image that the brain keeps using even after major loss, with hormones like PMS making the mismatch worse for a few days. People describe sudden shifts in perception, clothes that no longer fit the old picture, and the relief of realizing the distortion is temporary. Several note that the brain eventually updates but only after time and repeated evidence like photos or comments from others.

What this discussion establishesWhere people disagree

One poster suggested specific peptides for body recomposition while others focused only on time and acceptance.

Still open

How long the distorted self-image typically lasts once weight stabilizes.

Nothing here is advice.

32 replies · 20 people
SteadyQuill55archiveopening postFeb 14

Before anything else, I want to be clear I'm not posting for sympathy or reassurance. I'm okay. The point is to let anyone who feels this way and is upset know they're not the only one. I'm 5'5" and down over fifty pounds to 134 last week. For the first time I actually saw myself as slim. I'm aiming for 125 but plan to take the last stretch slowly. Today I'm two pounds up at 136, which is normal right before my cycle when I get hungrier and hold water. Nothing else about my routine or body has changed, yet all week I look huge to myself. My arms, face, stomach and legs all seem back at the old size. If someone showed me a photo and said I'd regained everything I'd believe them.

BlueTimber78archiveFeb 14

This is the first time weight loss has done this to me. My wife says I look skinny but most days the mirror still shows the old heavier version. Then sometimes I catch a glimpse and it's like seeing a stranger. The mismatch feels intense. I figure my brain is just reusing the old stored pictures because that's easier than rebuilding the image from scratch every time.

BlueThistle84archiveFeb 14

I'm a guy so this may not apply, but you might want to look into certain peptides that affect body composition and recovery. One option mentioned to me helps with collagen and tissue. I'm still working toward my own goal so I don't have much personal experience yet. Good luck anyway.

ClearWillow37archiveFeb 14

I get it. I'm also short and noticed the same thing today. I compared old and new photos from 134 down to 120 and still look basically identical even though I've dropped two and a half belt sizes. Being shorter probably changes how weight sits on the frame. We also tend to zoom in on the spots we dislike most, so the picture gets skewed. Old habits of seeing ourselves a certain way are hard to shake.

SteadyQuill55archiveFeb 14
↳ replying to @ClearWillow37

Please no, I've already got plenty of that kind of pressure. 😀

WryPebble70archiveFeb 14

I know this might sound off but I'm relieved others are going through the same thing. I've dropped 73 pounds total and still can't see what everyone else sees. I've told my wife I must have body dysmorphia. The only moments my brain registers the change are when someone comments or when newer clothes suddenly feel too big again. Because I've been heavy most of my life, that old picture stays stuck. I'm wondering if anyone who's carried extra weight for decades ends up needing to get extremely lean before their mind accepts the new shape.

SteadyQuill55archiveFeb 14
↳ replying to @WryPebble70

That doesn't sound bad at all. It's exactly why I started the thread. If I'm feeling it, plenty of others probably are too. I'm also not going to argue with the perception. Eating issues can grow from wanting to be perfect, and I refuse to feed that idea. When the mirror says I'm fat but the facts say otherwise, the simplest move is to shrug and treat what I see as unreliable data. That's the approach I'm taking for now.

WryQuill22archiveFeb 14
↳ replying to @WryPebble70

I expect the brain will adjust eventually. Reading these stories helps me prepare. I've been bigger most of my life and the weight crept up so gradually that my self-view never kept pace. I might spend more time in front of the mirror just getting used to the current version. It could feel strange, but it's like dealing with a phantom limb made of the old shape.

WryPebble70archiveFeb 14
↳ replying to @SteadyQuill55

That approach might make accepting the mismatch easier. It's also a good moment to check why you're doing the weight loss in the first place. If the mirror no longer matches what others see, looks can't be the main driver anymore. I'm glad I have solid reasons beyond appearance, otherwise I'd have quit already. These medications are just one tool; the real work is daily habits and what goes into the body. No one reaches perfect, but getting closer to being okay with yourself is still worth it.

WryPebble70archiveFeb 14
↳ replying to @WryQuill22

I hope the same. It would be nice to actually register the effort. Nothing wrong with checking yourself out, but one thing that helped others was taking progress pictures along the way. I skipped that and now wish I hadn't.

SteadyTimber49archiveFeb 14

The phantom limb line is spot on. I definitely have the same issue. Fat most of my adult life, now objectively not, yet I still feel large. I used to think hitting 150 would feel thin, and here I am at that number still seeing the old version. It's sneaky.

BluePebble18archiveFeb 14

Down over 70 pounds and sitting around 125-128. I still struggle to reach for small or extra-small sizes. I have an event coming up and had to return and reorder almost everything because the sizes I picked were still too big. The 190-pound version of myself is what I keep seeing, even though I've been heavier than that for most of the last forty years.

WarmWillow50archiveFeb 14
↳ replying to @SteadyQuill55 (opening post)

Very familiar. Sometimes I pull out the old photos for a reality check. I still have 25-30 pounds left, but the much heavier past version keeps showing up in the mirror. Keeping those before pictures handy stops me from getting lost in what still needs to change.

SteadyQuill55archiveFeb 15

Quick update: my cycle started and the scale went to 134.4. Once again I look slim in the mirror. I used to think 157 was the magic number, then 149, then lower, but the brain just keeps moving the goalpost. It's being difficult on purpose.

PatientAlder89archiveFeb 15
↳ replying to @SteadyQuill55

Hormones before your period can definitely mess with how you see yourself. When the thoughts show up, tell them to knock it off and remember the fifty pounds you've already lost. That's a huge amount. Visualizing a fifty-pound bag of rice or dog food helps put the number in perspective. Same height here and also aiming for 125. Nothing has worked for me yet, so it's good to see someone succeed. Mine started today too, ugh.

SteadyQuill55archiveFeb 15
↳ replying to @PatientAlder89

My duck food bags are fifty pounds each. Carrying one from the spare room makes me think about how I used to carry that much extra weight around every day.

PatientAlder89archiveFeb 15
↳ replying to @SteadyQuill55

Exactly, a concrete visual helps. Those bags are massive. You did it. Mind if I ask how long it took?

SteadyQuill55archiveFeb 15
↳ replying to @PatientAlder89

Started seriously last May from 186, began medication in late July at 176. Since the low 140s I've been inconsistent, working hard for a week or two then easing off. I'd be finished already if I'd stayed strict, but once I reached normal weight I stopped treating it like a full-time project and accepted slower progress.

PatientAlder89archiveFeb 15
↳ replying to @SteadyQuill55

Moderation is key. Everyone needs a break and a treat now and then.

WarmHarbour28archiveFeb 15

Good for you, random stranger. I'm keeping a fifty-dollar bill ready for the first person who notices the change out loud.

QuietTimber26archiveFeb 16
↳ replying to @SteadyQuill55 (opening post)

My wife is dealing with the exact same thing. She's lost over a hundred pounds, gone from 2XL to needing XS, and still sees the old size. I have no idea what to say that actually helps.

SteadyQuill55archiveFeb 16
↳ replying to @ClearHarbour45

You've seen me in person. I like to picture that if I were still heavy you'd be thinking I looked a bit round still.

IronHarbour37archiveFeb 16

It's wild how the same outfit and same day can flip between looking much slimmer and looking huge depending on the moment. Hopefully staying at the lower weight eventually trains the brain to see accurately. Congrats on your own loss, by the way. It still feels distant for me sometimes.

CopperBeacon14archiveFeb 16

Ah yes, the classic pre-period feeling that you're fat and worthless. Been there.

SteadyQuill55archiveFeb 16
↳ replying to @CopperBeacon14

Oh it's not even about the weight. I'm just not sticking around long enough for someone to get too comfortable and start taking me for granted. The fat part isn't the issue. 😀

WarmLedger65archiveFeb 20

The week before my period I turn into a completely different person who thinks she's ugly enough to leave her husband, hates her job, and wants to move to the mountains. None of it is real, just hormones. This thread is interesting because I have the opposite problem. I usually feel slimmer than I am, then the mirror shows someone heavier and it surprises me. It's been that way since I was a kid.

SteadyQuill55archiveFeb 20
↳ replying to @WarmLedger65

Same here, and my period started yesterday so it's definitely the hormones talking.

NorthSignal43archiveFeb 20

I've had body dysmorphia forever, even back at 116 pounds. It's annoying and I wish I could see reality, but at least I'm aware enough to dismiss my own comments.

IronLantern24archiveMar 17

Same struggle my whole life. I was the fat kid, lost a bunch in junior high, and it's been up and down ever since. I've probably lost and regained over a thousand pounds total. I doubt I'll ever truly see myself as thin, so I'm focusing on how I feel physically instead of the mental picture.

KeenMeadow35archiveMar 18

Hormones drop the week before your period and that often brings lower self-esteem. I deal with it every month and am considering progesterone.

PlainAlder11archiveMar 18

The belly thing is real. Down 26 pounds and the gut still looks big in the mirror. I started at 215 and want to reach 175, maybe 165. I'm guessing the stomach is just loose skin or whatever from the old weight. Male, almost 67, six feet tall. Easier to gain than to lose, as they say.

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