Not really a slow start, but being bi-polar, depressed and anxious will kill it. Besides side-effects of the meds (thankfully mine didn’t cause a significant amount of weight gain), the OTHER side effect of emotional eating kicks in right after the holidays. It also kicks in at other random times, and can really set me back. I just have to remember that it wasn’t just one bad day (or month, in my case) that brought me to where I am. Plus, even if the weightloss is stalled, I’m at least getting better foods in my body. :-)