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Old 03-18-2019, 10:29 PM #1
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Default doctors re weight

Do you find it unfair that the same doctors that put you on weight-gainer meds turn around and tell you to lose weight? I was thin and fit until i was 30 and got put on meds and almost instantly gained 100 pounds. I feel it's cruel of my doctor to ask me to lose weight. I feel like snapping, "If you want me to lose weight, get me better meds!"
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Old 03-18-2019, 10:36 PM #2
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Default Re: doctors re weight

I feel you -- I've complained about weight gain and my medications in the past. I weigh more now than I ever have.. It's discouraging. We're unhappy with ourselves in the first place, why add extra issues and stress? I hope they figure out how to side-step the weight gain issue. I'm sorry you have to go through that. You shouldn't be shamed for what isn't your fault!
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Old 03-19-2019, 09:57 AM #3
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Default Re: doctors re weight

I agree it seems very unfair, especially in cases where the weight gain is quite extreme. One does have to really measure the advantages and disadvantages of certain medications, and if a certain med or meds cause you just as much or more harm than the illness alone, something must be done.

I certainly believe that anyone with bipolar disorder that is quite affected by it really should take bipolar medications. It's a shame when frustration with side effects cause people to quit medications completely. There definitely are bipolar medications that are weight neutral or even weight friendly, or ones that help counteract the side effects of others. Perhaps they may not be quite as effective at curbing the disorder than one that causes extreme weight gain, but if they curb it to the degree that it gives mood relief and gets rid of the frustration of weight gain, could that equal an overall better "score" on a satisfaction scale than an alternative?

It took me a long time to get where I am now. I'm doing OK, but still have some challenges. I am overweight, and see my weight continuing to increase, but I know that with a minor change I may actually be able to diet and exercise more. On some medication mixes or doses it seems pretty much impossible. I was once on a medication mix that did very little for my moods AND made me gain weight rapidly, also increasing my cholesterol, triglycerides, and glucose levels. I was left on that mix way too long. It was a lousy a*s mix. That was a "0" on my satisfaction scale.

Right now on my current mix, my moods have been pretty darned good. I'd give it a 90 for mood relief (100 being perfect) and a 70 for side effects. That will average out to 80 on my self-made satisfaction scale. I guess that's a low "B-" grade. My goal is to have my Seroquel XR dose lowered a little bit. I know that when it's 450 mg (I'm close) and I enter my annual spring upswing or find more and more improvement through therapy, that my satisfaction score will increase even more. Why? Because my side effects will ease and my weight will likely decrease. I'll have more of an ability to diet and exercise.

If I didn't take medications, there is a strong likelihood that my mood situation could be as low as 30. And though side effects from medications perhaps wouldn't be relevant (unless I was having withdrawals), don't some mood issues cause physical and other issues, too? Would I start to abuse alcohol again? Would I perhaps be slapping my face or punching the walls? Would my financial situation worsen even more dramatically than it is now? What if my husband left me or I ended up homeless?
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Old 03-19-2019, 10:08 AM #4
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Default Re: doctors re weight

A quarter of what you eat, will keep you alive.
The other 3 quarters keep your doctor alive.

Yeah, right.
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Old 03-19-2019, 10:14 AM #5
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Default Re: doctors re weight

I'm sorry you're going through this. It is hard enough to stay on meds, but the weight gain side effect is just like an extra cruel kick in the pants. I just started meds and I've gained a few pounds already. I'm wondering how hard I will have to work to keep the weight off. I'm not eating any differently, but my metabolism seems off.

It does seem unfair. I hope you're able to find balance again.
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Old 03-19-2019, 10:19 AM #6
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Default Re: doctors re weight

I feel your pain
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Old 03-19-2019, 01:07 PM #7
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Default Re: doctors re weight

Same here. I gained 80lbs since starting meds with no signs of that slowing down. Doc says diet and exercise will help, but my diet is pretty good and I exercise as much as I can when being sedated as all hell from the meds. I hope in years to come there will be advancements in psych meds with regards to this side effect.
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Old 03-19-2019, 08:09 PM #8
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Default Re: doctors re weight

Saw my GP today for annual physical and I brought up my weight , I eat at most 800-1200 calories a day and exercise as much as possible. Yet my weight wonít budge.

We agreed its likely Latuda.. as I was fine until I started it and itís been every steady gain slowly over time.

So since Big Pharma sucks and as if we donít already enough problems. They refuse to produce a true weight neutral med, [email protected]@ holes. Because they have meds to put a person needs once overweight.

I decided driving home that I am stopping Latuda and see how my weight goes. I do expect it to start coming off.

Will I crash ? Possible but Iím willing to take this chance. My cholesterol etc is high. All this weight is making my PsA arthritis much worse.

So yeah ....
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Old 03-19-2019, 11:14 PM #9
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Default Re: doctors re weight

I feel your pain... in the past I have taken Seroquel and been fine, because I was also taking Wellbutrin (which is an appetite suppressant). But my doctor just took me off Wellbutrin and doubled my dosage of Seroquel... boom. I gained 10 pounds in two weeks and it doesn't seem like it will stop any time soon, as my appetite is still insatiable.

I have told my doctor about my concerns with weight gain side effects because I also am in a very rocky recovery from an eating disorder. He said he just wants to try it. I see him again in two weeks and hope that he will be open to trying something else.
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Old 03-20-2019, 12:04 AM #10
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Default Re: doctors re weight

I was on seroquel titration up and didn't think much of being hungry. Then due to loss of insurance, then loss of samples at my pdocs I had to come off it. Other things were occurring in my life and I had lost like 40 pounds. I still didn't think about the meds tho. Life was settling down in some ways, went back on the seroquel cause it did help, and I realized I COULD NOT stop eating!!! Called my doc's office and told her I was quitting the pills outright. No taper. That's enough shoving food in. Even since I'm off psych meds and the weight is stuck on. I'm not super active but I'm not on my butt all day. House to deal with, errands, no vehicle so everything is fetch and carry. Active with helping my landlord downstairs. The library. Shopping around the community. So it's fairly come and go around here. And I'm an anxious person so I clean all the time, ridiculous to do lists. Lol. I should weigh less!!!
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