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Crook32
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Default Oct 18, 2019 at 03:44 PM
  #1
I know I am fat. I don’t need a dr telling me that before he will do surgery I have to lose weight. I have gained 100 pounds on Seroquel over the years. I have tried going off it many times but I always crash. It is the only medicine that keeps out of the hospital. I have tried to lose weight and nothing works. I am going to my primary care next week to talk options. Problem is I need a knee replacement so that makes exercise tough. I am not eating much like I used to on Seroquel.

This is all making me pretty depressed. I hate being fat. I hate being told by a dr that I am fat as if I didn’t know. Maybe I can go off Seroquel if I do weekly ketamine treatments. That would be really expensive though.
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Default Oct 18, 2019 at 04:20 PM
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Hi Crook. I'm sorry you've got this frustration. I'm sure you've tried many things and maybe many diets to lose weight. I guess I'm wondering if you've tried with adequate support?

Have you tried going to a dietitian? I went to one about 9 years ago, and it was very helpful. I will confess that I had been switched to a comparatively weight friendly mix (including calling Lithium weight friendly), but the accountability was helpful for me. Once every week, she wanted me to email her a list of everything I ate and their corresponding calories, fat grams, carb grams, and protein grams. Back then I had created a MS Excel spreadsheet with formulas, but really MyFitnessPal does that much easier nowadays, and even better with more info.

Have you ever tried Seroquel XR (quetiapine ER)? Just curious. I find that Seroquel XR is a bit more weight friendly than regular Seroquel. I wrote a little bit about this in another thread. If you have any interest in why I think it's more weight friendly for me, let me know. I currently take 600 mg, and unfortunately 600 mg seems to be the dose I end up at more and more. However, when I can get down to 500 mg, I find it much easier to stick to diets. When it comes to many things regarding my Seroquel XR, I find that strategy helps. For example, I never get the "Seroquel XR" hangover anymore, unless I break from my specific routine. I found that taking it at a specific time and getting exactly 8 or 9 hours sleep (no more) makes for a happy BirdDancer. I know when my hungriest periods of the day are. Careful strategy in managing those times helps.I think, for me, it was much more difficult with the regular Seroquel.

Exercise is very important, but I know that taking in fewer calories is the most important thing. I have lost plenty of weight in the past without exercising much. Reducing my stress levels is crucial in helping me succeed at dieting.

I have gained back some of the weight I lost 9 years ago, but not all. I know that I should lose some for the sake of my cholesterol. Otherwise I'd probably be happy with maintaining. I need a push, too.

I know people who have lost 75 and 100 lbs plus. My mother lost 75 lbs twice, without any weight loss surgery. My sister did have weight loss surgery. She lost a lot of weight, but the fact is, mental wellness, strategy and new habits are crucial.

Last edited by Anonymous46341; Oct 18, 2019 at 04:38 PM..
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Default Oct 18, 2019 at 07:01 PM
  #3
Does your YMCA have a healthy weight lose program. It comes with dietitian, bi-weekly personalized exercise classes and access to facilities for the length of the program.

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Default Oct 18, 2019 at 07:41 PM
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I remember someone on here being on Contrave (I think that's the spelling) and liking it. I have no idea how BP friendly it is.

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Default Oct 19, 2019 at 07:01 PM
  #5
Hey crook32- I feel for you! Weight gain has been an issue for me too. I’ve gained 40lb on lithium & Risperidone- I tried cross-tapering off Risperidone multiple times but couldn’t tolerate it. FINALLY my team provided extra support to get off Risperidone- they decreased it at half the rate (so it took months to come down) while starting me on Tegretol. They had appointments set up 2 times per week during the taper so that they could intervene better if things started going bad. Thankfully, I’m now down to 0.5mg Risperidone daily along with Tegretol and I have officially lost 20lbs! (Along with diet and exercise, which I had been doing for over a year on Risperidone with no weight loss success). Best wishes to you, I know it’s a battle, and I hope you find what works for you
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Default Oct 19, 2019 at 10:08 PM
  #6
My friend that had bilateral knee replacements done last year had to lose 60 lbs before hand. She like you didn’t need it pointed out she needed to lose weight... no one wants to hear it.

She saw a dietitian and they came up with a plan she would be able to stick with, she also was very limited with finding exercise she was able to do. She said it was really rough the first month or so , she felt hungry a lot but that goes away as the stomach naturally shrinks.

She was able to lose enough in just under 5 months.

She’s a hair dresser and is back on her feet all day and she also by losing weight no longer needs her blood pressure meds anymore, nice extra side effect of losing weight for her.

Do you think seeing a dietitian might help get you a game plan ??

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Default Oct 20, 2019 at 10:42 PM
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I replied and gave some of my own story, and empathy for yours, on your other thread. I cannot even express well how much I feel for your situation. I have also gained over 100lbs on Seroquel and developed health problems. I have some very strong feelings about how Seroquel is being over-prescribed.

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Default Oct 20, 2019 at 11:26 PM
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Thanks everyone for your empathy. I have said it before that having to choose between my physical and mental health sucks. I really hope my primary care Dr can come up with something on Thursday. I just hate that look you get when people say you need to lose weight all the while they are stick thin. I remember those days. I don’t ever think I will see them again.
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Default Oct 21, 2019 at 12:36 AM
  #9
Have you considered getting a 2nd opinion? As long as you’re fully aware of the risks there are many surgeons who are comfortable operating on patients who are overweight.

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Default Oct 21, 2019 at 09:21 AM
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Quote:
Originally Posted by Pookyl View Post
Have you considered getting a 2nd opinion? As long as you’re fully aware of the risks there are many surgeons who are comfortable operating on patients who are overweight.


This was my second opinion. He said to try and lose weight. He didn’t give me a hard number and he said he was willing to do the surgery. He would just prefer that I was skinnier.
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Default Oct 21, 2019 at 03:24 PM
  #11
I’ve gained 75 lbs on Seroquel over the last 6 years and 95 lbs total on psych meds. I had lost 45 a couple of years ago but when my doctor had to significantly increase my Seroquel and depakote, I gained it all back. I am soooo embarrassed about my weight and it is so hard to lose! It doesn’t help that until recently my husband would constantly criticize and comment about it. He has finally learned how disrespectful and hurtful that is though and he stopped.

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Default Oct 22, 2019 at 07:57 PM
  #12
when i was a teenager, a friend's grandmother gained tons of weight on Zyprexa, and her doctor gave her...didrex or bontril, I forget. i don't know if that's the best idea, but it worked for her.
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Default Oct 26, 2019 at 12:49 AM
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Hey @Crook32 Some people may disagree with me (and I gained 60 lbs on seroquel in addition to three pregnancies) but I had weight loss surgery 11 years ago. I had the permanent roux n y version and it saved my life. It is a tool and you need to follow directions and eating guidelines and take vitamins but I was 300 lbs and lost 127lbs and have kept all but about 10-15lbs off all these years. It helped me not to be as hungry and I physically couldnt overeat. I needed to get bang for my buck nutrients so I had to eat good food and had no room for the unhealthy stuff. I became really sensistive to processed sugars so it made stopping the junk food easier. I have to follow a good eating plan. I know 6 people that had the surgery and gained all the weight back so its not the ultimate fix. I had high cholesteral, high triglycerides and fatty liver disease. High blood pressure, GERD and joint issues. I was lethargic and very inactive. Now I have a perfectly healthy liver, none of the other stuff except the high bp which is probably because I still smoke which I am working on. I get that a knee doctor will tell you to lose weight before surgery but at the same time it seems kind of mean. I mean does the doctor think its going to be easy to walk miles and exercise with bad knees. Does this doctor truly understand the risks of antipsychotics and what they really do to your body?
Quote:
Originally Posted by Crook32 View Post
I know I am fat. I don’t need a dr telling me that before he will do surgery I have to lose weight. I have gained 100 pounds on Seroquel over the years. I have tried going off it many times but I always crash. It is the only medicine that keeps out of the hospital. I have tried to lose weight and nothing works. I am going to my primary care next week to talk options. Problem is I need a knee replacement so that makes exercise tough. I am not eating much like I used to on Seroquel.

This is all making me pretty depressed. I hate being fat. I hate being told by a dr that I am fat as if I didn’t know. Maybe I can go off Seroquel if I do weekly ketamine treatments. That would be really expensive though.

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