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Preventing and Reversing Weight Gain Associated with Psychiatric Medications

Many people who carry the bipolar diagnosis also carry something else – extra pounds – primarily due to the medications used to treat mania or depression. Atypical antipsychotics, including Zyprexa and Seroquel; anti-manics, including lithium and Depakote; and even some antidepressants have been known to pack on the pounds, despite a person’s best efforts to stay fit and trim.

87 Comments to
Preventing and Reversing Weight Gain Associated with Psychiatric Medications

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  1. Weight gain is an often ignored side effect and doctors do not realize how detrimental it can be!

  2. I went from 125 lbs to over 150+ in a matter of 8 weeks. I was on Abilify. I stopped taking it and my doctor prescribed Geodon, and I haven’t even taken it because I’m so scared I’m going to gain more weight. I am a health conscious person…I go to the gym on a regular basis and I used to model. Taking those meds and gaining weight is counterproductive in my eyes because it causes me more depression than ever!!!

  3. I’m in college and piled on the weight due to my meds, now my clothes don’t fit properly and I can’t afford new ones. It’s so embarressing and I’ll have to resort to stealing if I get any bigger………. I used to be a slim active girl now I’m too embarressed to go to the gym because my gym clothes are too small. Please guys any suggestions????

  4. Ruby–

    The only thing I can suggest is borrowing from bigger friends if you can’t afford new clothes. I had to buy new gym clothes this week and I got some good deals from Kohl’s and JCPenny. I know how broke it is being in college, but you could always try Goodwill for some TShirts and stuff. I feel your pain because I went from a size 6 to a 12 and I had to buy new clothes and it wasn’t cheap…I couldn’t live in sweats everyday. Keep your chin up…I’m trying to do the same.

  5. The idea that weight gain from the atypicals is caused by an increase in appetite was just plain wrong. I have tried abilify and respiradal and gained 2-3 pounds a week, even though I was dieting and exercising regularly. I got so fat from these drugs — gained 35 pounds, 20% of my bodyweight — that I feel more depressed than ever. They work wonders, no question. But the rate of weight gain on these drugs is terrifying. I’ve had been slender all my life and now I am just fat.

  6. I appreciate the information that is provided in the article. However, I strongly disagree with the notion that a “gym membership is unnecessary” and all you need to do is walk around 30 minutes a day. I’ve read that so many times. While it may people feel good, it is simply untrue based on my own personal experience. In my case, I started Lithium six months ago being about 40 lbs. overweight. Guess what got me there? Depression and anxiety, in part. Hard to be motivated to lose weight when you’re depressed. Now that I’m on Lithium, I feel great and motivated to lose weight. I’ve lost fifteen pounds since June, but it’s been extremely difficult…far more difficult than in past attempts. I work out at the gym almost everyday (doing both an hour of aerobics and half an hour of strength training). I keep a exercise journal to monitor my progress and set goals. I watch what I eat carefully, focusing on eating plenty of fiber, vegetables and leaner proteins. Lithium is associated with weight gain because it inevitably causes hyperthyroidism according to my psychiatrist. My last blood test indicated borderline hyperthyroidism which means I’ll inevitably need to be on synthetic thyroid hormone. My weight loss has halted and I’ve become exhausted from my concerted efforts. Hopefully, once I’m on the synthetic hormone it will be easier. Sorry about the negativity, but this has been my experience. If you really want to lose weight be serious about exercise and try to do it everyday (knowing you won’t really end up doing it every day). 50 to 60 minutes of aerobics (bicycling, treadmill, elliptical) and get some good nutrition books (not diet books).
    Good luck you all. I know it’s not easy and can be depressing even when on meds that work.

  7. I have been on a combination of citalopram, olanzapine and bupropion for a few months and I have gained 20 pounds. None of my old clothes fit anymore, I feel absolutely terrible about how I look, and I am ashamed to be naked in front of my partner. I’ve got to get off these meds, but I’m too afraid of what I will be like without them knowing how bad I was before. I don’t know what to do!

  8. I went from 115 to 180 in a month and a half on Rispedol. I lost 30 once I quit taking it and now I am quickly jumping back up again on zyprexa. I am 5′ and 192lbs. I have high blood pressure and have severe pitting edema and neither my GP nor my psych doc seem to care. My psych put me on the magic disolvable tablets that leave a horrid taste in the mouth for hours after taking them. I have ripped the seat out of five pairs of pants this year from my ever widening rear end. I once battle bulemia for a while so this is extremely trying on me. The pitting edema makes my legs hurt as if there is a turniquet on them and my GP tells me it is because I am “fat and need to lose weight”. I am going to see a dietician for a glimmer of hope all though I eat nothing but salads and fruits. Exercise? I get winded from bending over to tie my shoes. I take a diuretic with my blood pressure med but it doesn’t work what so ever and my doctor says it is because I am over weight, now does that sound feasible? Anyone have any ideas? I am thinking about just eating my doctors and saying forget it.

    • Amen sister. Same experience for me. Any solution yet?

  9. I went from 110 to 243. i have been on every kind of psych med for bipolar there is. ive been bipolar since 2001. the only thing i have found that works in counter acting the weight gain is the atkins diet. when i follow it like it states to i can maintain a size ten and a 150 weight mark at 5’6. Its a lifestyle change and may not work for everyone. I did not exersise either while on it other than working ad walking.

  10. I’m taking a combination of antidepressants, mood stabilizers and anti-anxiety meds (along with hypothryoid and high doses of Vit. D). I work full-time and have a healthy diet.

    While I’m relieved that I’m not manic or depressed, I have gained 50% of my body weight in the past 6 years (120 to 180). I like that this article addresses the fact that going to gym and simply exercising is difficult b/c of how demoralizing and depressing it can be to have weight gain.

    I don’t recognize myself anymore and it’s very difficult. There HAS to be a balance here. First, I just need to get the energy to go to the gym and start with the basics. I’ve never had to before, but now I do.

  11. I gained 50 lbs in 6 mths on zyprexa. I feel great other than being fat. I have a history of anorexia and bulimia so this weight gain is very difficult to accept. Sane and fat or thin and crazy? Of course, I will take the first but I can’t say the weight isn’t a problem. Going from a size 8 to a size 16 cost me a fortune in clothes. I am only taking 2.5 mg of zyprexa right now but the damage has already been done.

  12. My reaction is extreme. My mother had bipolar & was not able to be helped & committed suicide when I was 15. My father told me she killed herself she because “she was losing her looks.” She was a very beautiful woman & he always was focused on her looks & not much else.

    Well, I internalized that value of his & 2 1/2 yrs. ago when my husband told me that he no longer found me sexually attractive after my weight gain of 50 lbs. over 10 yrs. on psych meds for bipolar 1–I immediately felt that I had no worth as a woman & reacted just as my mother did–a suicide attempt…

  13. I gained almost 100 pounds on my first meds. The doctors kept switching meds, ignoring the weight gain. Then I found a great doctor who added Topamax to my med regime. I lost 85 pounds in a year and half and feel great. I am rarely hungry on Topamax and have to keep a careful schedule to remind myself to eat regularly. I also don’t have the extreme carb cravings I was having on my regular meds alone. Exercise is such an important part of keeping this condition under control, I have found. A good sleep routine, a regulated diet, and daily exercise have put me back together again after an extreme breakdown nine years ago.

  14. i have been on quetiapine for 8 weeks and have gained 1 stone thats 14 pounds. mentaly i’ve never felt so balanced but the increased weight gain is worrying me and making me feel very conscious of my figure. I keep craving mashed potatoe…. i take my meds in the morning and at night but when i take them in the day they make me feel so tired that i have no energy to do excercise.

  15. I am so glad I found this site just glad to know I’m not the only one.I was diagnosed as Bipolar a year and a half ago my weight gain soon followed.After changing my meds a few times everything from risperdal to depekote to abilify my weight had sky rocketed from 150 to 260 over one hundred pounds gained scary I know and in such a short amount of time. The meds made me very tired and hungry!!! I had no motivation coming from anywhere. I have recently moved and now see a new doctor who has changed my meds to Geodon; this has been a good switch for me mentally and also I have stopped gaining weight…but now i struggle with obesity and high blood sugar all thanks to being Bipolar.

  16. I have been on a boatload of dif kinds of anti-depressants and mood stabilizers for ADHD and even those meds caused major weight probs for me. I am currently taking a combo of cymbalta, concerta, and topamax and talked to my doctor about going off my meds as an adult. The only problem is that I feel mentally and emotionally great…but within the past two weeks of taking LESS medication ive gained 7-8 lbs. I dont want to take medication just to keep my weight down and if it isnt necessary to take as much I would like to go that route but I didnt think I would run into the issue of gaining weight as Im being tappered off my meds!

  17. I was born bipolar, my mother was also bipolar, but when each of us was diagnosed ‘officially’, it was known as manic depression. I been given many different medications, but I have to keep changing drugs due to the fact that I always have too many adverse reactions to most of them. I have spent the last eight years working with my present doctor, who was the first person to ever take the time to explain what manic depression aka bipolar really is and why it is important for me to keep taking meds. I thought that I had the perfect balance, or drug ‘cocktail’ after he prescribed the latest one–Risperdal. But to my dismay, it has made me gain over 35 pounds in the first 2 months. I had to lose weight before because I have terribly high cholestoral (which has now risen even higher than before), and I have a history of heart problems in my immediate family and past generations. But my husband and I discussed it and decided that it is better to be alive than to be mentally ‘balanced’. I have an appointment next week to discuss this problem, and I am taking him with me for emotional back up. I hope my doctor will have a solution or a different med to prescribe for me that will work as well as Risperdal with less side effects…I am keeping my fingers crossed.

  18. I’ve been taking Zoloft for Obsessive Compulsive Disorder for about 2 years. Gained about 15 to 20 pounds approximately. I used to average 175 to 180’s, now it’s wavering between high 180s and 200. Now, this isn’t necessarily steady, because I’ve been struggling with maintaining/losing the weight the whole time. But for the most part I can tell you that when on Zoloft, you’ll have to ditch your old eating habits and step up the exercise. I guarantee you that if I had kept my old habits, I’d be much heavier than I am now. It’s an annoyance, but trust me, it’s better than a mind ravaged. I may be heavier, but I can say I’m happier. But not to worry, it’s not impossible. You have options.

    For one, I recommend taking Green Tea Extract. It increases your metabolism, curbs your appetite, and you lose 75 calories everyday (mind you this is if you’re generally sedentary everyday. Results vary with activity obviously).

    Good luck all.

  19. i am 46 diagnosed with bipolar. i have gained 40 lbs and i have gone up 3 clothes in one year. still looking for a magic pill to get it off as i have no energy due to the meds.

    if anyone comes up with something i sure would like to know.

    frustration in toronto.

  20. I am so happy to see I am not the only one out there. I was diagnosed bipolar 3years ago. Went from a size 6 and now a 14 pushing 16. I have been on so many drugs. I just want answers to help lose this weight. I am in the gym busting my butt 5 days a week and eating right and not losing! Talk about frustration. I think that makes me more depressed. I am getting married in a little over a year. I want to look great.

    Continuing to be frustrated.

  21. I gained 57 pounds plus on Lithium 5 years ago and am now trying to lose it. I am committed to lose this weight- joined a gym a few months ago. So far I’ve lost 22 pounds. It’s very difficult. My mental health is ok but this excess weight makes me feel like crap about myself. It is a comfort to know I’m not alone.

  22. Being a mother of a daughter who is ADHD/Bi-Polar. I know only to well what the ALL of you are going thru!! What the heck??!! See,s like a NO WIN situation.. I mean of course being diagnosed with those issues to get them under control is important. And this med has put my daughter to border line honor roll. But then the down side is since she has been taking the Symbayax, OMG in six months she has gained some 70 lbs. This is insane!! Of course the dr says with her being 12 she is just eating more and growing. Well “hello” I;m not stupid here@!@ having done reasearch have found like 21% of the persons taking Symbayax for bi-polar gain weight. Am going to make this guys ears burn this coming Friday. Yes there are extreme anger issues, but this weight gain distroys her self esteem!! She takes Aderall, but then with the extreme weight gain the 30 mg perscribed when she was 120 is hardly effective at 190. Well then am cautious with what I want her to try to get this weight off. Have been loking at a product call lipofemme. Has anyone here heard of? Just want to be sure it mixes well with the adderall,lamictal. Am thinking we are just going to get the heck off the symbayax.

  23. I have been on Zeldox (Geodon) for 12 months now. I have gained 10 kg – 20 lbs during this time and now my doctor says that I have an underactive thyroid. I am in total diesbelief. Is it possible that the slow down in metabolism is called by Zeldox and it’s a mistaken diagnoses?

  24. sorry – caused by Zeldox

  25. I just accepted the diagnosis of Bipolar from a really great internal medicine doctor and he started me on Lithium and then added Zyprexa this week. I have gained 5 lbs. since starting Lithium and since I also have a cyst on my thyroid so I saw an Endocronologist and he wants me to take Metformin and the Pill, he says it is my Thyroid causing all the problems and isn’t Bipolar – I am so confused. I have not started Endo’s recommendations because I think I am a guinea pig who is going to end up weighing 500 lbs. from the looks of it here on this site. It osunds like other’s on this site may have experienced the same thing…any advice?

  26. i am on lithium and i have gone from 120 lbs to 165 in a year and a half. clothes don’t fit and increased depression has set in. what bipolar meds are available with no weight gain. also i was told coming off lithium is a horror store. help.

  27. I’m on Lithium and Seroquel, they make me so dizzy, queasy and sick that I actually lost 10 lbs in the last 6 months. I’m so scared that when the side effects subside that I’ll gain it back in triple.

  28. I think that the reason I have put on weight on Olanzepene over the years is because of an extreme increase in appetite. This is particularly noticeable about half an hour after I have taken it in the evening. My psych has suggested various alternatives , eg abilify but I am very reluctant to change because I know the consequences could be dier. However, I have started keeping a food diary, just for myself, and being lucky enough to have a dog , walk him every day and go to the gym when I can.. As for the intense cravings when I have gone to bed, instead of just eating indiscriminately I take something like a banana to bed. I don’t always succeed especially when I’m not feeling in a happy place but I am losing weight, slowly.

  29. My daughter gained about 20 pounds. She’s on lithium and rispridol. She was small to begin with but 20 pounds is allot even for her. The doctor she was seeing didn’t seem worried at all. He kept track of her weight but did nothing to keep her from gaining it.

  30. Gained 24 lbs on Zoloft and Seroquel. Changed to Lexipro and Geodon, lost 15.
    Just a thought, good luck.

  31. dear sir /madam

    i am on prozec 40 morning
    lamatrogine (lamtec lamez 50mg) 1-0-1

    immiprimine 50mg 1-50mg.-150mg.

    valium 4mg -4mg -10 mg.

    weighs 115 kgs

    my age is 46 years

    i used to be in between 70-80 kg before

    kindly advice



  32. My daughter has gain about 20 pounds. She weighs about 130 now. I am still worried about the excessive weight. Her doctor doesn’t seem to think it’s very important. My daughter has started walking the greenbelt with her grandmother and they are both loosing some extra weight.

  33. I have been bipolar for almost 5 years, prior to that I was just depressed so they say and have been on every thing that never helped. I am now on adderall and effexor. I still have mood swings pretty bad, I can’t deal with this weight gain. I am under 5 foot tall and wiegh over 165 punds. You can’t tell me they can’t find something to help us and not cause this weight gain. This just adds to our problems and I hate changing meds as then there is a few more pounds added to it.

  34. I used to have the same problem.While I took lithium and depakote my weight was 250 pounds. Since I switched to Tegretol (1 yr ago) I lost 70 pounds. I do exercise 3 times per week and I have a permanent diet high in protein, low in carbs. Also, takes about a month get used to Tegretol. Im happy I was patience coz today my mental health and my weight are under control.

  35. Thanks for your post Jhon. I’m thinking of getting off of tegretol as the side effect of this pill are awful.

    My family doc said I could cut my dose down to twice a day at 50mg for a total of 100 mg in a day.

    Even when I’m only taking 50 mg I start feeling very nauseous and have to sleep for hours.

    I just started taking tegretol last Friday but I’m thinking of giving up on this pill because of the awful side effects!

  36. I went on a cocktail of Lamictal, Prozac and Topomax in July 2001. I lost 45 pounds in 4 months. I kept it off for about 5 years. Twenty pounds crept back 2006-2007. I s-l-o-w-ly went off all meds in Dec 2008-Jan 2009. I have gained 32 pounds since January 2009.

    I immediately began exercising 4-5 times a week. Nothing will budge the scale.

    I’m thinking of going back on the meds, even though my episodes have vanquished.

  37. I have suffered from depression for a long time now, and was taking effexor at 150 mg with little or no weight gain. I have always been very thin. I weighed 115-120 at 5’5″ tall. In fact, I always struggled to keep weight on. 2 years ago I had a major depressive episode spurred by my husband requesting a divorce. I was then put on Epival 750mg/day, increased the effexor to 300mg/day, 1 mg of clonazepam at bedtime. Prior to these meds I had lost 10 lbs due to the depression. Well, for the 1st in my life I put on 30 lbs in a matter of months. i really didn’t even notice until one day I finally had to get dressed and nothing fit me. i went from 115 to 150 lbs. the weight gain caused further depression, so the epival was switched to seroquel at 150 mg, then Trazodone at 50 mg. I am now off everything other than the anti-depressants which were changed to Wellbutrin 300mg and Cymbalta 90 mg, clonazepam 1 mg at night. I have lost 20 of those pounds, but am struggling desperately with the last 15 or so. And this issue makes me feel horrible about myself. I never fought my weight, and I now know what people who battle weight go through every day. How can i lose the last of this weight. i don’t eat even 1200 calories per day. I have even stopped taking the meds to see if the weight would come off quickly, but it’s still there and I am miserable. I need to know I can lose this weight, either with the medication switch or with no meds at all. That is what i have resorted to now. Stopping dead the meds that I probably need to be on.
    Please help me and offer suggestions or something to give me hope that I can get back to the person i used to be. I am 46 years old, have no children, and apparently am not menopausal.

  38. Started taking meds in 1996 weight 125lbs. Weight reached height of 250lbs, so far with the help of Weight Watchers I now weigh 240 after 4 weeks.

    Today I take Lithium, Geodon, Tegretol, Valium, Synthroid, Restoril, Trazadone. I took Depokote for awhile and did I eat gained 65lbs in a matter of 4 months.

    My GP told me I would loose at the most 20lbs by Sept. What a jerk! I am determined to loose this weight. Going off my meds is not an option, not if I want to live.

    This web page lets me know I am not alone in this weight struggle. It is so tempting to dump meds and weight will come off. I know that is not the answer. You all give me comfort in that I am not alone in this struggle. Thank you.

  39. I’ve been on a combination of Lithium, Risperdal, Wellbutrin and Cymbalta–would love to get off of one or two of these. I had started out with Zyprexa about 5 years ago, and my weight shot up very fast. I still haven’t lost that weight. I then added more weight when I went on Lithium a year later. Right now I’m 20 lbs heavier than when I started any bipolar medications (started at around 165 lbs, currently 185 lbs). At my heaviest I hit about 205 lbs, but have gotten down to 185 lbs with very strict dieting–vegan diet with high protein (lots of soy, etc.) and greens, not too many carbs (about 1700 calories a day total for the last 2 months, pretty strict for a male my size). I lost the last 10 lbs in the last 2 months with this calorie intake, but I seem to have plateaued.

    I exercise when I can, but find that the Risperdal especially makes me feel a bit dull, as others have mentioned, thus making it hard to motivate myself to exercise. I’ve been experimenting with adjusting the Risperdal dose on my own (prescribed at 1mg) to address this low energy issue. It seems like the Risperdal slows my metabolism–when I drop the dose by .25mg or .5mg for a few days, I start to shed some weight. As a side note, one night a couple weeks ago I missed my Risperdal dose, and the next morning I woke up and ran 5k without stopping for the fist time in over a year–no coincidence in my opinion. So I know there’s a connection between the Risperdal and my energy/motivation/metabolism. Problem in stopping it or reducing my dose is that right now I can’t really sleep through the night without it.

    I agree with many other posters here–it’s nice to feel “sane” and have my moods balanced, sleep well, etc., but I hate that it has to be at the expense of being too heavy–I never had any weight problems until I started bipolar meds. I know Lithium caused me to gain weight, but I’m reluctant to stop it because Lithium pretty much stopped my suicidal thoughts immediately when I started taking it (miraculous in my opinion), and I’ll take some extra weight over suicidal ideation any day. I’m hoping that with a more vigorous exercise program I might be able to shed the last 20 lbs. If I find any new approaches that work, I will post again. Good luck to everyone, I know it’s hard, but for the time being at least we can take some comfort in that fact that we’re not alone. Let’s keep sharing ideas and help each other get through this with our sanity AND a slim waistline!

  40. Also wanted to add that on my 1700 calorie per day diet, I’m eating 5 or 6 medium size meals (roughly 300 calories each) rather than the typical 3 meal breakfast-lunch-dinner. I think more smaller meals helps keep your body out of starvation mode/fat-storing mode. Hope this helps!

  41. Hi all,

    I am bipolar and have been on anti-depressants for a long time. The very first one I ever took was Prozac, and I was on that for a number of years and with a pregnancy in between. During that time, I gained a lot of weight – at one point, I was 100 lbs heavier than I was when I started. I had always thought that it was the pregnancy that had caused the weight gain and that I just couldn’t get it off because of my own issues. After a while, I realized that the Prozac really wasn’t working and I switched to Wellbutrin. I immediately lost 40 – 50 lbs and I realized that the weight gain had been because of the Prozac. I am currently on Wellbutrin and Trileptol, and while it works great for the most part, there is still something missing. I tried a bunch of different SSRIs and eventually tried Prozac again. In combination with the meds that I was already on, it worked great – except that, in the first couple of months or so, I gained 10 lbs so I went off of it. Now, I am stuck. I want to go back on the Prozac because it worked so well, but I am not willing to gain more weight as I am still about 50 – 60 lbs overweight (I could never get off the second half of that 100 lb weight gain). What should I do? Any suggestions? Thanks!

  42. Exercise is the best for losing weight. Exercise where you are working hard and getting your heart rate elevated and sweating! Breaking down your calories into smaller more frequent meals works well also. A little 30 minute walk just does not burn calories. I have a daughter with bipolar who won’t listen to any suggestions. She is on lamictal and abiilify. We just started the lamictal and I am going to take her off the abilify. She is gaining too much weight and it in itself is becoming more of a problem.
    i just wish there was a better answer for her. She is very active-plays soccer and is overall active. Any suggestions would be helpful. Thanks!

  43. Help me!please!!!! I have tried everything to lose weight but its impossible! Right now I am crying and I don’t know what to do. My doctor says the meds I have to take are permanent and I have gained more than 40 lbs in a matter of 4 months. My doctor won’t want to put me on different medications and excersize does not do anything for me. I have forced myself to keep on excersizing as hard as I can and I get tired so fast. I am trying to eat less and I don’t want to be known as a fat girl anymore. I am only 18 years old and I want a normal life. I should be living it up like all my friends are because I am just a teenager. What can I do to take the weight off and keep it off?! Are there any pills you can take to help you lose weight while on depression meds? Or at least to speed up my metabolism so I can go to the bathroom more often? Help me Please! I am tired of not feeling pretty when I look in the mirror. Lets be honest Fat is not pretty or sexy and I am tired of my own family members telling me I need to do something to lose weight. Please help me Please!my email is I will be willing to take all the help I can get Thank You

  44. I will admit that I have not read every post in this thread…but I just wanted to say that I am so frustrated with the weight gain from psych meds. I feel like I have to choose between being mentally healthy (and overweight) or physically healthy and depressed/suicidal.
    Today I shared my concern about my weight gain with my psychiatrist. I said, “I’ve been gaining weight.” His response was quite curt….”so have I…We both just need to eat fewer calories.” Why doesn’t he get it? It isn’t that easy. I take Depakote, Seroquel, and Cymbalta. I’ve gained over 20 pounds in the last two months…it’s overwhelming…
    but yet I am as emotionally stable as I’ve been in a year.
    I’ve been through 28 different psych meds (in varying amounts and combinations), so I get that my choices are limited…but please treat me like a person …. treat me with dignity.

  45. I have the same weight issues as many of you have. Has anyone been on Meridia (sibutramine)? My doc put me on a trial low dose (5mg).

  46. I was diagnosed Bi-Polar in May of this year. My doctor put me on Trileptal and Seroquel. I was 150 pounds and in just 4 months i went to over 180. I cant sleep without the Seroquel so i guess i am stuck at the 180. I cant diet that much as i am also a insulin dependent diabetic which causes so many lows and highs.

    Any ideas on this would be great. I am at a loss as well.

  47. I am Bipolar, and have been taking 1500 mgs of Depakote ER and 400 mg of Seroquel XR for the past couple of years. I’ve managed to pack on 50 lbs in that time and i wasn’t thin to begin with ( I went from 160 to 210 ). I walk every where, watch what I eat, and still can’t take anything off. I feel like a big blob. I overcame bulemia 20 years ago, and I worry that it will rear it’s ugly head again, or, maybe worse yet, I will stop being med compliant. I truly hate the meds that make me “normal.”

  48. OK I have read every thread on here. I am on 400mg of Lithium daily for the past 2 years, since going from 220 lbs to 297. Have not been able to get below 275 even with workingout(Just got bigger and stronger…even w cardio…really weird)

    I have a appyt w my Dr on weds and I am going to ask him to change my meds from the lithium to Tegretol. I have read that the side effects are brutal for a month, but I am willing to suffer if in the end I can not rock the scale pushing 300lbs. Please give me a response or reply ANYONE who has experience with Tegretol or Topamax, these seem to be the leading choices to get off this ballon ride.

  49. Hi,

    I’ve lost 40 pounds. From an XL to a medium! IT’s not medication, but emotional problems that lead to weight gain. I follow the G.I. diet and am not hungry. You lose weight significantly if you exercise on this diet too! A good motivational book is the “Beck Diet Solution”. this uses Cognitive Behavioral Therapy to help you lose weight! The G.I. diet was recommended to me from my family physician and is best for people who are on medication. Just have to put up with discouragement and frustration while dieting. Dieting is not for the proud, however! Good luck! I know you can do it!


  50. I would just like to say that I have read all of the threads on here and although I would of course like to have a size 12 figure and weigh a lot less, the fact that I am \’well\’ and leading a normal life now is the choice I would choose even if it means having to carry a few extra stone. Also, I am not lying when I say I love my food, I love sitting in front of the telly with my husband in the evening drinking red wine and eating cheese and biscuits! I have joined a gym, but I haven,t been very often, I am very fortunate that I do have a very positive mental attitude to my body image and I am very happy with myself and life in general. Losing weight is not the \’be all and all\’ and if this means so much to all of you out there, you need to ask yourselves why? When I think back to how ill I was, when all I could do was talk about the tablets and it absolutely consumed every minute of way waking day, I am thrilled that I am now a curvy size 14-16 (UK size), my husband always pays me compliments and tells me I look fantastic for a woman of nearly 43, I do make the best of myself and I wouldn,t change places with the mentally ill skinny Dawn not for any money. I was sitting outside this morning listening to the birds singing in the trees, drinking coffee and looking forward to the day ahead, it is a beautiful sunny day, get off this computer and stop thinking about your illness and enjoy living.

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