weight gain

Diet Changes

It’s been awhile since I talked about medication and anxiety, etc. Here are a few posts to give some background:

Medications and Weight – the brief history of starting prozac because of my postpartum anxiety.

Positive Thinking, Positive Change – The post where I talk about gaining 10 pounds when I increased the dosage of prozac and trying a different medication.

Keto Background – The post where I decided to try the keto diet in order to lose the weight.

What was so frustrating about gaining 10 pounds on prozac last year was that I was still working out. I was still counting my calories. I did some research and it seems like prozac in particular, changes the metabolism in your brain. There are some theories that it might cause insulin resistance, as well. I read through a bunch of online medical journals and reports and articles. Some of which I understood–a lot was over my head. But there was definitely evidence of prozac causing weird shifts in your metabolism and WHAT you crave.

I know that when I increased the dosage from the minimal I was craving sugar and carbs like mad. I went back down to 10mg and the cravings decreased. I went on the keto diet and lost some weight in the beginning and then the weight loss stopped.

“It has been observed that Prozac and weight gain go hand in hand, especially in women.  (source)”

Ugh!

I mean, none of this is news to me, really. I’ve had a history of depression my whole life and I’ve tried a bunch of different medications over 20+ years. I had bad experiences with Paxil, Effexor (40 pound weight gain), Celexa (15 pound gain), Zoloft, Lexapro, Wellbutrin (the best one,that never caused weight gain). I know that antidepressants can cause weight gain. Which is why I try and be more diligent–keep counting my calories and keep working out.

I’ve been doing okay lately with my anxiety and at my last therapy session my doctor “cleared” me of having a “clinical mental health issue.” They don’t say cured. 😉 I’m not cured, I will always struggle with anxiety, but I am using the tools I learned to try and manage it. Which is why I thought maybe it’s time to stop the prozac, see how I manage without it and HOPEFULLY finally lose the weight.

It’s been pretty frustrating this year that I didn’t lose a lot of weight doing the keto diet. Especially following a bunch of keto people on Instagram and seeing drastic weight changes for people doing the diet. It felt like my body adapted really quickly to doing keto and then just STOPPED losing weight. No matter what I did. It wasn’t even a slow weight loss…it just stopped.

It takes about a month for prozac to be completely out of my system. But I’m ready to try and see if it helps me with weight loss. It’s been a struggle the last few months to stay committed to keto when I’m not seeing results.

Finally, you might want to check out this podcast about metabolism. It was really interesting and informative!

Positive Thinking, Positive Change

I wanted to give an update about a post I wrote about medications and weight over the summer. Read that post for the background but the cliff notes version: I gained 10 pounds on a medication this summer.

I had a choice to make, try a different medication, or just keep going with prozac, which was working very well for my anxiety. I decided to give the buspar a chance per my doctor. I stopped the prozac and switched to the other one. Right off the bat, I was not a fan. It did absolutely nothing for my anxiety. I gave it over a month, waiting with white knuckles for it to finally kick in and start working…and nothing.

I was even having occasional panic attacks, which was not traditionally a component of my anxiety. So that was fun! I talked to my doctor and he increased the dosage. Within a few days of that, I started having really awful side effects. The biggest one was heart palpitations. Like constantly. It took me a few days to realize that the never ending heart palpitations might be because of the meds. I googled it and sure enough, “if you have this side effect, call your doctor immediately”. YAY! 🙁

So I stopped the buspar immediately and within a day or so the side effects were better and mostly gone. That’s the good news. The bad news? I was still in the same boat as I was before.

I went back on a low dose of the prozac and I am trying to manage my anxiety with mindfulness and a relaxation app I downloaded. The one I usually use is Breathe2RelaxI also use the Oak app. I like them and they work pretty well when I’m in the middle of an anxiety attack.

As for the weight I gained this summer…I am making good choices to lose it.

  1. No candy/dessert (which has been very hard with all the Halloween candy that’s EVERYWHERE!) but I am doing well with that so far.
  2. No alcohol Monday-Thursday and on Friday/Saturday nights I can have 1 drink (instead of my usual 2).
  3. Reminding myself it’s ok to be hungry sometimes.
  4. Taking the stairs at work. I go up and down between several floors multiple times a day and I’ve started using the stairs instead. It’s the little things that add up.
  5. I’m still working out my normal 5 days a week with 2 rest days.
  6. I’m counting my calories still but I am trying to actually create a deficit instead of eating back all of the calories in the gym.
  7. Weighing myself once a week. When I was in maintenance mode I was weighing once a month, or even less. If my clothes got tight, then I’d weigh myself, but I basically stuck at the same place.

The first week I lost almost 2 pounds. The second week I lost another pound. Over that weekend I wasn’t feeling 100% so I skipped drinking for the most part. I also didn’t have much of an appetite, so I think that helped jump start things.

As far as the mental aspect, I am doing well. My anxiety is “ok” and I’m feeling super focused on losing the weight. I am finding it easier to resist treats and things that are my downfall, so I think my mind is IN THE GAME on this.

Then Thanksgiving weekend hit–pie, wine, carbs…you know the drill. I didn’t weigh myself for 2 weeks and finally got back on the scale. This weekend I weighed myself after taking a few weeks off from the scale and was happy to see a few more pounds gone! I am now down a total of 7 pounds since October! WOOHOO!

I will keep you posted on my progress.