Monthly Weigh-In

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.

Medications and Weight

I’m feeling pretty down about my weight right now. I wanted to check in and share my experiences lately.

I was doing pretty good. I was to the point where I had 9 pounds to lose to get back to pre-Logan weight. I was feeling better about myself, even though it’s taken forever to even get to that point.

I’ve shared in the past about my experiences with depression and taking antidepressants and the unfortunately side effect: weight gain. Well I’m back to that spot again.

A few years ago I realized that my issues are more with anxiety than depression. Yes, depression was a big issue for me in my teens and twenties but in my 30’s it’s been anxiety. Like on a scale of 1-10, I’ve been holding steady at like a 7 for anxiety! I definitely had postpartum anxiety.

After I had Logan I was sleep deprived and anxious and because of my history I was super vigilant about looking for signs of postpartum depression…so much so that I totally missed the fact that I was suffering from PPA. Mostly because it wasn’t even on my radar. People talk so much about PPD but rarely PPA. I didn’t even know it was a thing until I started to feel like I was going insane.

I was so anxious all the time. The biggest thing for me was anxiety about SIDS. I had no reason to be anxious about it but I became obsessed. To the point where I wasn’t sleeping at all in those early months. It was not a healthy situation. I talked to my therapist and she eventually said it was time to go back on my medication. So when I stopped breastfeeding at 10 months PP, I went back on my Wellbutrin.

Wellbutrin has been my go-to medication for 20+ years. It’s the one that has worked best for me and THANKFULLY NO WEIGHT GAIN. It’s basically the only one out there that honestly does not cause weight gain.

Well, good news: no weight gain for me. Bad news: the medication that has always worked in the past suddenly didn’t work — instead, it super aggravated my anxiety. I was crushed. I went off the medication per my doctor and he suggested we try Prozac.

I was reluctant to try it because I couldn’t really find a lot of information about Prozac and weight gain. My doctor said it was usually “minimal.” But I decided to try because my anxiety was so bad. It was exhausting. I started the Prozac last November and once it started working, it was like a giant weight was lifted. Suddenly my anxiety was gone. I was able to think more clearly and manage the anxiety that came up. It was really eye-opening how bad my anxiety had been.

Fast forward about 4 or 5 months and my doctor decided it was time to increase the dosage a bit.

10 pounds. That’s how much I’ve gained since taking the Prozac. It was slow at first and then the dosage increase bumped it up pretty fast. I talked to my doctor and he said that 10 pounds sounds about right for that. He still called that “minimal.” I know 10 pounds is minimal to most but it’s A LOT to me. Especially in a short time.

I’m unhappy about this, I’m frustrated. Especially considering I’d been doing so well. And then on the flipside, I keep thinking “is losing weight worth the crippling anxiety?” Or is it better to just be like this and have my anxiety under control?

I talked to my doctor and he had a few suggestions:

  1. reduce the prozac back to the lower dose and see if that helps
  2. try Cymbalta instead (the side effects seem iffy to me)
  3. try Buspar (it’s an older medication and apparently doesn’t cause weight gain–but…..who knows)

I’m honestly not sure what the right decision is. It’s clear I need something to help manage the symptoms. But…at what cost?

So that’s the update right now. I still haven’t decided.