![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 20 of 20. This is the beginning of the thread.
Posted by jay on August 9, 2004, at 22:44:39
Well...after putting on almost 80 pounds because of psych meds, I have this weight that *won't* come off! I think I am going to try the Meridia first, but am not ruling out the Gastro-by-pass surgery route. I *don't* know how I am going to do it while staying off most psych meds..as it (Meridia) is like an SNRI type of drug, that also affects dopamine. Ohhh man..I am so confused!! Anyone offer some knowledge? Thanks..
Jay :(
Posted by Shadowplayers721 on August 9, 2004, at 22:49:49
In reply to Gastro by-pass or Meridia???, posted by jay on August 9, 2004, at 22:44:39
Personally, I would try the med way first. Of course, with the diet and nutrition added.
Posted by jay on August 9, 2004, at 23:57:08
In reply to Re: Gastro by-pass or Meridia???, posted by Shadowplayers721 on August 9, 2004, at 22:49:49
> Personally, I would try the med way first. Of course, with the diet and nutrition added.
The only problem with going the med way, is that I would have to come off the antidepressants, so he says. I dunno...I dunno...oyyyy
Jay :(
Posted by karen_kay on August 10, 2004, at 7:52:46
In reply to Re: Gastro by-pass or Meridia???, posted by jay on August 9, 2004, at 23:57:08
i think you're nearly perfect dear. bellies are cute. please don't stress about weight when you have such a beautiful complete package (ha! i said package mr jay :)
the end.
love you darling,
kk
Posted by partlycloudy on August 10, 2004, at 8:47:45
In reply to Gastro by-pass or Meridia???, posted by jay on August 9, 2004, at 22:44:39
Jay, has your doc suggested that the added weight has become a health issue for you? I know that 80 lbs is a great deal of weight to have gained, but is there an minimum amount you need to lose before something as drastic as surgery is recommended?
I know that when I was really worried about my weight gain my p-doc tried to make it a non-issue; that my mental health was more important and my weight concerns were, well, trivial. My T did not see it that way, but she helped to have me put these concerns aside until my other, larger problems had been dealt with.
The irony is that as my depression and anxiety began to respond to treatment, I was able to muster enough energy to exercise (which they'd all been telling me to do from the start, but I wasn't able to drag myself around the house, much less around the block). Are you exercising at the moment? I'm sure you're probably eating a healthy diet, so we won't even go there.
pc
Posted by AuntieMel on August 10, 2004, at 9:35:22
In reply to Gastro by-pass or Meridia???, posted by jay on August 9, 2004, at 22:44:39
I wouldn't go the bypass route. It's forever.
There is another one I saw on Discovery Health that sounds much better. The stomach has a band put around it that controls it's capacity. The band can be adjusted (or removed, I believe) as needed.
Posted by Ilene on August 10, 2004, at 14:24:42
In reply to Gastro by-pass or Meridia???, posted by jay on August 9, 2004, at 22:44:39
> Well...after putting on almost 80 pounds because of psych meds, I have this weight that *won't* come off! I think I am going to try the Meridia first, but am not ruling out the Gastro-by-pass surgery route. I *don't* know how I am going to do it while staying off most psych meds..as it (Meridia) is like an SNRI type of drug, that also affects dopamine. Ohhh man..I am so confused!! Anyone offer some knowledge? Thanks..
>
> Jay :(Talk to an experienced psychopharmacologist about combining Meridia with your meds. I've read that sometimes supposedly incompatible drugs can be used together.
If you go the gastric by-pass (or banding) route, make sure both your surgeon and the hospital have *lots* of experience handling this surgery.
Posted by Shadowplayers721 on August 10, 2004, at 19:54:38
In reply to Gastro by-pass or Meridia???, posted by jay on August 9, 2004, at 22:44:39
How about topamax or Zonegran (sp?) with the antidepressants for weight loss?
Posted by jay on August 10, 2004, at 20:16:19
In reply to Re: Gastro by-pass or Meridia???, posted by Shadowplayers721 on August 9, 2004, at 22:49:49
> Personally, I would try the med way first. Of course, with the diet and nutrition added.
Yaa...I gotta TRY to convince my doctor to give me a combo of Meridia and Prozac. But, I doubt he will..:(
Thanx anyhow...Jay
Posted by jay on August 10, 2004, at 20:20:38
In reply to i know, i know mr jay..., posted by karen_kay on August 10, 2004, at 7:52:46
> i think you're nearly perfect dear. bellies are cute. please don't stress about weight when you have such a beautiful complete package (ha! i said package mr jay :)
>
>
> the end.
>
> love you darling,
> kk
>
>Ohhhh gosh geee golly whiz...(blushing) ;-) Thank you dear...but it is for my own health. Heart disease and diabetes run *strongly* in my family, and I am likely to get them, but would rather be in better shape to be able to fight and live with it.
Butterflies and Peaceable Kingdom Kisses
Jay
Posted by jay on August 10, 2004, at 20:28:24
In reply to Re: Gastro by-pass or Meridia??? » jay, posted by partlycloudy on August 10, 2004, at 8:47:45
> Jay, has your doc suggested that the added weight has become a health issue for you? I know that 80 lbs is a great deal of weight to have gained, but is there an minimum amount you need to lose before something as drastic as surgery is recommended?
>
> I know that when I was really worried about my weight gain my p-doc tried to make it a non-issue; that my mental health was more important and my weight concerns were, well, trivial. My T did not see it that way, but she helped to have me put these concerns aside until my other, larger problems had been dealt with.
>
> The irony is that as my depression and anxiety began to respond to treatment, I was able to muster enough energy to exercise (which they'd all been telling me to do from the start, but I wasn't able to drag myself around the house, much less around the block). Are you exercising at the moment? I'm sure you're probably eating a healthy diet, so we won't even go there.
>
> pcThanx pc....it just doesn't seem like my body wants to lose weight. I could *not* eat anything all day and still gain weight! I have had all the endo stuff checked fine. See I am a 6 foot guy, and walking around with this extra weight is painful, in particularly on my back. Walking used to help me lose weight, but now my back is so sore after a short walk, I can't go far, hence I can't burn off the mega-calories.
Yeah my diet could be better, but I intake about as much as any average person does a day.
Thanx for your thoughts...
Jay
Posted by jay on August 10, 2004, at 20:29:43
In reply to Re: Gastro by-pass or Meridia??? » jay, posted by AuntieMel on August 10, 2004, at 9:35:22
> I wouldn't go the bypass route. It's forever.
>
> There is another one I saw on Discovery Health that sounds much better. The stomach has a band put around it that controls it's capacity. The band can be adjusted (or removed, I believe) as needed.I haven't even brought up surgery with my doctor, so that is a *last* resort.
Thanx....Jay
Posted by jay on August 10, 2004, at 20:33:45
In reply to Re: Gastro by-pass or Meridia???, posted by Ilene on August 10, 2004, at 14:24:42
Yea, I may have to find another doctor...but I am unwilling in many ways, mostly because he has really gone out of his way to try *most* drug combinations. Why can't we just prescribe for ourselves, eh?..hahaa (I know..dumb...but...)
Thanx...Jay
Posted by jay on August 10, 2004, at 20:36:04
In reply to Re: Gastro by-pass or Meridia???, posted by Shadowplayers721 on August 10, 2004, at 19:54:38
> How about topamax or Zonegran (sp?) with the antidepressants for weight loss?
Well, Zonegram isn't available here in Canada, and for some darn reason, he refuses to let me try Topamax. But, again, he has let me suggest and try many other meds and combos.
Thanx....Jay
Posted by Dinah on August 11, 2004, at 1:37:09
In reply to Gastro by-pass or Meridia???, posted by jay on August 9, 2004, at 22:44:39
I've heard some bad things about bypass surgery, Jay. Not with everyone, but with enough people to make me skittish. Side effects that may be harder on your social life than extra weight. Unless you have are morbidly obese, I think I'd do what I could to avoid surgery.
And I *do* understand. I gained about 50 to 55 pounds on Luvox, and have only lost ten despite the fact that I'm on minimal meds. And I don't eat a huge amount, tho I'll admit to binge eating for mood regulation. I've even switched to diet coke. And I *am* diabetic, and my health would be vastly improved if I lost another 25 pounds at least, 40 to 50 would be better.
Can you do some research into side effects?
Posted by Jai Narayan on August 11, 2004, at 8:44:50
In reply to Re: Gastro by-pass or Meridia??? » Shadowplayers721, posted by jay on August 10, 2004, at 20:36:04
One of my family members had a gastro done on her. She weighed 300lbs she's 5'5" tall and had tried many approaches to weight loss. Within the first year she lost 1/2 of her weight. She had to have surgery to collect the excess skin that began to sag and hang. She has gone through so much since she did this. Now she weighs 140lbs.
With the gastric surgery she doesn't have the hunger that happens with the band or staple to the stomach.
Honestly the whole process was scary but she is so much happier, who am I to judge?She had an excellent Dr. He had done numerous operations.
I have heard horror stories as well. If the Dr. makes a mistake it seems to be impressively difficult.Dieting is so hard. I have been on a diet now for 7 months (this is one of many diets for the last few years) and my weight loss has ground to a halt. I was not losing weight at a terrific speed. A pound a month.
So I see your pickle.
I know meds complicate everything for an effective diet. My sister has tried every kind of diet and she is having a hard time. She's on Lithium and anti depressants. She is a binge eater. She has contemplated the operation but she has too much fear of surgery and the pain.If you find a diet that works please keep us posted.
Posted by jay on August 11, 2004, at 9:49:18
In reply to Re: Gastro by-pass or Meridia??? » jay, posted by Dinah on August 11, 2004, at 1:37:09
> I've heard some bad things about bypass surgery, Jay. Not with everyone, but with enough people to make me skittish. Side effects that may be harder on your social life than extra weight. Unless you have are morbidly obese, I think I'd do what I could to avoid surgery.
>
> And I *do* understand. I gained about 50 to 55 pounds on Luvox, and have only lost ten despite the fact that I'm on minimal meds. And I don't eat a huge amount, tho I'll admit to binge eating for mood regulation. I've even switched to diet coke. And I *am* diabetic, and my health would be vastly improved if I lost another 25 pounds at least, 40 to 50 would be better.
>
> Can you do some research into side effects?Thanx Dinah for your great post. I've heard all of the "good" things, but haven't done enough research to hear the bad things...which many people on here and yourself seem very knowledgeable about. I wouldn't want to put my greater health at risk just for this.
I know what you mean...even just 20 or so pounds would put my chin up and maybe more effort. Well...I'll wait and see what the doctor has to say next time I see him, and I will post what route I am going.
Thanks again..:-)
Jay
Posted by jay on August 11, 2004, at 9:50:33
In reply to Re: Gastro by-pass or Meridia???, posted by jay on August 11, 2004, at 9:49:18
Posted by jay on August 11, 2004, at 10:01:02
In reply to a family member got a Gastro by-pass, posted by Jai Narayan on August 11, 2004, at 8:44:50
Hi...it's great to hear a positive story. I just am very unsure...I don't think I can take the health risk and scare. See I used to (still kinda do, too) have an eating disorder. It's just so uncommon for us males (atleast in the public eye), nobody put it together. I had anorexia and bulimia, binged and purged, and at 6 feet tall, got myself down to a scrawny 135-140 lbs. (I have a big frame too...and bones and ribs where sticking out everywhere!)
So there is the hard part...choosing mental health over physical health. I am searching *really* hard, though, and yes I will post any poitive results.
Thanks.....:-)
Jay
Posted by Jai Narayan on August 11, 2004, at 21:45:42
In reply to Re: a family member got a Gastro by-pass » Jai Narayan, posted by jay on August 11, 2004, at 10:01:02
My sister has anorexia and bulimia. She was like that all her life off and on.
Her daughter has the gastric bypass. She also had a tummy tuck and a boob job. Surgery galore. She is living it up right now. I have never seen her so happy.
body body body....A nice body can make some people real happy. I've never had a really nice body. I like my body but it's never been really knock out...ya know what I mean?
I like that it works and I stay healthy. But I think I will always be on a diet. Oh well.
It's so easy for her with this gastric bypass....I must say I have been tempted to do what she has done but you have to be way overweight for the operation. At least 100 lbs over your normal weight. I am only 20 lbs over weight. That almost sounds like nothing. 20 is 20 is 20. I still have a hard time losing.
You are not alone with this issue.
This is the end of the thread.
Psycho-Babble Social | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.