Why do you gain weight with antidepressants and mood stabilizers?
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- Опубликовано: 23 июл 2019
- Why do you gain weight with antidepressants and mood stabilizers?
In this video I discuss two way. One way is by blocking histamine 1 receptors. We usually think of histamine as something that is associated with allergies and your immune response. If you’re exposed to something your body is sensitive to, you get a histamine response that can look like itching, runny nose or even shortness of breath. And if you take an antihistamine like Benadryl, it slows the allergic reaction and you feel better. That's how it works from the neck down. Histamine acts differently in your brain. In certain parts of your brain, it’s responsible for wakefulness or your ability to be alert. That's why if you take an anti-histamine it may reduce your allergic reaction, but if it crosses the blood brain barrier, it can also make you sleepy because it's blocking histamine’s stimulating effect in your brain. There are four histamine receptors, I’m going to talk about H1 receptors.
A second mechanism is blocking the 5HT 2c receptors. This is just a type of serotonin receptor. It’s been shown in mice that if you activate their 5HT2c receptors, they lose weight because they eat less. And if you block the receptor they became obese. Many of the newer antipsychotic medications block this receptor. Of all the antipsychotic medications, the worst offenders when it comes to weight gain are olanzapine, clozapine and quetiapine. And all three of these medications block 5HT2c.
In this video I also discuss what you can do to offset the weight gain.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. If you don’t want to miss a video, click here to subscribe. goo.gl/DFfT33
References
He M, Deng C, Huang XF. The role of hypothalamic H1 receptor antagonism in antipsychotic-induced weight gain. CNS Drugs. 2013;27(6):423-434.
Nikhil Nihalani, Thomas L. Schwartz, Umar A. Siddiqui, and James L. Megna, “Weight Gain, Obesity, and Psychotropic Prescribing,” Journal of Obesity, vol. 2011, Article ID 893629, 9 pages, 2011
Halford JC1, Harrold JA. 5-HT(2C) Receptor agonists and the control of appetite. Handbook Exp Pharmacol. 2012;(209):349-56.
Dayabandara M, Hanwella R, Ratnatunga S, Seneviratne S, Suraweera C, de Silva VA. Antipsychotic-associated weight gain: management strategies and impact on treatment adherence. Neuropsychiatr Dis Treat. 2017;13:2231-2241.
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
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The worst part is that doctors don't bother telling you about this side effect and then act like you're crazy when you bring it up. Rapid weight gain makes me depressed and ruins my self-esteem, is that not important to consider when treating my mental health?!?!
Often male doctors do not listen to female patients many meds can cause weight gain even with healthy diet and exercise so if Dr tells you u are just eating too much or not exercising enough. Change doctors
@@catnip4587 I'm a female and had both male and female psychiatrists. No difference, same awful treatment.
@@chihuahuakween2085 I’m sorry
my doc said its not because of the meds but because I'm not moving around enough when I have a depression... suuuuree because I wasnt skinny AND depressed before I got my meds lmao
thats one of many reasons why I try to get around without them. Im lucky because my weight bounced back, but some people struggle with their weight gain for years after dropping said medications
It sends me into existential crises
I put on and thankfully take off weight really easy. Gained 40 lbs on Celexa in 6 months. The weight alone will drive you further into depression.
I’ve been on it two years gained 40lbs
YES- I had a psychiatrist for years whose answer was always more of the same medication which was causing it, too. AND she knew I had a history of anorexia. She was such a bitch.
Erin Thesystem this is why I don’t want to get on antidepressants 🙃 I just can’t handle my weight issues already
curvyquill I see what your saying but I know myself and how I will perceive the weight gain. Honestly I already have eating disorders and I don’t need anything that would make me hurt myself more. I’m trying vitamins and natural remedies and therapy before taking that route
@@elainelouve I agree being happy would be worth gaining weight to me , but cant believe any medication would help me with my social anxiety I tried them before they didnt really do much for my anxiety and had other side affects that were a bit annoying so stopped it quickly but could put up with some annoying side effects if it actually worked
I was “skinny” my whole life and I’m not even joking, the only thing that changed with me was taking these meds at 19 for depression, bipolar, ptsd ect. and I gained 30lbs in less than 6 months… it was actually crazy and I got soooo insecure. I roughly lost 15lbs and I’m still trying to work on losing it 🙂
Same here... I was always thin, arround 55 kilo. Then had to take antipsychotics and gained 30 kilo. Now I am on 66 kilo but that's still not healthy weight... I am with my dieetist working to weight around 60 kilo next year.
ditto, people used to think i was anorexic (i wasnt) i was so skinny, then put on meds at 19 that made me put on 40 KILOGRAMS (88lbs) in 2 years. now im losing a bit because 13 years later they decided to (finally) put me on a weight loss pill after realising someone who is depressed cant just go the gym, exercise and eat healthily with the snap of a finger.
You're getting there. BTW I think you're absolutely stunning judging by your profile picture and I'm being sincere 😍 hope it all works out for you.
This is my story, I’ve been fit/ skinny my entire life, was prescribed antipsychotics for bipolar disorder last year after a mental break down, I went from 140 to 185~ lbs in a month. Since then, I’ve only lost about 10 lbs and my appetite is so little to where I barely eat, it makes me so mad
Can anyone give me tips on how they lost weight:)
My doctor didn’t tell me about it. Just watched me getting fat and even more depressed. One of the reasons I mistrust doctors.
Same :/ and they blame you for it
They want those kickbacks.
Most just don't really have the same knowledge this doctor has.
Well, the medication comes with a warning and possible side effects printed with it provided from the pharmacy. I'd say you should read more into whatever medication you are taking.
@@tatithe609 Good advice. Especially if "Dr. Drug-pusher" won't reveal the truth.
Skinny all my life...until I entered the realm of SSRIs.
I never gained wait on em
Same
Skinny people notice weight gain. Fat people won't notice the difference, because they're already fat.
Same. And at the same time, non-sedating antihistamines were released, so I got a double whammy.
Same
What is really messed up is that every single doc who prescribed these meds just says, "oh, just eat healthy, walk, you won't gain weight", that is such a load of crap. It’s dishonest, inexcusable, and inadmissible. And stupid people who vomit thought-terminating clichés and say to just think positive, are equally stupid. Depression doesn’t go away with exercise or positive thinking or a healthy diet. Don’t confuse normal sadness with depression.
So, a depressed person needs these meds, but then they put so much weight on that they start becoming depressed over their weight. And doctors are dismissive and ignorant.
But did it help with your mood?
@@kennyhumble3699 not much
@@lil18thletterking77 well damn! And thank you for answering my question!
@@kennyhumble3699 yea I don't think scientists approach depression appropriately..they have this obsession with this or that neurotransmitters..but depression isn't about 1 single chemical its a malfunctioning of your entire nervous system..the only way to fix that is for new cells to form; neurogenesis. I think mushrooms should be studied for that purpose..ssris only keep you dependent..imho
It's not about genetics and brain chems at all that's the point and that's why it's not working for nobody. Only makes you dull and you forget what your problem is at least for a while at the surface. Bullshit when they prescribe you poison just to prove a point when there is non. Depression is a signal of the soul and not of the body and nor a simple "malfunction" but explain that to somebody who is into science so much that they disregard the idea even of something which is unreachable and out of possibility to explain like the spirit in itself
My opinion
I was skinny and underweight. Then they put me on mood stabilizers (plural). Now, I'm about 200lbs and probably going to be pre-diabetic soon. Isn't life just wonderful! 😏
When did u start gaining weight ?
This explains A LOT. I reduced my eating to one meal per day, almost completely cut off any sugary drinks, etc. but would still gain weight, even though I thought that I was putting less in that my body was releasing out. But it's indeed true my body temperature rarely goes above 36.1, usually hovers in mid or high 35. Now it all makes sense.
Why aren’t doctors honest and up front with patients about weight gain - if you’re already depressed you only get worse ? Thank you for information
I think it's because they don't want to induce a nocebo effect: getting side effects on something just because you knew it was possible, because your brain just just weird like that. But I agree when my doctor's just omit important side effects it's really annoying as the patient
Yes. I gained 20 pounds because of these BS pills from the doc .... wtf.
They also don’t tell you that it makes hormonal birth control less effective. Went years on both meds without my psych or my OBGYN telling me this.
Dr's only know what pharma tells them about the medications.
@@rexbeavers6746 Statistically Psychiatrists earn more than surgeons and are guilty of the most fraud . They don’t provide therapy. An average visit is no more than 15 most minutes for a med check . As long as you’re not having adverse reaction they just write prescriptions and you’re done
I've never seen a video that addresses the weight gain aspect of MH meds like this. THANK YOU! It's long overdue and so helpful!
You’re welcome Debra!
Same here. In fact all the medical professionals I've dealt with insist that antidepressants do not cause weight gain. I'm like, I beg to differ!
@@DrTraceyMarks great video; do benzodiazepines do so as well?
@@josephjude1290 No, not so much.
Debra McElroy I concur
You’re certainly right about Paxil. It made me sooooo hungry. I went from eating like a bird to cleaning my plate and wanting dessert. It also made me want to eat when I wasn’t hungry. I’d wake up in the middle of the night and want to stuff my face with potato chips. Bottom line is I gained a lot of weight, totally lost my libido and felt like a zombie. Ugh.
paxil made me suicidal
hey, sorry for such a late question, but how soon after starting treatment do you think the symptoms developed? Because I've been taking paroxetine for a little over a month now and I'm experiencing the opposite - I don't get hungry at all and I have to force myself to eat. I've lost 4 kgs in the last two months and I'm really afraid of gaining weight.
@@iloklok42 I truly don’t remember. Medication affects everyone differently, though. If you are worried about your particular side-effects, you should definitely discuss it with your doctor. I’ve found some drugs totally intolerable, but other times I have to weigh the pros and cons of the medication.
Explains why my fat ass dad is so lazy. Takes paxil and lives off the couch and fast food.
i was on paxil
This video and the comments are so helpful!! I’ve been saved by antidepressants but I’ve gained 17kg (~35 lbs) which is so hard on my mental health and joints. I’ve never had so much trouble losing weight in my life, and was being super hard on myself. After watching this, I can relax a bit. Thank you!
I got put on Lexapro six months ago. I was already overweight and aware that it could potentially cause weight-gain.
That being said, once my mental health began to improve, I was able to make healthy lifestyle changes. I’ve lost 43lbs in 5 months so far.
How was lexapro for you? I just started today.
@@boredom4me877 Totally life-changing for me. I had some unpleasant nausea and other side-effects in the beginning but I’m so glad I stuck it out.
It’s had a huge impact on my anxiety. I used to get really agitated and flighty. When I’m in stressful situations now I can sort of “hear” my anxiety’s voice but the volume is turned way down and I can brush off things that would have ruined my day before.
As for depression, I am a genuinely happy human being 95% of the time now. I have the motivation to do things that used to feel impossible, and I am actually enjoying life again. My days no longer bleed together. I am present.
I know that medications effect everyone differently but I sincerely hope you have a good experience with it. If you feel weird the first few weeks, stick it out. It’s worth it.
@@clairefutrell5089 Thank you so much for your response and advice! I am so glad it worked out for you that is an amazing result of hard work and perseverance. I am really dreaming of. hopfully this drug will help me out, I am really worried about the side effects (the emotional ones).
@@sashatasha9725 Lexapro is the least likely one. Eat tons of protein
@@sashatasha9725 take metformin, and dandelion root for water retention, cut out carbs and develop a strict work out program. If that fails and the med is working for your mood butyou’re gaining weight go on ozempic.
first admission i came across. pychiatrists i came across deny any side effects all together. thank you for your honesty
bob bobson same agreed. Everyone says just take it it’ll do its job, but never explain side effects properly.
You’re welcome Bob.😊
This is soooo true! I saw a psychiatrist that put me on abilify adjunctive therapy with cymbalta for major depression. I gained major weight very quickly, and am now 55 pounds over my starting weight (which was in normal range) even though I've been off the med for a year now (and have lost about 10 pounds since). He always denied that the weight gain had anything to do with the abilify even though when I was on cymbalta alone, my weight was stable. The lack of validation, and frankly respect, made me give up on psychiatrists altogether for a long time. It was especially horrible because I have other serious medical problems that make weight gain dangerous for my health. I am now, finally, seeing another psychiatrist. He seems to take me seriously, and thinks I might have Bipolar 2. We'll see how things go with this one... It's hard to keep hoping.
@@kimsullivan I am sorry you had that experience keep sharing what happened to you so others can learn from what you went through.
I think this happened to me with Citalopram. I was told weight gain is not a side effect but gained 60 pounds in a short period of time. It did help reduce anxiety though, but I felt like I didn't care much about things.
Yea I gained an enormous amount of weight after being forced to take mood stabilizers, antidepressants and antipsychotics. After I stopped taking them, I was still gaining weight. A year or two after not taking any, my weight started to go back down. I wasnt eating the best. But not that different from how I eat now. I can eat anything and maintain a reasonable weight now. I'd rather be mentally Ill than be fat like that from medication.
yeah me too
Same. But my behavior has turned destructive so I have to take the meds and be fat :(. I'm trying though different ways to lose weight. Low calorie, high protein, small eating window and exercise through the pain
Thank you for validating us. Internet and doctors and only says “you gain weight because you’re hungrier” and “you only gain a few pounds.” I weighed 110 lbs when starting Zoloft at age 26…. 10 years later im 160 lbs. And when I went off Zoloft in short term stretches I went back to my original weight. Every time I try to go down or go off of it, anxiety creeps back in. I’m thankful for the medicine but the side effects are a struggle.
This comment gives me so much hope 🥺 I was put on Zoloft about two years ago, I was weighing in at about 118 lbs and now I’m up to 160 as well and can’t lose the weight like I used to before Zoloft. I’m just terrified of trying to come off of it because of my anxiety, depression, and crazy mood swings :/
I’m never thankful for the medicine. I’m coming off them now, and have lost quite some weight.
Try ozempic together with the Zoloft. It should keep the weight off.
Yup. It’s the medical gaslighting that I absolutely hate. If I had listened to some of my docs I’d be dead by now.
So we re depressed, take anti depressants, gain weight and get even more depressed. Friggin great. At least anxiety keeps me thin
Later edit: it s hilarious to me how much controversy my comment caused. It was a joke, in case you didnt get it. Sorry if it offended you. Mental health is serious and you should get help, obv.
anxiety is my cardio
Try anafranil no gain weight at all and it helped me a lot
Right?!
No way don't look at it that way. Anxiety will damage your heart in the long run
keeps you thin while you destroy your life around you and walk the path to a heart attack.
I’ve been asking doctors this very question for over a decade. Finally, a straight answer. Thank you so much!
You’re welcome 😊
The state of our medical care is alarming.
Most psychiatrists don't like to talk about or acknowledge this issue!. They seem to think developing "Metabolic Syndrome" and subsequently becoming diabetic is an acceptable trade-off to being insane. They seem to think that just eating less and exercising more is enough to counteract the drugs side effects. It's no wonder then that studies have shown that people with severe mental illness like Schizophrenia, Schizoaffective Disorder and Bipolar Disorder have a life expectancy of 15-20 years less than the general population!
@@sheilamiller7659 You are so right; each doctor gets monetary richer when prescribing these so called meds to all.
when I mentioned to my doctor my that my appetite had returned to ‘normal’, & that I had been hungry the whole time I had been on the meds, she said ‘that’s new, I have never heard that before’. 😮 I had been hungry constantly. It was not me, it was a side effect of the meds.
Thank you so much for this! I was put on anti-depressants and gained 35 pounds. I told my doctor and she blamed it on my diet. I started to keep a food diary and the next doctors visit I still gained weight even though I was eating less. Now I’m on a different medication but it’s still hard to lose weight and it’s made me feel insecure 😕 But I’m so glad that I was right!!
What anti-depressant were you on?
@@ginasalazar8090 i was on citolapram but now I’m on sertraline. It’s strange my doctor didn’t really believe me, bc on the list of side effects it said weight gain was one of them
During my anti depressant taking I experienced this side effect as well, and even though it'd been my most active period in terms of working out, it literally changed nothing in terms of body fat in my body.
Yet, one month after quiting the anti depressants, and through whole last year I've "returned" to my natural skinny state, despite me literally giving up on workout entirely.
So this side effect weight gain was so strong, that even intense workout couldn't have outdone it. While simply knocking it off entirely made all the difference.
I feel your pain. When it comes to SSRIs I eat Sertraline. But the worst offender of my medications must be the Pregabalin (gaba) that I take for my anxiety. Holy moly how my appetite and weight has been going up since I started Pregabalin.. I've gained like.. 30-40 kg. I feel absolutely awful with my body now..
The only medication that I don't dislike is Bupropion (NDRI), which has given me a bit more energy and a little bit of my libido back..
@@elin_ I agree it is the only medication I will take
This is the very first time in my 40+ years I have listened to a doctor that actually explained the weight gain and made it make sense. Thank you
People who are depressed don’t feel like working out they don’t have the energy or motivation and the drugs you give them makes them sluggish
Wellbutrin is pretty good at increasing motivation and giving people energy. Everyone’s different though so it’s not a guarantee.
I took Zoloft for several years, and now have taken Effexor for even longer. Major lack of energy and overall weight gain over 50 lbs. I may ask my doc about Wellbutrin.
Dr. Tracey Marks I’ve taken many antidepressants over the years with pretty nondescript results across the board, none standing out as good or bad. But with Wellbutrin I was absolutely despondent, no change in life circumstances, it was the medicine. I often hear that it helps with motivation so it’s frustrating that I had such a bad reaction with it. Nearly 20 years and I’m still going through the trial and error process with meds.
@@iwillstom try something out of russia...no side effects
I'm allergic to wellbutrin broke out in horrible rash.
I've been really depressed about my weight gain. I'm a breast cancer survivor. Got really depressed after I finished radiation. Found an excellent therapist- who saved my life. But I've gained 32 pounds since taking antidepressants! I've always been thin till now. This video and the comments are helping me get back my self esteem.
Please give me details about your therapist
I always made clear to my doctors that, besides borderline and depression, I've always struggled with ED. They wouldn't bothered to tell me the side effects of the antipsychotics and mood stabilizers till I showed up with overweight and completely destroyed, only then realizing that no, I wasn't eating that much to look like that.
this is my story to:(
@@sabasial4402 I'm really sorry to hear that :( But look, just when I posted my comment here, I had a serious conversation about this with my doctor. He agreed that my weight gain wasn't normal, took the quetiapine away and gave me something to control the b*nge eating disorder. And of course, I started going to gym, which was complicated at first but now I like it. Since then I've lost 12kg! I truly hope you can talk to your doctor about this, and maybe he can offer you some alternatives like mine did. Wish you the best, take care!
My SSRIs gave me a binge eating disorder for like 9 months and I feel out of control.
@@gabibraga5743 what did he give you? I'm 4 months cold turkey off of the seroquel. Lost all the weight but the anxiety is really bad. I can't stop shaking and panic is bad. I don't believe in antidepressants but this is awful.
I'm. Actually shocked I got given this when I told them I'm a binge eater. I crave sugar like a crack addict.
If all ssri drugs cause weight gain, I'd rather have anxiety. Because being fat is hard and just as bad for your body.
I love when psychs dont deny this or say "iTs vErY rAre"
Im so strongly repulsed when they do, run for my fng life
It's rare means they don't want to deal with it when it's right in front of them.
My friend’s daughter was on an anti-depressant. Don’t know which one. Anyway, she said she was still depressed and she kept gaining weight on it. Her sugar levels kept rising too. One day the doc said she was borderline type 2 diabetic. Her sugar levels were normal before, but not after the meds. Long story short, she got off the anti-depressant, was then able to lose the weight, and her sugar went back to normal.
Need my anti depressant
Glad she went back to normal.
Same happened to me.
I would love to gain weight
I have been skinny my whole damn life it sucks
Same. Doctors told me I was becoming unhealthy. Damn...I wonder why...
These videos help so much. Thank you for taking the time to explain important aspects of mental health (particularly bipolar disorder) that our doctors don't have the time or interest to do.
I exercise and tried diets but I only ended up gaining weight at best maintaining it. As someone who is super conscious about BMI, it was frustrating for me because i knew i was doing something and not being lazy, turns out it's the meds. Understanding this helps me becoming more forgiving to myself, understanding the things I can and cannot control. More power dr. tracy!
Every physician I’ve EVER had say medication cannot not make you gain weight. Thank you.
Technically they aren’t wrong... eating too much and not burning enough makes you gain weight but it’s very misleading they say that because they’re skipping over the fact all the reasons mentioned here. Honestly every doctor who’s tried to shut me up with antidepressants has said the same. Why I don’t take them.
they make you more hungry and can affect metabolism
Emma H you completely missed the point I was making.
@@harrietallen2040 i agree. Technically you are correct - they are not wrong. They just refuse to address the causes she addressed here and make people feel more crazy.
@@emmah3072 Yes they do - so frustrating.
Gaining weight makes you depressed. So taking SSRI meds against depression is like going in circles.
Not if you have serious depression. It sucks to be overweight but at least you can live decently
@@MaxOakland To me the weight gain from SSRI meds only made my depression heavier. No pun intended. Benzo's however "fixed" everything in a heartbeat but boy did they create havoc mentally and physically further down the road. Stay clear of chill pills.
Some SSRIs don’t block
5-HT2C abs histamine though. So don’t write it off.
@@MaxOakland Is rather be sad and skinny
Sadly i gained 23 kgs with depression treatments and i don't know what to do
So nice to hear someone admit this.
One great problem for me was that some drugs prevented me from exercising vigorously. I had exercised strenously for many years, but once on the drugs I just couldn't, my body no longer responded and I fell into worse and worse athletic shape. So not only did I gain weight, the standard remedy no longer worked.
I knew something wasn't right, but I couldn't get anyone to listen. Now they generally admit it, but still tend to be dismissive. I now weigh some 50-60 pounds more than before the drugs, which no one warned me about, and I often resent it.
The algorithms were supposed to direct me to this type thing years ago. Dr Marks where have you been all my life?? First visit here and subscribed in the first 60 seconds of this video! Clear, concise and informative! Thank you! 🌟
Thank you very helpful. That's such a huge problem because depression makes you fat and then the medication makes you fat and then having to diet and give up your favorite foods makes you more depressed and being fat makes you depressed and working out makes you have pain and exhaustion on top of depression also making you tired and painful. that's a really dangerous cycle for ppl that already feel hopeless and overwhelmed.
You’re right it’s a very complicated cycle.
@Robin Tiefel🙄🤔 no not at all
@Robin Tiefel a person can be sore for a number of reasons, not just because they're out of shape. I think exercise is beneficial to almost everyone though, although it doesn't always make much of a difference with severe depression once the temporary endorphin high wears off. I know of a number of ppl who feel worse after exercising because the very short endorphin 'hit' gives them a taste of feeling better, only to drop back into the severe depression a short time later. One guy I knew played competitive basketball, & by the time he would be back in his car after a game he would feel worse than ever because of the sudden mood change. My fiancé has military PTSD & feels immediately depressed if he works out. I myself have ME/CFS which is made worse by exercise. So I guess everyone's different, although of course for most ppl it's beneficial, for the body at least.
@Robin Tiefel when I became severely depressed at age 16 I was very physically fit & was doing about 3hrs exercise a day. Exercise made absolutely no difference to the depression. I'm not sure what the answer/s is for severe depression, although I agree that throwing medication after medication at patients is not good.
@49jubilee I'm not sure whst the last sentence of your comment means.
I had to stop taking mirtazapine. Holy smokes it was like you could never eat enough. Just a voracious endless appetite!
I had the same problem. I gained 25 pounds in 3 months. My best friend said I looked swollen. I was so uncomfortable.
horrible drug, i turned into a whale within weeks and had cravings for certain food, especially bananas. I swear it took at least 3yrs to get all the motivation I lost while i was on it back. its a very difficult drug to come off of.
I compensated by throwing up all my food. So, the bipolar was ok but here comes bulimia!
Jay B oh Jesus that’s kinda scary
Just damn!
This was IMMENSELY helpful. I’m on lamotrigine, lithium, and gabapentin, and I already need to lose weight. I’m glad that there are things that I can consciously do to avoid weight gain on these meds.
Omg thank you! As I told a friend I am always hungry and never full. Now my suspicions are confirmed as to why. For me with a 30 year history of very severe depression all I can say is with my meds I am still alive. Without them I wouldn't be so pass me the cake I don't have to feel quite so guilty anymore.
I nearly doubled my body weight in one year’s time. My psychiatrist documented my weight during each of our appointments. He didn’t offer any advice or adjust my meds... He didn’t even mention it until my BMI was in the “obese” range.
Darleen Shannon I gained 100 pounds on Latuda and almost developed an eating disorder
I'm 70 pounds overweight and my doctor never tells me anything about being overweight.
Did you ever lose the weight? how so if so?
@@joeslacker1020 I can't speak for her, but I was on Lexapro for 5 years and gained about 50-60 pounds. My psychiatrist didn't say anything about weight gain being a potential side effect. I took myself off medication, started working out and dropped all that weight in a year. My family runs lean so I knew something was wrong. I'm not saying I regret taking Lexapro, but yeah, SSRI's do have their side effects and yes, you can drop the weight. (Not sure how easy it is whilst on medication though.)
@@Theflyingviener My whole picture of health was far further complicated than just the medicines, I have a few different disorders/viruses along with inflammation in my brain from a mold allergy made worse by concussions causing it to be metabolically inactive. It might not have even been all the medicine but I do know as soon as that started it definitely caused a metric fuck ton of weight gain.
Either way I'm pretty darn lean now.
Went from 240 at my highest or 220 usually to 160 or so, 5 foot 9 . 5 inch tall. So around 80 lbs!
Whomever reads this there is hope after all just keep plugging away ,, if there is a will there is a way!
I don't like that even weight neutral medication can actually cause modest weight gain . As someone with a history of ED weight gain is an absolute deal breaker and I'd be too scared and distrustful to take anything ever .
celestialcircledance same.. I’m starting my antidepressants tomorrow and I’m so scared I’m gonna gain weight. I just reached my body goal and I’ve had ED in the past I don’t want it to come back
I still have an ED. But I take them since 5 days. I already but on 1 pound😔
I agree.
I took paroxetine (the one with the biggest weight gain alert 🤬 didnt know that...) for 3 or 4 years because of depression AND ED! I gained 40kg. Then I stopped taking them and could finally lose 25 kg.
But there are still 7 to go. I would never ever take antidepressants again.
I have an ED too and finally have peace from depression for the first time in my life with Zoloft. I am not exaggerating. As much weight as I gained (hard to say if the med was the only cause since a lot of other things went on that contributed at the same time) i would never go back. I'd gain 100 lbs. from where I am now and sacrifice a limb if it meant maintaining this peace of mind and manageable levels of anxiety I have been given. Zoloft saved my life.
Please give yourself a chance. Depression is so much worse than being overweight. You don't even know how miserable you are until the constant feelings of despair are lifted.
I work out, run, and eat healthy and I used to be able to drop weight soo quickly. I didn't even realize the meds were keeping my weight on. Thank you for this
I love the fact that you're promoting muscle gain as something beneficial (which it is) as opposed to most people think it's only for meat heads. Great video
What's terrible is my wife is so depressed, she weighs 260 when she should weigh 130. She's on mirtazapine and Seroquel and other anti-cholonergic medicines. She has to take these medicines for Schizo-effective. But now she's so depressed and in so much pain, she doesn't want to live. Thank you for this light. Thank you So much.
I hope your wife gets better, i have come off an SSRI 5 months ago and lost 10 kg
I'm on a mood stabilizer and I weigh more now than I EVER HAVE
🙁
Me too
I do too, but I’d rather take my medication than to suffer
Me too
Same
Thank you for actually saying we gain weight. I have been dismissed by so many doctors. I’m lowering my meds with the hope to come off soon, the weight gain is just getting too much now.
In a span of 4 months i gained 25 kgs.
From 80 kg to 105.
Its been 2 years yet I didn’t lose a gram.
Even with all the diet and workouts.
Treatment for PTSD.
I was cured from ptsd because the weight gain itself gave me trauma.
Thank you for keeping your videos with a plain background! I have ADHD and it’s so helpful!!
Hope this channel gets the recognition it deserves. The topics you talk about and the way you deliver your explanations is quite intriguing. Good luck :)
Thank you for speaking on this: I absolutely hate my body and it’s very difficult to continue my much needed treatment because I hate how I look now. I always felt good about myself and it’s as if I’ve added something new to keep me down when I’m already struggling enough as it is.
I don’t even overeat. I barely eat at all! My diet isn’t too bad, it never has been and still I’ve gained so much and it seems like I can’t do anything to keep it off.
same
Me too!! These comments are just a giant horror story!
Same 🥺🥺
I was simply hungry the whole time I was on such medication. I thought it was me. Since tapering off, my hunger levels have returned to what I imagine is a ‘normal’ level, & food is not constantly on my mind. A huge relief. I still have the excess weight to contend with....the meds had done what they needed to do thankfully, & I was able to taper off. Good Luck with your health journey
Same here , I know I am about 20-30 pounds over what I would be if I didn’t take these medications. I am active , my diet is decent ( well balance), yet after I started taking these medications I gained .
I just found this I can't thank you enough for addressing theses issues. I have RA and can't workout but the other meds like the ones your talking about have increased my weight by 20+ in the past year. I hope to find some answers through your edu vids.
I cannot thank you enough for this video. I have been searching for answers for YEARS!
Not only do you provide answers you do it so well. I think I'm going to cry. Thank you thank you thank you!
Perfect explainations and a great presentation.
Thank you Dr. Tracey Marks. You're our
'modern medicine-woman' 😁
Lol. I like that 😃
I used to look so nice before I gained all this weight. I'm so tired of people calling me fat and doctors telling me to lose weight. I'm like it's your fault I'm this big.
Switch medication. If I started gaining weight I’d come off it ASAP.
He didn't know, that's the thing. Doctors should let their patient know!
@@wulfsorenson8859 I went off it and the weight stayed and even got worse.
THIS EXACTLY!!!! I looked just great before I took Effexor. Now I'm 80 pounds overweight and doctors look down on me and tell me to lose weight and it's their fault, they did this to me! I'm so angry. I no longer follow doctors orders without doing my own research.
I’ve watched so many of your videos. You make all the information clear and comfort me with your credibility! Queen!
I have learned more in this video than I have going to the VA for over 20 years. My doctors don't explain none of this too me
side effects r written in description to the drug
I am always so impressed with the way you present relevant information.
My weight has yo-yo’ed most of my life and I’ve also been depressed with anxiety most of my life. Now that I’m medicated, I’ve lost weight. I think it’s because I used to binge eat as a coping mechanism. Finding the right medication for you is key
You have literally answered so many questions for me. I appreciate you taking time to do these videos
This was interesting, but didn't address people like me. I'm not depressed, I was put on Prozac because I have trouble sleeping. I ended up gaining 60 pounds - 125 to 185. I was already working out hard at the gym and had excellent eating habits, nothing changed when I went on the drug, just tons of weight gain. Not everyone over-eats and gains weight, sometimes it's all caused by the medication. Cutting back on food seemed to make the weight gain worse.
I came off hormonal contraception and gained 30kgs. Was told by a doctor that I must have significantly increased my food intake and decreased my activity levels. Neither of those things happened. Over 10 years later I meet a doctor that tells me that yes, the pill can suppress weight gain (I was put on it quite young too because of hormonal issues). We are told that if we lose or gain weight suddenly we should seek medical advice because something could be very wrong but when it comes to weight gain, doctors simply don't care.
So you were working out while on SSRIs? Did you manage to turn it into muscle or was a lot of it fat? I’m in the same position right now. I go to the gym while on SSRIs but I’m noticing weight gain, which is what I want, but I want to be sure I can turn this into muscle.
I would diffenetely get off the Prozac. There are other meds or natural means of addressing sleep issues that don't have that kind of side-effect!
@@gloriamaryhaywood2217 I've been off it for years. The doctor was just lazy and preferred to prescribe medication instead of suggesting changing sleeping habits, trying melatonin, etc. I was naive enough to take the pills without asking questions because, you know, doctors know best. I won't make that mistake again.
@@HarrisonAtherton no way it's a health weight gain and turned into muscle.
I feel so great on Lexapro, I started running and thus lost weight.
Aw, I love that. I hope it's just up and up for you from here on out!
Thanks for this. Iam on this medication too
Hmm.. I’ve been on lexapro for about a year now and it works the other way round for me. I loose weight instead. The nausea is unbearable and I’m too tired to eat anything. I’m always surprised when I see others on lexapro gaining weight.. wow.
@@nn-23 hey, thanks for your comment... How many "mg" are having? Sorry for my English and thanks !
@@faizak1299 20mg
Thank you so much for explaining this. It doesn't make me confident I can lose the weight but at least I understand what is going on and helped me decide against surgery.
Honestly, this is the most professional channel on RUclips.
She is a consummate communicator.
Oh my gosh....a million thank you’s! I understand the weight gain from my meds now.
Too bad psych Dr’s I’ve seen don’t care about weight gain.
I stopped bipolar meds for this reason. I have felt that it was my fault though for being weak!
Thank you for your wonderful videos ❤️
You're welcome Lisa. So glad you understand now
So what happened when you stopped? How did you stop? Did it come back? Please, reply.
I have bipolar 2, and am on quetiapine, and I gained 103 lbs in 8 years. I cannot begin to tell you how that has affected my self esteem. I am so glad that someone is presenting scientific reasons for what I have been claiming for years. When I first started taking quetiapine, in about 45 minutes I would enter a hazy state, and would find myself wandering into the kitchen and eating whatever I could get my hands on. I had, and still have intense cravings for carbs and sugars, and never really feel satiated when I eat a normal portion. The only way I have been able to start losing weight is with the ketogenic diet. I've lost 30 lbs so far. It kills the physical hunger, but I still have the mental cravings, and have fallen off keto more than once, so losing weight has been slow, but I guess it's better than not at all. I don't want to take any medications to make me lose weight. I just don't want any more drugs in my system. I actually feel really good on the keto diet, and plan to stick with it for the long term, and maybe even be able to reduce some of my meds.
Thank you for making this video. ♥ I am just newly diagnosed with Bipolar 2 disorder and have only taken meds in the past three days but I read there were side effects of weight gain so I'm, getting ready to prepare myself to non-medicated lifestyle changes to keep myself from gaining more. I'm already heavy enough as it is. LOL. I really appreciate the clarity of your explanation.
I'm better equally to have a meaningful conversation with my care provider. Thanks so much for making this complex topic easy to understand. Kudos!
Thank you so much, I needed to hear this. My psychiatrist is so insensitive when it comes to my weight gain and so are my close ones. Hearing you explain this is such a big relief.
Psychiatrist and ALL the doctors are just pill pushing pricks. They get checks from Big Pharma from prescribing this shit, and then, they ignore our questions and concerns, because they feel they are “intellectually superior” and they “know better”.
@@KALMA26 That's why I stopped saying anything to my parents or Dr. Drug-pusher. When you're autistic, your feelings don't matter.
This whole time I’ve been trying to fight the fact I lost over 80lbs to get back to my athletic self to gain 50lbs back and forth. This really helped I’ve been racking my brain near crazy so it took less than a year with Paxil to undo my exterior work that took a year and half. And it may not be fully my fault thank you.
It explains why many people are overweight. I bet a lot more folks take these medicines than we realize. I myself was skinny all my life until I started taking this stuff. Yet I need it. Without it I’m a mess. Debilitating panic attacks. There has got to be a way to treat such things without turning into a butterball.
Dr. Marks, this was a much needed video! So informative and easy to follow. Many thanks!
THANK YOU ever so much for such an informative video. I was diagnosed with Bipolar 1 at age 45 after a terrible tragedy. I went from 150
Lbs to 175 and then 200 lbs. within about 5 months. EXTREMELY DEPRESSING,!!!
I gained 20 pounds after taking anti-depressants but it was worth it. I'd rather be a little chubby and happy than feel like crap in a hot body.
Same here
💗💗💗💗💗
i've been on Klonopin long-term, and it gave me my life back. Without it, i wouldn't be able to sleep, eat, or go to school or work because i'd be having panic attacks 24/7. it's truly the best for anxiety, and i've tried countless other medications throughout my lifetime including medications in the same category (Valium, Xanax, Ativan). I keep my dose low and skip days or take half pills sometimes to prevent tolerance from building. (i used to be on a high dose, and it caused really bad rebound anxiety, so i had to wean myself to a lower dose). it's probably best if you use it sparingly like 2-3 days a week. you need to find a doctor who is understanding of your situation. i don't care if i'm dependent on it for the rest of my life because it allows me to have a very good quality of life that other medications do not. i don't drink alcohol anymore either because i'm no longer anxious to the point where i'd want alcohol. i know this is an unpopular opinion and probably not like others' experiences, but that's what my experience has been
Me too
@@richard_from_england333 - what dosage and what were you taking?
I'm so glad I found your channel. I'm Bp1 with PTSD and I want to be as educated as possible before making a med decision. Having things broken down like this makes it easier. Also being Black and a Veteran alot of times causes biases with prescribers. I appreciate this.
Im.glad you found my channel too! I have a medication information playlists that may have some videos you’re interested in ruclips.net/p/PLazcP3-djRZ2j3Md3h3EARyJNX_0FIW5S
Here's my bipolar disorder Playlist ruclips.net/p/PLazcP3-djRZ0IoYFWgkl0_tFtBVqA3bu-
there for you mam...to serve and protect
Thank you for your services mam. God bless you.
I haven't lost much weight on buproprion. I also haven't gained excessive either. I also take BP meds which add weight.
Sometimes it feels like I'm the only one who's had positive feelings about the munchies and the weight gain. I'm on an antipsychotic and an antidepressant that both helped me put on some weight after years of being stick thin and having a terrible, post-ARFID appetite. I've gained around 30lbs and I honestly feel so much better with the added weight.
I literally gained 15lbs in a year, from my antidepressants. I’m glad she explains why.
Weirdly enough I actually dropped weight when I finally found the ssri that didn’t make me a zombie - I’d chalk that up to being because I actually had the mental energy to go and do physical exercise and actually enjoy it
Agreed
This is what i hope happens to me
Which one was it?
@@martinacaffrey4411 im on 20mg lexamil, been on it for a month now. Im. Droping. Weight fast because i lack appetite to eat but i need go to the gym again as i dont want to look skinny. And im basically eating so i dont die. 🙄
I thought it was just me. I’ve lost about 30 lbs since being on Zoloft(generic version).
I don't eat any more than I did before. And I still can't get the weight off
🙁
Im exactly the same!
@@DrTraceyMarks Good answer, Doc.
Maybe it slowed down ur metabolism the only way to lose and gain weight is calories in and calories out
ADs slow your metabolism down and mess with hormones. Even after discontinuation you might not be able to lose the extra weight because of how those meds permanently alter epigenetics.
Good luck.
This is one of the most validating videos I've ever seen lol. Ive found dieting doesn't really help much and I really stuck to it for 8 months vegiterian diet very few carbs no fast food everything made at home still gained had no idea what was wrong with me. On risperidone it was like anything I put into my body stayed. I changed to another one that isn't as bad but started exercise now hope to loose this time.
What a great video, Dr Marks! Thanks so much for clearing several things up for me. This was so helpful.
Thank you, thank you, THANK YOU for explaing this. ❤
Not once in over 30 years has a doctor explained any of this to me. They just say it may cause weight gain. They never say even though you watch your food intake and exercise, you can still gain.
It's just SO aggravatin' that the same Dr. that prescribes this medicine, on your next visit tells you that you need to work on losing weight...
You’re welcome Artistically Random. Now u know It’s not something you did or didn’t do
Your doctor sounds real obnoxious haha. I'd be frustrated too.
Strangely enough, I have lost some weight (though only some, about 17 lbs on the scale but about an 3 inches on my waist; and what's really bizarre is that recently I lost 1 and a half inches on my waist so much my clothes fit loose but no weight on the scale) on zyprexa and I get plenty of praise from my doctor for that and she always points to it as proof that you don't *have to* gain weight on zyprexa but I don't think she realizes how hard I had to work just to lose 17 freakin' pounds.
Sometimes I think (even though she's basically a nice person) that she's more concerned about the money than the well being of her patients. I don't think that about all doctors but some I do.
I had to work out about 150 minutes to for a while 12 hours a week, walk the dog 6 days a week an hour each day, eat fairly small amounts (for a while 800-1200), and, drink coffee on a regular basis. About 2-4 cups a day. Sometimes more.
And even though I have a somewhat slender waist, my weight is still pretty high (though not overweight) which is super frustrating. >:(
Yeah, my doctor blamed me too!!! He was telling me how I should just diet more, and that it had to do with "middle age". Boy, middle age sure made me suddenly gain weight - snark, snark. These experiences make it so difficult to trust psychiatrists again...
Was it a male psychiatrist? That's the problem.
Thank you for this video! I was diagnosed bipolar 1 about 2 years ago and promptly added lithium to the other antidepressants I was already taking. Since then I’ve gone through phases of working out and dieting like a maniac and then just eating how unusually would with little exercise. Regardless of this, I’ve gained around 50+ lbs since starting lithium, I feel like it’s so hard just to loose weight or maintain a healthy weight and it’s making me really depressed. Anywho, thanks for the video I don’t feel so crazy now, I’ll have to bring this up to my psych 👌🏼
It’s so counterintuitive to take medications to counteract the negative effects of medications. And then to expect to experience yet more negative effects of the counter active medication.
It’s okay to question the practicality of it all.
I really appreciate this video, it’s an honest look at the practice of psychiatry today. “All the drugs.”
This explains so, so much. I have adhd and PCOS, which already makes impulse control extra difficult and makes weight easier to put on and harder to lose. Knowing that my anxiety medication is possibly making weight loss even harder is frustrating, but helps me to focus on finding a solution instead of blaming myself. I can't take bupropion because I had a febrile seizure as an infant, but I'm hoping to find help from a nutritionist or psychiatrist who has experience with these extra complications.
My best "medicine" against weighr gain was my friends. The medicine made me inactive but my friends pushed me every day to do some kind of work out. I also changed my plates to smaller ones so I couldn't overfill them. I was feeling a bit hungry after finishing the meal but it was a bit different. A bit like regular and diet soda. Both are sweet but you taste the difference. I did get munchies so I never purchased junk or if I didn't resist, I'd had to walk to the furthest store and back to buy it. Didn't always work of course but I didn't gain much at all untillmy doc told me I didn't need the meds. Best day of my life and best choise I did was starting the treatment. It wasn't easy but the end result was totally worth it.
Needed this! Shocked by my sudden weight gain because of meds. Thanks doc. Really helpful.
You're welcome. 😊
Did you ever lose the weight? If so then howd you do it?
Thanks for such an informative video! I wish more psychiatrists were so honest and warned patients about the potential for weight gain.
They deliberately withhold info so you will take them
That explains my 50 lb weight gain!! Thank you for this information!!
This is such a great video. The facts, with room to decide what your actual options are depending on your needs and conditions.
Very interesting! As a psych nurse, I appreciate your videos so much!
Omg.... This explains a lot!! I thought I've been having thyroid problems because of the weight gain. I try to eat healthy and exercise by walking my dog and I'm still gaining weight. It didn't occur to me that my psych meds could be a factor! Thank you!
I'm so sorry to hear that. I now have high cholesterol, at a fairly young age. We shouldn't be punished with long term health consequences for seeking mental health. The medical community needs to acknowledge and address this.
@@sinsitysinderella790 ugh. I'm sorry that you're going through cholesterol issues too. And yeah, I sometimes think that psychiatrist just do trial and error without regard of the side effects and consequences.
You exercise by walking the dog? Really? Trying to eat healthy? What do you eat?
seriously thank you for this!
ive gained a lot of a short period of time after starting seroquel.
Ive never met a single doctor who accepted that. One of them diagnosed me with BED even though i never overate.
Still seroquel is like the first medication to always be suggested if you cant sleep
Super interesting! I have been feeling there is a strong connection between my mood and bouts of allergy. Thank you
I’m fat. Which makes my self esteem even more poor. Which makes me more depressed. Which makes me want to eat more.
That's where I am at the moment as well but I can't imagine a life without medication
The only line from an Austin Powers movie that ever made me laugh was from Fat Bastard, "I eat when I'm depressed, and I'm depressed when I eat. It's a vicious cycle."
I know that was played for laughs but Mike Myers knew who he was addressing and it just made me laugh at the situation in a way. Comedy hurts and it cures
Thank you for this video!! I've been on Quetiapine for about 7 years now. I definitely notice that I stay at a lower weight when I engage in resistance training works outs or I have a physically demanding job. I did get up to 225 when I switched to a more sedentary lifestyle. I've been nurturing a exercise habit (and focusing on better nutrition) for that past year and a half. I dropped about 45 lbs and have kept it off for a few months. I knew that the medication made me hungry but I didn't realize it altered my fullness cues. I will keep that in mind as I move forward.
Smart
I like the way of the doctor talks: Slow and good pronunciation. I'm Brazilian and this is a nice way to improve my English🙏🏽.
As always, many thanks for going into detail on the things our doctors don't tell us. :)
You’re welcome
Thank you and good evening Dr. Marks for this all to important information !
Im one of your newest subscribers.
Thank you for this information. I was skinny my whole life and couldn’t gain even one pound if I tried. Then I got lupus, depression and RA. I have to take paroxetine and gabapentin, plus I had a hysterectomy in 2012. My weight has crept up like you said. I now weighed 209 and it’s given me back problems. I would be happy to lose even 20 pounds. 😞
My whole life fell apart after taking abilify..30 lbs in one, I complained no dr says it isn't that, I was 115 lbs my whole life, until then, next month 20 more lbs. I refused to take it again. Couple months get autoimmune disease Ra, then kidney issues then heart problems...I am convinced the abilify changed the gene expression in my brain causing rapid weight gain inflammation then autoimmune etc. 3 years later I still cannot lose weight because the RA makes it hard to move and the HTN that followed has now caused a large aneurysm in my brain stem artery which they want to try to fix next week but I'm convinced it will be a fatal outcome. Abilfy killed me.
Yeah, and when I complained to the Dr and said something this is not normal weight gain, for anyone, she actually said there is only one way to gain weight, take in more calories than you burn off.
As I'm sure everyone reading this will agree that is a false statement and oversimplified explanation.
@@AprilReyn omg mine said the same
Hello. Thank you for another educative video. I'm a big fan I usually watch all your videos every Wednesday. I been on mood stabilizer and antipsychotic drugs for quite a long time and the questions has been answered. Thank you! Now it make sense why I gain 30lbs for the last 7 years. Although the effects of medicine outweighs the gain weight. We all know how important it is to take medicines on a daily basis. This has been an important issue for many patients thank you for making a video on this. ❤️💙💜 💕
You’re welcome!! Thanks for continuing to watch each Wednesday!
Did you ever lose the weight? if so then howd you do it?
Thanks for your incredibly accurate videos on mental illness, Dr Marks.
You’re welcome Phil. Thanks so much I appreciate it.
This is so helpful. I went on Paxil last August and I've gained 23 pounds since. I'm super active, but still gaining weight. I'm going to start tapering off this week because I can't deal with what it's done to my weight. I'm a fitness professional and this is unacceptable! Time to be natural again. My life circumstances that contributed to the anxiety and panic attacks to begin with have changed, so my prayer is that I can come off of this medication and go on to live a normal life!
I’m in the same exact boat as you were. I went on Paxil in May 2021 , it’s now December 2021, and to date I’ve gained 25 pounds. I’m tapering off pAxil and want to be natural once again. How did you end up? Did you lose the weight coming off and how long after you stopped did you start to lose ? Thanks !
@@JB-sj8sj I tapered in May and was totally off within 5 weeks. The tapering went well! But I'm still struggling getting the weight off. It's really frustrating!
Thank goodness!! This is exactly how I described it as blocking my bodies ability to know when I am full. I reduced my meds for a while and my appetite shrunk too. I went back up to full dose again and have to eat a lot more to feel satisfied. I even tracked my weight when first going on the meds and the first two months was significant weight gain then slow gain for the rest of the time but I was told but the nurse it wasn't the meds.
Thank you so much for this video! I was on Olanzapine and gained 20 pounds in a blink of an eye. Which i think made me feel worse. I’m now adjusting to Vraylar and hopefully I can find the will to shed the lbs via exercise and healthy eating, but those simple tasks are really hard at times. I wish my “care team” would’ve explained these meds like you did in this video. Thanks again! 🤗
Did you ever lose the weight? if so then howd you do it?
Same here! I gained 35 lbs in 3 months and I eat like a bird. I eat healthy but could exercise more (but I have back issues so it's hard). I am normally 115 and weigh 140 now (only 5'3"). I am stopping that med and just staying on my Lamictal for a mood stabilizer and one .5 Klonopin split into two doses as needed for anxiety/panic attacks which are disabling for me. I hope to lose the weight (so far strict dieting has done nothing which is unusual for me) very soon. I have read positive reviews for people once they stop taking it it just falls off on it's own (about half of it within three months) I sure hope so! I will still continue to watch my diet etc.
Holy hell it’s been such a screwed up year that I had completely forgotten about this side effect, thinking it was just the lockdown or increased drinking. I stopped drinking and still haven’t noticed much difference, and didn’t even think of this possibility until this video popped up on my recommended feed…