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WI1SON1's Photo WI1SON1 SparkPoints: (3)
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7/24/18 9:33 A

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I've been following an eating routine for about 6 months, without knowing there was a name or abbreviation (TRF). After I started working at home in 2015, I gained enough weight to put me at the most I've ever weighed in July 2017. By December, I'd lost 25 pounds and have maintained. For me, the biggie is not eating after dinner, or at least, not after 9 PM. I've lost my sweet tooth as I've aged, so my main culprits are savory/salty snacks. Oh, yeah -- and carbs. I gotta admit -- omitting bread, especially, and pasta seem to be significant (again, for me). I still may eat rice once or twice a week, and potatoes occasionally. This article at washingtonpost. com/national/health-science/timing-your-meals-may-help-with-weight-loss-thats-what-it-seems-to-do-in-mice/ has given me even more to think about. I hope more research shows that it works (for many). One additional element: after my work-at-home weight gain, I've added time/energy to my gym time, both cardio & weights, which not everyone can do if they're still working (poor souls!)

a stay-at-home person working with jetwriters.com and trying not to gain weight


 current weight: 78.0 
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URBANREDNEK Posts: 3,361
7/11/18 11:32 P

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Ok, DEFINITELY see about getting a second opinion --- or at least a full conversation with your doc reviewing all meds.

Topamax does have a known side-effect of weight loss at high doses for some people --- but it is also known to cause weight gain for some people, as well as has the potential to cause heart disruptions such as afib. It obviously isn't working for you as a weight-loss tool, so you really need to decide with your doc if it would be best to get off of it (and any other weight-loss med).

Ditalazem is known to cause fluid retention (edema) which will keep your weight up, as well as tiredness, so you do need to review all of your current symptoms with your doc to determine if this is still the right med for you.

As for weaning off of the Cialopram - good for you! That takes one of the "weight gain" causes out of the equation, and should hopefully leave you feeling a bit more energy. Please do make sure that you stay on top of the whole process and afterwards with your doc, though, in case you need to get back on to it or need to switch to something else.

Please DO discuss the sleep apnea and tiredness, and see about getting a sleep study done and likely getting a CPAP of your own. The difference it can make in quality of sleep and quality of life is immense --- not least of which is sufficient rest and oxygen for your body to change hormones and allow weight loss.

Finally - it sounds to me that a visit with a dietitian would definitely be very helpful. You should be losing at the calorie range that you are recording, which definitely indicates something else going on. A diet of 60% fruits is far too high in sugar, and too low in fats and proteins and other essential nutrients. I would suggest trying for something closer to the Spark recommended ratio of 30% fats (avocado, sesame, nuts, seeds, olive oil), with at least 20% protein (seeds and nuts, legumes, grains) and splitting the 50% of carbs as being far more vegetables than fruits (lots of leafy greens, cruciferous veggies, and keep an eye on the starchy veg). You might get some good inspiration from some of the recipes from low carb vegetarian / vegan bloggers - or even look for vegan keto.

Kudos for asking questions and being willing to do the work to take the best possible care of yourself. Please do let us know how the visit with the doctor(s) and dietitian go - and what suggestions you have for the next steps.

Sir Terry Pratchett:

"Science is not about building a body of known 'facts'. It is a method for asking awkward questions and subjecting them to a reality-check, thus avoiding the human tendency to believe whatever makes us feel good."


Starting weight: 258 lbs
Maintenance Range: 147-155 lbs


232 Maintenance Weeks
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DNDMATT's Photo DNDMATT Posts: 4
7/11/18 7:24 P

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Oh and I do track calories and steps. About 5k a day in steps, usually around 1600 calories. I’m 5’11” 230lb 28 year old male. About 33% body fat, and I eat about 60% fruit, 30 leafy greens, the rest is nuts and fats and stuff roughly. It does kinda change weekly but that’s an average.

DNDMATT's Photo DNDMATT Posts: 4
7/11/18 7:20 P

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So my doc said the pill I’m on is actually for migraines but has a common side effect of weight loss it’s called topamax 100mg. Made me lose about 20lb but then stopped. The bp med is called ditalazem 100mg and my anti depressant is citalopram 20mg but after a call today my doc thinks I’m ready to ween myself off. I am not on anything for sleep apnea. I borrow my dads oxygen machine sometimes but that’s all.

SP_COACH_DENISE's Photo SP_COACH_DENISE Posts: 42,937
7/11/18 4:03 P

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URBANREDNEK has given some good info and advice and I'd agree that getting a second opinion or at least getting a referral to a specialist to work with you would be a good idea. There are many factors going on here that would require a more specific type of doctor/health professional and getting any other advice from anyone else may not be safe. It's out of our scope of practice to offer any suggestions beyond the average person as we don't have access to medical records or any of that information that would be necessary to get you going in the right direction.

I think a visit with a Registered Dietitian is also a great idea so they can help you directly with the food portion so you can make sure you are on track with that with everything you have going on.

Medication can certainly affect weight/weight loss and even interfere with other medications, so having a doctor look at all of that again and see if there is some other adjustment that can be made with those is a good idea as well.

Lack of sleep can also prevent weight loss, so if you aren't already getting treatment for the sleep apnea, I'd also recommend looking into that.

I wish we could offer more help, but really it is ideal to go back to your doctor/get a second opinion and let all of your health care providers know about all the medications you're taking and get the appropriate help from each of them (they should all have the ability to get your medical records and/or discuss your needs with each other to get you on the right path to better health.

Also, how is your BP with taking the BP meds? Is it back more to a normal range? Are you monitoring it at home or only when you go to the doctor? There are different types out there and that may need to be something that needs to be adjusted if yours are still not getting you back to a more normal range.

I do hope you can get this all figured out soon!

Coach Denise

Edited by: SP_COACH_DENISE at: 7/11/2018 (16:07)
"Obstacles don't have to stop you. If you run into a wall, don't turn around and give up. Figure out how to climb it, go through it, or work around it." - Michael Jordan

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URBANREDNEK Posts: 3,361
7/11/18 3:12 P

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Hi and welcome!

My first thought when reading your story is "this guy NEEDS to see a different doctor". I honestly can't imagine trusting a physician who would keep a patient on weight loss pills when they suffer from high blood pressure and afib (both of which are known side-effects of many of the weight loss drugs). While weight gain / weight retention is a common side-effect of both anti-depressant medications and medications for treating high blood pressure, the possibility of compounding the other health issues by using weight-loss drugs most often leaves lifestyle choices as the better option.

So - would it be possible for you to get a referral to a different Cardiologist for a second opinion on the blood-pressure meds, as well as their opinion on whether the weight-loss drugs are hurting more than helping?

Also, would it be possible for you to discuss the weight issue with your psychiatrist to see if there might be another med available that might work as well for your depression without the side-effect of weight gain / retention?

Are you in the habit of tracking what you eat and keeping on top of calories and nutrients eaten? Do you take any supplements (such as Vitamin B-12 and iron and potassium), and is your doctor aware of that? Some of your issues may be because it is still very easy to overeat calories while following vegan food choices, or it could be because of deficiencies in some vitamins / minerals (you'll need a full blood panel done to see if these might be an issue). It could really help you if you take a few weeks worth of accurate tracking and get a referral to a Registered Dietitian who can review it with you and give you suggestions specifically on nutrition issues (doctors generally have very little training on nutrition).

Finally - are you using a CPAP to treat the sleep apnea? It is pretty common for folks suffering from apnea to have great difficulty losing weight, and treatment can make a massive difference.

It sounds like you have a lot to deal with, and are doing a great job of taking care of yourself! Hopefully you can get in for a second opinion, tweak some of the meds, and get some helpful input from a trained dietitian --- and have it all work together to let you continue on your path to being healthier.

Sir Terry Pratchett:

"Science is not about building a body of known 'facts'. It is a method for asking awkward questions and subjecting them to a reality-check, thus avoiding the human tendency to believe whatever makes us feel good."


Starting weight: 258 lbs
Maintenance Range: 147-155 lbs


232 Maintenance Weeks
0
60
120
180
240
DNDMATT's Photo DNDMATT Posts: 4
7/11/18 12:40 P

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Hey guys. New to the thread but read this is a good place for weight loss not meat head talk. So I’ve been trying to lose weight and maintain it for over 3 years now and only once did I get close, but it was super unhealthy. I wasn’t eating enough and burning way too many calories. Even my personal trainer said stop. So I got this new personal trainer for body building and I started to pack on muscle, right? Started to kinda get that Hollywood look going on but then I passed out durning weighted squats and my doctor told me my blood pressure is so high that if I keep lifting weights over 10 pounds I’m gonna have a stroke. Great. I’ve lost all my muscle, I walk and run, I am on an anti depressant, blood pressure meds, and a dr prescribed weight loss pill and I’m stuck between 220 and 240lb. I have major depression, sleep apnea, high bp, svt, aphib, and I’m tired constantly. I have also switched back to being a vegan again and I found my calories but I still can’t lose the weight. Even my doctor is stumped. I am super healthy other than the bum ticker. Oh, by the way, I’m 28 and male.
My genetics point towards faaaaaaat because everyone in my entire family except my grandma is obese. Any tips tricks or advice appreciated.


TLDR: I am stuck at 230ish, got high bp and sleep apnea, vegan, 28 male, on dr prescribed weight loss pills and still can’t lose weight.

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