Long-Term Weight Loss Medication: What to Do When You Want to Stop? - Nutrition

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Long-term use of weight loss medications..?


Hello, about two years ago, I started taking weight loss medication at a clinic recommended by a friend.
I have been on it for two years, but now I don't want to continue.
However, as soon as I stop taking it, I feel dizzy, my face swells, and I feel generally unwell, and I don't know how to control my weight gain.
What should I do? Am I experiencing withdrawal symptoms? Should I continue taking the medication? If I stop, what should I do to manage my situation? Please help me.
Thank you.

MAY, 20~29 year old female. Ask Date: 2005/01/07

Dr. Cai Xiuwen reply Nutrition


Hello, it is recommended that you bring the weight loss medication you are taking to the hospital for a consultation with a physician.
Please ask the doctor for advice on how to adjust the medication to minimize any uncomfortable symptoms.
It is important to use weight loss medications approved by the Department of Health.
Additionally, weight loss should be accompanied by dietary control and exercise to prevent regaining weight after discontinuation of the medication.
Wishing you good health.
This message is from Dietitian Tsai Hsiu-Wen at Nantou Hospital, Department of Health.

Reply Date: 2005/01/07

More Info


When it comes to long-term weight loss medication, it’s crucial to approach the situation with caution and a well-informed strategy. Based on your description, it seems that you have been relying on weight loss medications for two years, and now you are experiencing discomfort and concerns about weight regain upon discontinuation. Here’s a comprehensive response to your situation.

Firstly, it’s important to understand that many weight loss medications can lead to physical dependence. This means that your body may have adapted to the presence of the medication, and stopping it suddenly can result in withdrawal symptoms, such as dizziness and discomfort, as you have described. These symptoms can be alarming and may lead you to believe that you are experiencing toxicity or a severe reaction. However, it’s essential to differentiate between withdrawal symptoms and actual toxicity.
If you are feeling unwell after stopping the medication, it is advisable to consult with a healthcare professional. They can help assess your symptoms and determine whether they are indeed withdrawal-related or if there is another underlying issue. It’s also important to discuss your concerns about continuing the medication. Some weight loss medications can have side effects, and long-term use may not be advisable for everyone.

Here are some steps you can take to manage your situation:
1. Consult Your Doctor: Before making any decisions about continuing or stopping medication, it’s crucial to have a conversation with your healthcare provider. They can provide personalized advice based on your medical history and current health status.

2. Gradual Discontinuation: If you and your doctor decide that it’s best to stop the medication, consider a gradual tapering approach rather than stopping abruptly. This can help minimize withdrawal symptoms and make the transition smoother.

3. Focus on Lifestyle Changes: Weight management is best achieved through a combination of healthy eating, regular physical activity, and behavioral changes. Work with a nutritionist or a dietitian to develop a balanced meal plan that suits your lifestyle. Incorporate regular exercise that you enjoy, whether it’s walking, cycling, swimming, or group classes.

4. Behavioral Support: Consider joining a support group or engaging in counseling to address emotional eating or psychological factors related to weight management. Cognitive-behavioral therapy (CBT) can be particularly effective in helping individuals develop healthier eating habits and coping strategies.

5. Monitor Your Progress: Keep track of your weight, dietary habits, and physical activity. This can help you identify patterns and make necessary adjustments. Regular check-ins with your healthcare provider can also help you stay accountable.

6. Stay Hydrated and Rested: Ensure you are drinking enough water and getting adequate sleep. Both hydration and rest are crucial for overall health and can impact your weight management efforts.

7. Consider Alternative Treatments: If you find that you need additional support, discuss alternative weight management strategies with your healthcare provider. This could include different medications, if appropriate, or non-pharmacological interventions.

8. Be Patient and Kind to Yourself: Weight loss and maintenance are often not linear processes. It’s normal to experience fluctuations, and it’s important to approach your journey with patience and self-compassion.

In summary, while it’s understandable to feel apprehensive about stopping weight loss medication, it’s essential to approach the situation thoughtfully and with professional guidance. Focus on sustainable lifestyle changes, seek support, and prioritize your overall well-being. Remember, the goal is not just to lose weight but to maintain a healthy lifestyle that you can sustain in the long run.

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