How to lose weight, please provide guidance from a physician?
I do not smoke; I have an irregular exercise habit and suffer from gastrointestinal issues and depression, and I visit the doctor regularly.
I am taking medications: Mucaine, Lederscon, and Supride 200 mg/day.
My height is 150 cm, weight is 63 kg, and my BMI is 28.00 (which is considered dangerously overweight).
My flexibility score is 25 (which is very good).
Hello, doctor: My psychiatrist mentioned that the medications I am currently taking may increase my appetite.
The doctor believes I should exercise more to help reduce my weight.
I would like to know if I can use certain appetite suppressants and whether they might have side effects.
Please provide your advice.
Thank you.
many, 20~29 year old female. Ask Date: 2002/05/22
Dr. Huang Weiqin reply Physical Fitness
To the inquiring netizen: The medication you are using, lederscon, functions as an antacid similar to common gastric medications, so the drug more likely related to appetite and weight is suprid, which is commonly known as sulpiride in psychiatry (brand names include Dogmatyl, Slupyride, Surin, etc.).
It indeed has an appetite-stimulating effect.
For weight management, aside from exercise and dieting, the use of medications is generally not recommended.
If you must use appetite-suppressing medications, it is advisable to avoid those containing ephedrine or amphetamines to prevent excessive stimulation or exacerbation of pre-existing psychiatric symptoms.
Reply Date: 2002/05/22
More Info
Effective weight loss strategies involve a multifaceted approach that addresses not only dietary habits and physical activity but also mental health and medication management. Given your current situation, where you are dealing with a BMI of 28.00, which classifies you as overweight, and the potential side effects of your psychiatric medications on appetite, it is essential to create a balanced plan that promotes healthy weight loss while considering your mental health needs.
Understanding the Impact of Medications on Appetite
The medications you mentioned, such as mucaine, ledescon, and supride, can indeed affect your appetite. Some psychiatric medications are known to increase appetite, leading to weight gain, which can be frustrating when you are trying to lose weight. It is crucial to have an open dialogue with your psychiatrist about these side effects. They may be able to adjust your medication or suggest alternatives that have a lesser impact on your appetite.
Strategies for Effective Weight Loss
1. Balanced Diet: Focus on a nutrient-dense diet that includes plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats. Avoid highly processed foods, sugary snacks, and beverages that can contribute to weight gain. Keeping a food diary can help you track your intake and identify patterns that may lead to overeating.
2. Portion Control: Be mindful of portion sizes. Eating smaller, more frequent meals can help manage hunger and prevent overeating. Use smaller plates to help control portions visually.
3. Mindful Eating: Practice mindful eating by paying attention to your hunger cues and eating slowly. This can help you enjoy your food more and recognize when you are full, reducing the likelihood of overeating.
4. Regular Physical Activity: While you mentioned a lack of regular exercise, incorporating physical activity into your routine is vital for weight management and overall health. Aim for at least 150 minutes of moderate-intensity aerobic activity each week, such as brisk walking, swimming, or cycling. Additionally, include strength training exercises at least twice a week to build muscle, which can help boost your metabolism.
5. Behavioral Strategies: Consider behavioral strategies such as setting realistic goals, finding a support system, and addressing emotional eating. Cognitive-behavioral therapy (CBT) can be particularly effective in helping individuals change their eating behaviors and manage their weight.
6. Medication for Appetite Control: If you are considering appetite-suppressing medications, consult with your healthcare provider. They can evaluate your situation and determine if such medications are appropriate for you, taking into account potential side effects and interactions with your current medications.
7. Mental Health Support: Since you are dealing with depression, it is essential to prioritize your mental health. Regular therapy sessions can provide support and coping strategies to manage both your mental health and weight loss journey. Engaging in activities that promote mental well-being, such as mindfulness, yoga, or hobbies, can also be beneficial.
8. Regular Monitoring: Keep track of your progress by regularly weighing yourself and monitoring changes in your body composition. This can help you stay motivated and make necessary adjustments to your plan.
Conclusion
In summary, effective weight loss strategies require a comprehensive approach that includes dietary changes, physical activity, mental health support, and careful management of medications. It is essential to work closely with your healthcare providers, including your psychiatrist and possibly a registered dietitian, to create a personalized plan that addresses your unique needs. Remember, sustainable weight loss takes time, and focusing on overall health rather than just the number on the scale can lead to more significant long-term success. Stay positive and committed to your journey, and don't hesitate to seek support when needed.
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