In January of last year, my PCP prescribed me Phentermine pills to help with appetite suppression and weight loss. Almost immediately after I started taking them, I began to feel extremely hyper/shaky/jittery, but they were working so I kept taking them. I took them for 3 months and lost almost 30lbs from just not wanting to eat and having increased energy for activities. By April, I had stopped taking the pills, but I was still eating less and making better food choices with increased activity levels, so I continued to lose. Throughout April, I felt almost high, with an elevated mood and increased energy. I decided to get a second job, so I was working about 55 hours a week. At the beginning of May, I had a three day stretch where I hardly slept or ate anything, and then I went into psychosis, resulting in a 5-day hospitalization. I was immediately diagnosed with Bipolar Type 1 and started on medication. It turns out that Phentermine can cause Mania in people with Bipolar Disorder, and I had had my first ever manic episode, followed by psychosis. After getting out of the hospital, my life felt like it was falling apart. I had missed two weeks of work, lost my second job, and started losing friends as well. I felt completely disconnected and uncomfortable. My depression spiraled out of control, and even though I was medicated and seeing a therapist, my mental health was in the worst shape of my life. My old habits of eating out, overeating, and living an overall sedentary lifestyle came back with a vengeance. I stopped caring about myself. I had to give up alcohol due to my meds, so I overcompensated with sugary drinks and food. Within 4 months, I had gained back almost all the weight that I had lost. The holidays brought with them a sense of joy and togetherness that I hadn’t felt in a long time, and I am now at a place where I feel hopeful again. I want to get my life turned around and get my health under control. I really appreciate this community and I want to thank anyone who has read this far. It feels good to write all this out and know that I am likely not alone in mental health playing a huge role in my weight fluctuations. I’m ready to make a change.
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