Those of you on (psychiatric) medication finding it hard to stick to a deficit/not binge eat, please ask your dr to change or adjust meds [GENERAL ADVICE]

tl;dr psych meds made me binge and over eat, despite following all the weight loss tips and tricks and rules, until I changed meds. Takes trial and error but its worth it and this issue of binging is not always in our control.

I've been on psychiatric meds since 2015 and before that weight loss was a breeze. My first medication, latuda, made me so hungry I would eat 5000 calories a day and gained 15lbs on less than 2 months. I've been on a few other meds since that I don't think had much impact on my eating (lamotrigine, lithium, Wellbutrin, saphris - might have been able to lose on it but it killed my sex drive) But I still over ate and couldn't lose any appreciable weight. The last one I was on, abilify, was great for my mental health but I was compulsively eating at night. I got back up to a heavier weight than I've been in 3 years, 160+, despite tracking.

I made sure to avoid triggers such as intermittent fasting, I tried more or fewer meals, more or less fat, always high protein, but night time always came back to haunt me. The longest I'd gone without over eating in the last year is probably half a week if that.

Now I'm starting a new medication, geodon, and for 7 of the 9 days I've been on it I've had no desire or urge to binge or over eat. The first 2 nights I'm guessing I did because I still had abilify in my system (was on the lowest dose so just immediately switched meds). I've had a few days under my goal as well, a few just slightly over, and even one night I was going to bed and felt a bit hungry and thirsty and decided to just go to bed. Another night I brought food up with me that I had logged and it was within my deficit, and i forgot to eat part of it and didn't notice until the morning. Normally my routine has been to just eat until stuffed and now I'm able to put food away after having grabbed some.

So if you're on medication and finding things to be really hard, don't think that's its all because you "lack willpower" or some shit like that. Don't let others make you feel like it's something wrong you are doing if you're literally trying to do everything right - tracking, weighing food, etc. And don't be afraid to stand up for yourself with your doctors, if your doctors don't help you find a medication solution that enables you to be healthy fully then find a new doctor (this is coming from someone who had to find a new psychiatrist because the old one refused to prescribe anything that I wanted to try and didn't listen to me).

I'm pretty sure that changing my meds now with encouragement from my psychiatrist is what's going to help me get to my mini goal of 150 by my birthday in January, back down to 133 by the summer, and ready to slowly bulk later 2019. No amount of willpower or accurate tracking was going to change the physiological effects medication had on my eating.

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Paying it forward: too big clothing

I hope this is allowed.

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I was recently lamenting to a friend who is slightly ahead of me in her weight loss journey about how my clothes were getting too big but I didn't want to buy new ones because they may only fit me (hopefully) like a year or less before I needed new ones again. A week later, out of the blue, a box arrives with all of her L and XL clothes that are now to big for her. I was ecstatic and it probably saved me a couple hundred dollars. It inspired me to clean out my own closet.

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I don't have any friends that are larger than me now so I wanted to pay her kindness forward and send someone (one of you in the US) my 1X and 2X clothes that no longer fit me. (I will pay the shipping). It is mostly Old Navy, Target and Kohl's brands. All of the stuff is in decent condition and wearable. It is mostly casual items since I work from home. There are 25 tops (lots of fall and winter things including sweatshirts and a few t-shirts), 8 pairs of long pants (2 jeans, 3 or 4 pairs of work out pants), 5 pairs shorts or skorts and 6 casual dresses (all summer dresses - 1 is really a swim suit cover up). The bottoms are 16 and 18s I think.

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I will ship it to the first person who PM's me and lives in the continental US. You can keep what you want and donate the rest (I won't split the items up). I thought about just donating the stuff to my local goodwill but I wanted to do something kind for someone else like my friend did for me. I just want it to go to someone who is in a situation like me and doesn't want to buy new clothes that they will hopefully only wear a short amount of time.

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Thanks!

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Infographic on Weight Cycling. Does it deserve more attention as part of your weight loss approach?

**This is an update on a previous post. First time around, I didn’t know how to link to an infographic image. I also share a summary of comments.**

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I created an infographic on weight cycling, or yo yo dieting, that I think this group might be interested in. It’s about the millions of people who lose weight each year but can’t keep it off and regain all or more of their weight. Part of the reason I created it was to show 1) you’re not alone, and 2) people do become weight loss sustainers (20%). Those people who become sustainers do things differently than those who weight cycle, which means you might become successful if you tweak your approach.

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https://imgur.com/a/GqRX6pT

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Here are the numbers from the infographic:

A Hidden Epidemic: Weight Cycling by the Numbers

All Adults in the U.S. – 250 million

7 in 10 are overweight or obese – 175 million

1 in 2 are trying to lose weight – 88 million

4 in 5 will regain the weight – 70 million (that’s 30% of all U.S. adults)

70 million U.S. adults losing weight now will regain it

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There were some incredibly insightful comments to that post, I thought I’d share them here. I’ve come to many of the same conclusions based on my own weight loss experience. But I would love to get your reactions to see if they ring true:

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1. In the original post, I asked if weight cycling was common on r/loseit despite the frequent positive posts.

More than one comment argued that despite the stories of weight loss, many (even the vast majority of) people do regain their weight on r/loseit, often years after initially losing it. No one really disagreed with this.

At the same time, it seems a couple responders have managed to become sustainers themselves!

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2. One commenter asked for a definition of weight cycling. This was my reply:

“Weight cycling is the regaining of intentionally lost weight. I think there are different definitions, based as you suggest on amount of weight loss and duration before regain. For the sake of argument, let’s say the weight loss has to be significant – at least 5-10% of your total body weight. For me, I don’t think duration can be easily categorized. Someone can gain weight back in 1 month or 10 years, and I think I’d still call it a weight cycle.”

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3. The same commenter asked if there was a threshold were success rates go up. I said:

“Yes and no. It’s a curve. Sustained weight loss is generally defined by researchers as intentionally losing at least 10% of your body weight, and keeping it off for over 1 year. That’s more research convention than anything else, because clearly people still regain weight after keeping it off for a year. Making that bar higher would make that 20% success rate even lower. That said, keeping your weight off for at least 2 years cuts your odds of gaining at least 5lbs back in half (https://www.ncbi.nlm.nih.gov/pubmed/16002825). The 2-year mark has been occasionally used in other papers.”

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4. I also asked if weight cycling (and its mirror image “sustaining weight loss”) seems to be an afterthought of the weight loss approach most people take. And if that could contribute to weight cycling itself.

One person responded that it’s not necessarily an afterthought, but several others argued that no, people don’t think about sustainability while their trying to lose weight. Here’s are some responses paraphrased:

People think about temporarily adhering to a diet, but not how to keep living it in the real world.

At some point people can’t take the deprivation from diets anymore and regain their weight.

Most people on r/loseit don’t achieve long term success using a severe caloric deficit.

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5. So what do sustainers do? Here are some comments:

A couple people said they don’t diet and instead made lifestyle changes. (I’d love to know what this means to people)

One commenter shared incredible personal insight. Sustained weight loss isn’t achieved with just a diet. It’s achieved by addressing your personal cause of obesity – (e.g. stress/anxiety/depression, dietary preferences, binge-eating, etc.) – with the right eating strategies for that cause. When this person found those matching strategies, she lost weight and kept it off without binging.

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6. Final thought

At the end of the day, based on the population numbers on weight cycling in the infographic, and the experience of people on r/loseit, it seems weight cycling deserves some focus – at least as much as which diet to choose, or how to cut more calories. What do you think? Any reactions to the comment above?

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Where did/do you see your weight loss first?

I’m just curious as to where folks see or think they lose their weight first.

For me, the handful of times I’ve lost weight I’ve first noticed it in my face and collarbone area. I’m about 17lbs down this time around (furthest I’ve gone in many years! Let’s hope it keeps on going!) and it’s par for the course. Cheekbones are sneaking their way back into existence and I’ve spent many a moment admiring the newly defined line across the tops of my shoulders in the mirror, ha.

While it’s great to see something, it’s weird to see the transition from nicely slimming shoulders to... well... the rest of me! While I functionally understand that the weight doesn’t come off all equally from everywhere at the same time, it’s really just weird to me.

What’s your experience been like?

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Need the next step

So over the course of the last 3 years I have lost about 45lbs. The first 30lbs came off quickly over a course of 3 months. I was going CICO and fastings....I was basically doing the subway diet Sunday thru Friday with Saturday being my cheat day. Before starting, I described myself as eating with "free abandonment".

I stayed around 180 for year and then felt motivated again to try to drop weight. I lost a solid 15. I did this with IF and keto....and a lot of stress. And then it stopped....a few months later I picked up working out...I did HIIT 2 to 3 times a week and yoga (hot yoga) 1 to 2 times a week. I did this for about 8 months and I hated it....like hated it so much that I left crying and hungry...frustrated. no weight loss occurred...very little inches loss as well. I gave it up for 6 months due to being miserable.

Speed up to present. I gave up keto....I eat a small amount of carbs now. I cook all the time...mostly veggies and proteins and healthy fats. I tried working out again and I still hate it.

I have learned to only eat when I'm hungry...I have learned to not snack. So i am maintaining my weight nicely over the last 3 years. However, I would like to lose another 10 to 20 lbs. Just looking for advice and guidance. Making being healthy a lifestyle and trying to keep everything in balance.

Thanks in advance

H: 5'1" GW: 145

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Concerns about continuing to lose/maintain after an unintentional weight loss?

I've been doing volunteer work in a third world country for a few months now. Due to the heat, lack of food choices, issues with available food, and just a general dislike for the food here, I've pretty unintentionally lost 25 pounds and am nearly to my goal weight, much to my surprise (a lack of mirrors and the requirement to culturally wear very loose fitting clothes means that when I weighed myself, I was quite shocked).

Before moving here, I set the goal of 135lbs for myself but figured if I ever got to it, I would consider setting a second goal of 125 (I'd still like to get to 125 one day but am in no hurry after all this).

I guess my concern is that the way I've lost this weight is not considered particularly healthy, and I want to increase my calorie intake to a level where I'm getting enough calories to lose at a more healthy rate and also be able to start working out. However, I'm afraid that my body will balloon up because it is not used to a sufficient number of calories. I've heard too many horror stories.

I feel kind of vain thinking about this while I'm here, and it probably sounds like a silly concern, but I really don't want to go back to where I was because I was pretty unhappy. If anyone has dealt with something similar or had any advice, I'm all ears!

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SV: Onderland! 152lb (69kg) down! 6’1/M/23

About me:

Male, 23 years old, 6’1 (184cm)

SW: 360lbs (160kg)

CW: 198lbs (90kg).

GW: 175-188lb (80-85kg)

Comparison heaviest to Today! Sorry about the pajamas :)

Got up today, put my first ever onesie on (was too big for onesies before) that I got myself and felt thin! So decided to check my weight and finally crossed to onederland! So happy!!! Sorry about the onesie, but I find it incredibly cute and didn’t feel like changing for pics.

Health stuff out of the way first:

This is my third update, you can find the previous ones under (They are worth skimming through for more nuanced thoughts and feelings that I had the past year, if you‘re interested):

1st

2nd

/r/progresspics post from 2 months ago

I wanted to get down to about 240lb (110kg) by this years Christmas time, but this ain’t slowing down at all, so I’m happy about that 😊

Just to be sure, I feel healthy but to be 100% certain I had blood tests done last week and all came back as normal.

Method:

I dropped about 10-15kg and yoyoed a tiny bit around august last year, but promised myself that with 1st of janury I’m going to fully commit to losing weight through calorie restriction, and I kept the word that I gave to myself.

From 1st Jan I restricted calories to 1500 a day, cut out as much sugar as I felt comfortable with, and tried to cut out needless carbs. For the first few months calorie counted with MfP but I found that I was so stressed out because I didn’t want to go over my limit I was severely under-eating so I deleted the app and eyeballed everything. Hasn’t failed me yet.

Overall, I don’t eat healthier, I eat mostly the same stuff I did before, but just 2x less. So you don’t have to force yourself to eat food you hate, just eat less and you’ll still lose weight!

Positive things that I noticed thanks to weight loss?

With my past two updates, every time I said that:

• I feel more confident,
• more mobile,
• that I’m faster,
• that I can move for longer without getting out of breath,
• that I feel more attractive,
• that girls tend to be nicer and strike conversations more often,
• clothes shopping is much easier and with way more options

and the further I go towards healthy weight the better all of those things get, its actually unbelievable that I FEEL a difference every couple of weeks. So if YOU want improvement in any of those areas, just keep going. If I can, so can you.

You dont have to believe me, but what would I gain by bending the truth? Of course YOU can do it, you’re strong as hell, no one knows the crosses you bear but yourself, so whats one more? And that cross will lift you up, just stick with it. ❤️

If you feel ever feel down or like giving up? Just come here, read the posts, read the comments, IT WILL HELP. It did for me, every single time I felt down.

I’d be more than happy to answer any questions.

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