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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by alienatari on March 1, 2007, at 0:16:08
Hey everyone :)
I have gone from being annorexic to being quite fat because of meds and I want to lose this weight. I dont know what to do really. Ive started Xenical but I was wondering if there is anything else over the counter that I could try? I dont want to take prescription diet pills as I have a heart condtion and I dont want to mess up my heart. Oh yea I weigh 96kg (212 pounds)!!!!!I'm a big fat f*ck :(
Posted by yxibow on March 1, 2007, at 1:15:59
In reply to weight loss, posted by alienatari on March 1, 2007, at 0:16:08
> Hey everyone :)
> I have gone from being annorexic to being quite fat because of meds and I want to lose this weight. I dont know what to do really. Ive started Xenical but I was wondering if there is anything else over the counter that I could try? I dont want to take prescription diet pills as I have a heart condtion and I dont want to mess up my heart. Oh yea I weigh 96kg (212 pounds)!!!!!
>
> I'm a big fat f*ck :(First of all don't label yourself in a pejorative fashion. You'll just make yourself miserable and what is the point of that. And if you think you have problems, you're in good company. I fight Seroquel with all I have.
Xenical has some... problems. It has the ability to soil yourself because it literally dumps out 30% of the fat in your body. Do take notice of what happens over the course of treatment.
The best treatment is natural treatment, and that is hard exercise, I'm afraid to say. I go to a gym, and that's not to be any hardbody although I have gained a little muscle mass.But you don't have to go to a gym. Getting out of the house for 30 minutes to an hour each day doing some fast paced walking or jogging will contribute towards weight reduction.
Also, you may have to go on a restricted diet. Since medication has brought your metabolism down, so must the intake go down, and I know that's easier said than done.
There are many sites where you can go and get a BMR (basal metabolic rate), which is the amount of calories that you must maintain intake to prevent loss
e.g.
http://health.discovery.com/tools/calculators/basal/basal.html
Now you will have to probably modify this calorie rate by say 30% to account for what the medication has done, so if it says 2100 calories, you will have to restrict yourself to 70% of that. That is the only real other option you have to maintain a healthy weight balance.There is also the BMI, which is available everywhere on the net, which measures your body mass index, although that is less useful than the basal metabolic rate.
So its food intake, and some daily exercise that will have to be done to maintain a fight against what unfortunately some medications do to people.
Finally, I would avoid over the counter substitutes for what is good nutrition and excercise as I outlaid. Yes, there are diet "pills" people take, that don't contain ephedra but do contain precursors and lots of agents that have caffeine and caffeine like alkaloids in them. You would not want them for your heart.
Second is the Hoodia craze, which unless you get the most expensive pills on the market are useless as the concentration and in fact the actual active ingredients may be hogwash. As for the actual true active ones -- well, you'd have to ask the Bushmen in Africa. And its way too soon to say whether it would affect the heart or not.
So, stay away from fad pills which just load up with guarana and ginseng and dozens of other caffeine and alkaloid containing herbs. They're murder on your heart. Don't go there.
Do the homework I noted on your BMR and adjust it downward and try to keep in a range. Take an average day and mark what you are actually eating. People rarely realize the amount of calorie intake. Consult a nutritionist if you need to on referral from your psychiatrist or doctor.
-- tidingsJay
Posted by alienatari on March 1, 2007, at 3:46:51
In reply to Re: weight loss » alienatari, posted by yxibow on March 1, 2007, at 1:15:59
Thank you. Your wonderful for posting all that information. I will definatly do all of that. I will try to eat healthy too.
I went to the gym the other day and I felt so strange I thought everyone was looking at me. I have a stationary bike I might start using that every day.
Thanks again.
Take care
Chris :)> > Hey everyone :)
> > I have gone from being annorexic to being quite fat because of meds and I want to lose this weight. I dont know what to do really. Ive started Xenical but I was wondering if there is anything else over the counter that I could try? I dont want to take prescription diet pills as I have a heart condtion and I dont want to mess up my heart. Oh yea I weigh 96kg (212 pounds)!!!!!
> >
> > I'm a big fat f*ck :(
>
> First of all don't label yourself in a pejorative fashion. You'll just make yourself miserable and what is the point of that. And if you think you have problems, you're in good company. I fight Seroquel with all I have.
>
>
> Xenical has some... problems. It has the ability to soil yourself because it literally dumps out 30% of the fat in your body. Do take notice of what happens over the course of treatment.
>
>
> The best treatment is natural treatment, and that is hard exercise, I'm afraid to say. I go to a gym, and that's not to be any hardbody although I have gained a little muscle mass.
>
> But you don't have to go to a gym. Getting out of the house for 30 minutes to an hour each day doing some fast paced walking or jogging will contribute towards weight reduction.
>
> Also, you may have to go on a restricted diet. Since medication has brought your metabolism down, so must the intake go down, and I know that's easier said than done.
>
> There are many sites where you can go and get a BMR (basal metabolic rate), which is the amount of calories that you must maintain intake to prevent loss
>
> e.g.
>
> http://health.discovery.com/tools/calculators/basal/basal.html
>
>
> Now you will have to probably modify this calorie rate by say 30% to account for what the medication has done, so if it says 2100 calories, you will have to restrict yourself to 70% of that. That is the only real other option you have to maintain a healthy weight balance.
>
> There is also the BMI, which is available everywhere on the net, which measures your body mass index, although that is less useful than the basal metabolic rate.
>
> So its food intake, and some daily exercise that will have to be done to maintain a fight against what unfortunately some medications do to people.
>
>
> Finally, I would avoid over the counter substitutes for what is good nutrition and excercise as I outlaid. Yes, there are diet "pills" people take, that don't contain ephedra but do contain precursors and lots of agents that have caffeine and caffeine like alkaloids in them. You would not want them for your heart.
>
>
> Second is the Hoodia craze, which unless you get the most expensive pills on the market are useless as the concentration and in fact the actual active ingredients may be hogwash. As for the actual true active ones -- well, you'd have to ask the Bushmen in Africa. And its way too soon to say whether it would affect the heart or not.
>
>
> So, stay away from fad pills which just load up with guarana and ginseng and dozens of other caffeine and alkaloid containing herbs. They're murder on your heart. Don't go there.
>
>
> Do the homework I noted on your BMR and adjust it downward and try to keep in a range. Take an average day and mark what you are actually eating. People rarely realize the amount of calorie intake. Consult a nutritionist if you need to on referral from your psychiatrist or doctor.
>
>
> -- tidings
>
> Jay
Posted by Phillipa on March 1, 2007, at 9:04:06
In reply to Re: weight loss ))yxibow, posted by alienatari on March 1, 2007, at 3:46:51
Try walking. Love Phillipa
Posted by yxibow on March 1, 2007, at 12:31:36
In reply to Re: weight loss ))yxibow, posted by alienatari on March 1, 2007, at 3:46:51
> Thank you. Your wonderful for posting all that information. I will definatly do all of that. I will try to eat healthy too.
>
> I went to the gym the other day and I felt so strange I thought everyone was looking at me. I have a stationary bike I might start using that every day.
>
> Thanks again.Don't worry what you think the other people are doing at the gym. And, hey, if you're being stared at (by whatever sex) take it as a compliment. :)
No, but seriously, most people are at most gyms considering membership and starting costs to do their thing. The rest may be eye candy to distract you from the 3 channels of television they provide (humour). Yeah, so I tip over the 200s too, but there are people who are approaching the 3s+. They are there to do their cardio to get to a better place.
Glad you have some ideas to work with
-- take care
Jay
Posted by med_empowered on March 1, 2007, at 13:10:49
In reply to Re: weight loss ))yxibow » alienatari, posted by yxibow on March 1, 2007, at 12:31:36
Maybe a med switch? Abilify is pretty much weight neutral.
Exercise of course is the way to go for actual weight loss...I've found pilates+other stuff works well; the pilates makes doing other stuff (aerobic, swimming, whatever) faster and easier and the results are better. Plus, you can do a video at home--its good stuff.
Maybe you could add in metformin? It might address some of the metabolic stuff that meds might be doing.
Posted by alienatari on March 1, 2007, at 15:43:27
In reply to Re: weight loss ))yxibow, posted by med_empowered on March 1, 2007, at 13:10:49
Abilify doesnt work for me :(
> Maybe a med switch? Abilify is pretty much weight neutral.
>
> Exercise of course is the way to go for actual weight loss...I've found pilates+other stuff works well; the pilates makes doing other stuff (aerobic, swimming, whatever) faster and easier and the results are better. Plus, you can do a video at home--its good stuff.
>
> Maybe you could add in metformin? It might address some of the metabolic stuff that meds might be doing.
>
>
>
Posted by Maxime on March 2, 2007, at 21:22:16
In reply to weight loss, posted by alienatari on March 1, 2007, at 0:16:08
> Hey everyone :)
> I have gone from being annorexic to being quite fat because of meds and I want to lose this weight. I dont know what to do really. Ive started Xenical but I was wondering if there is anything else over the counter that I could try? I dont want to take prescription diet pills as I have a heart condtion and I dont want to mess up my heart. Oh yea I weigh 96kg (212 pounds)!!!!!
>
> I'm a big fat f*ck :(*hugs*
I've seen your pic and you are not what you say you are! You are very handsome.
But being anorexic myself, I can't imagine what it is like for you to deal with so much weight gain.
Can you afford to see a nutritionist? Are you still on meds that cause weight gain?
I've missed you.
Love,
Maxime
Posted by Phillipa on March 2, 2007, at 21:38:30
In reply to Re: weight loss, posted by Maxime on March 2, 2007, at 21:22:16
I keep telling him the same thing he's a doll baby. Love Phillipa. Maxie you know he cares a lot for you.
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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