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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by Phillipa on June 10, 2009, at 15:58:32
Seems this lady in the store we purchase a lot of our items for ebay is losing weight and seeing her doc he put her on prozac 20mg doesn't feel much better but working and acting fine. But she's skin and bones keeps losing weight. Doc has tested thyroid. Any ideas why? Love Phillipa
Posted by surfergirl on June 10, 2009, at 18:26:46
In reply to Prozac and Continued Weight Loss In Girl Why????, posted by Phillipa on June 10, 2009, at 15:58:32
> Seems this lady in the store we purchase a lot of our items for ebay is losing weight and seeing her doc he put her on prozac 20mg doesn't feel much better but working and acting fine. But she's skin and bones keeps losing weight. Doc has tested thyroid. Any ideas why? Love Phillipa
It can be complicated to find out especially in the elderly? My first thought is cancer or cardiac/pulmonary problems because that's what I see mostly. But then I found this nifty mnemonic online geared toward weight loss in the elderly. I think some of it could apply to any age group. I hope this helps your friend.
M Medication effects
E Emotional problems, especially depression
A Anorexia nervosa, alcoholism
L Late-life paranoia
S Swallowing disorders
O Oral factors (e.g., poorly fitting dentures, caries)
N No money
W Wandering and other dementia-related behaviors
H Hyperthyroidism, hypothyroidism, hyperparathyroidism, hypoadrenalism
E Enteric problems (GI problems)
E Eating problems (e.g., inability to feed self)
L Low-salt, low-cholesterol diet
S Stones, social problems (e.g., isolation, inability to obtain preferred foods)Adapted with permission from Morley JE, Silver AJ. Nutritional issues in nursing home care. Ann Intern Med 1995;123:850-9, with additional information from Reife CM. Involuntary weight loss. Med Clin North Am 1995;79:299-313.
best thoughts, Surfergirl
Posted by Phillipa on June 10, 2009, at 21:17:25
In reply to Re: Prozac and Continued Weight Loss In Girl Why????, posted by surfergirl on June 10, 2009, at 18:26:46
Oh she's not old only in 40's. She says she just doesn't feel hungry. But she's eating more than I do. Phillipa
Posted by Phillipa on June 10, 2009, at 21:45:46
In reply to Re: Prozac and Continued Weight Loss In Girl Why????, posted by surfergirl on June 10, 2009, at 18:26:46
Surfergirl would you babblemail me? Question is all. Love Phillipa click on my name in blue you'll figure the rest out.
Posted by bulldog2 on June 13, 2009, at 14:21:21
In reply to Prozac and Continued Weight Loss In Girl Why????, posted by Phillipa on June 10, 2009, at 15:58:32
> Seems this lady in the store we purchase a lot of our items for ebay is losing weight and seeing her doc he put her on prozac 20mg doesn't feel much better but working and acting fine. But she's skin and bones keeps losing weight. Doc has tested thyroid. Any ideas why? Love Phillipa
My wife lost seven pounds on prozac in one week and stopped. Prozac is like speed for some people and they lose their appetite.
Posted by Phillipa on June 13, 2009, at 21:50:59
In reply to Re: Prozac and Continued Weight Loss In Girl Why????, posted by bulldog2 on June 13, 2009, at 14:21:21
Seriously she's calm cool collected. No side effects at all she just has no appetite she says. Wanted to know if she should up her dose???? Phillipa was like speed for me
Posted by desolationrower on June 19, 2009, at 7:32:19
In reply to Re: Prozac and Continued Weight Loss In Girl Why???? » bulldog2, posted by Phillipa on June 13, 2009, at 21:50:59
prozac often causes weight loss, probably something in how it interacts with 5ht2 receptors
could try a different ssri or add a small amount of mirtazipine or cannabis
-d/r
Posted by Brainbeard on June 21, 2009, at 6:38:40
In reply to Re: Prozac and Continued Weight Loss In Girl Why????, posted by desolationrower on June 19, 2009, at 7:32:19
I think the answer is surprisingly simple: it's just a matter of time before she will start to gain weight. Any SSRI can work as an appetite suppressor and make you lose weight; it happened to me on Paxil (paroxetine). But this effect is TEMPORARY. That's why the SSRIs have never been approved as diet drugs. Prozac has such a ridiculous long half-life (seven days), that both initial side-effects and therapeutic benefit of serotonin reuptake inhibition might take forever to subside/manifest. But take my word for it, she WILL gain weight provided she takes the Prozac long enough. For some people, it takes more than SIX MONTHS before they start to gain weight. But on any SSRI, you WILL gain weight within a year, mostly within half a year.
Posted by Phillipa on June 21, 2009, at 19:47:26
In reply to Re: Prozac and Continued Weight Loss In Girl Why????, posted by Brainbeard on June 21, 2009, at 6:38:40
Took 10mg of paxil for two years with benzos and no weight gain? Phillipa
Posted by Brainbeard on June 22, 2009, at 3:04:56
In reply to Re: Prozac and Continued Weight Loss In Girl Why???? » Brainbeard, posted by Phillipa on June 21, 2009, at 19:47:26
> Took 10mg of paxil for two years with benzos and no weight gain? Phillipa
Exactly. 10mg of Paxil is not an effective dose for significant SRI (serotonin reuptake inhibition). No significant SRI = no weight gain.
Posted by Brainbeard on June 22, 2009, at 3:08:32
In reply to Re: Prozac and Continued Weight Loss In Girl Why????, posted by Brainbeard on June 22, 2009, at 3:04:56
> No significant SRI = no weight gain.
>Well, that's not true. But that must have been the reason. Other mechanisms than SRI can cause weight gain, of course. Paxil has antihistaminergic properties which are likely to induce weight gain. But 10mg is a rather small dose.
Posted by Phillipa on June 22, 2009, at 20:22:54
In reply to Re: Prozac and Continued Weight Loss In Girl Why????, posted by Brainbeard on June 22, 2009, at 3:08:32
Never did need an ad the doc insisted so I did. Sick for three months than body adapted I guess. Phillipa
This is the end of the thread.
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