Ep. 012 - How to reverse weight gain from antipsychotic medication?Ep. 012 - How to reverse weight gain from antipsychotic medication?
Ask A Psychiatrist
This episode deals with the question of weight gain from antipsychotic medication: I'm on 20 milligrams of olanzapine. It's helping me and I don't want to change it. The only thing is that I've gained a lot of weight that makes me feel very...
30:50•12 Nov 2021
Managing Weight Gain from Antipsychotic Medication: Practical Tips from Dr. Erik Messamore
“Many psychiatrists don't prescribe metformin and I think one of the things that really really irritates me about my profession and the way we train people in it is that training programs for psychiatrists don't require trainees to become experts in metformin or Glp agonists or the kinds of medicines that maybe can reduce weight gain.”
Have you ever felt stuck with the side effects of your medication, especially when it comes to weight gain? Dr. Erik Messamore tackles this very issue in a candid discussion on the Ask a Psychiatrist podcast. This episode zeroes in on a listener's concern about significant weight gain from taking olanzapine, an antipsychotic medication that has been beneficial otherwise. Dr. Messamore dives into practical strategies to help manage and even reverse this unwelcome side effect.
He starts by explaining that while modern antipsychotics are a big step forward in mental health treatment, they can also lead to considerable weight gain. This is a common problem that many people face, yet it often doesn't get the attention it deserves in psychiatric care. So, what can be done? Dr. Messamore suggests several solutions. One of the most effective is metformin, a medication typically used for diabetes but also helpful for weight management in this context.
He also talks about GLP agonists, which can aid in weight control, and recommends considering a low-carbohydrate diet and regular exercise as part of a comprehensive approach. It's not just about knowing these options; it's about having the right conversation with your healthcare provider. Dr. Messamore emphasizes that not all psychiatrists are fully aware of these treatments, so it's crucial to advocate for yourself and ask the right questions.
If you're struggling with weight gain due to antipsychotic medication, this episode offers valuable insights and practical advice to help you navigate this challenging side effect while maintaining your mental health.

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