What we’ve said about Weight gain

“the best advice is to avoid weight gain inducing medications. Avoid weight gain inducing medications. Prevention is the best strategy there. Now, don't get me wrong. Some people also begin to gain weight, even on the medication that treats depression that does not itself cause weight gain”

“a patient who's not taking medication due to weight gain is a failed medication. And if GLP-1s can help prevent that, then it should be a part of our treatment plans”

“Don't titrate the metformin too fast. So it does cause a lot of DGI distress. So start low. Typically the dose is the same as if they had diabetes”

“for the telehealth people out there you can at least ask the patient to weigh themselves on a regular basis and self-report don't forget to weigh your patients now if you want to be really gold standard you're going to do waist circumference”

“I think that a degree of weight gain that we see on these medications is not fully from the medication effect itself, but is actually from the treatment effect. People, many people, don't eat when they're in emotional distress”

“I personally try to disregard the hard numbers found in population studies because the population studies can't differentiate between weight gain as a direct metabolic cause of a medication and weight gain as a consequence of treatment”

“one of the analyses of SSRIs showed that if you accounted for unhealthy eating, the weight gain signal mostly disappeared for SSRIs. And that's obviously not really true for crazy weight gain medications like Zyprexa”

“the data shows like on average, patients going to gain five pounds over a long term treatment. um i do find even patients that are trying their best implementing changes they can gain five pounds that are really tough to come off of”

“We've all seen patients gain a ton of weight on aripiprazole. I do think women are affected significantly worse than men. Most of the patients that I've seen gain a ton of weight tend to be women”

“It is metabolically pretty clean. I have had patients who have been on it and have had minimal weight gain. Minimal QTC prolongation, low prolactin”

“if you're dosing it appropriately and at the minimum effective, then you're not going to see much weight gain. But acne, unfortunately, if it happens, there's not really much you can do about it”

“a lot of people categorize fluoxetine as the most weight neutral. I think there was some study that in a very short term, there might have been some even weight loss. I don't see a significant difference”

“when you're at the point that you're using clozapine, you're a little bit less worried about those other risks because of the benefit and necessity that clozapine kind of offers”

“have that many choices when it comes to injections and most injections cause a lot of weight gain side effects blah blah blah that's the main reason”