nutritionist
markswife1992
Posts: 262 Member
i am on seroquel (starting yesterday)
and last time i took it, i gained about 40 pounds. i have lost about 14 of those pounds, but starting back on seroquel, i know i am doomed if i can't gain control very very quickly. my psychiatrist told me to see a nutritionist, so i was just wondering if anyone has done this (our insurance doesn't cover it, so it will be out-of-pocket) and were there benefits? are they just going to tell me to eat more veggies and less fried foods (because i already know that LOL) -
and please, anyone who might say, "if you eat right you won't gain weight, even on seroquel" please save your comments. there are many schools of thought on that subject, and some scientific evidence that taking seroquel, or the like, can cause weight gain in those who continue with the same healthy diet/exercise regime. thanks.
and last time i took it, i gained about 40 pounds. i have lost about 14 of those pounds, but starting back on seroquel, i know i am doomed if i can't gain control very very quickly. my psychiatrist told me to see a nutritionist, so i was just wondering if anyone has done this (our insurance doesn't cover it, so it will be out-of-pocket) and were there benefits? are they just going to tell me to eat more veggies and less fried foods (because i already know that LOL) -
and please, anyone who might say, "if you eat right you won't gain weight, even on seroquel" please save your comments. there are many schools of thought on that subject, and some scientific evidence that taking seroquel, or the like, can cause weight gain in those who continue with the same healthy diet/exercise regime. thanks.
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Replies
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Can you ask your family doctor for a referral to a registered dietitian? Most insurance companies will cover this.0
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I'd see an RD, not a nutritionist. Anyone can be a nutritionist.0
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markswife1992 wrote: »i am on seroquel (starting yesterday)
and last time i took it, i gained about 40 pounds. i have lost about 14 of those pounds, but starting back on seroquel, i know i am doomed if i can't gain control very very quickly. my psychiatrist told me to see a nutritionist, so i was just wondering if anyone has done this (our insurance doesn't cover it, so it will be out-of-pocket) and were there benefits? are they just going to tell me to eat more veggies and less fried foods (because i already know that LOL) -
and please, anyone who might say, "if you eat right you won't gain weight, even on seroquel" please save your comments. there are many schools of thought on that subject, and some scientific evidence that taking seroquel, or the like, can cause weight gain in those who continue with the same healthy diet/exercise regime. thanks.
But... OP... the answer regardless will be less caloric intake. Whatever a nutritionist will tell you will boil down to this, but be peppered with information in regards to macros (protein/fat/carbs). Some medication makes weight gain easier, but if your metabolism has slowed then you don't need those extra calories (as it's just storing them as fat). It's not fair or easy, but that's really the only answer you can get.0 -
markswife1992 wrote: »i am on seroquel (starting yesterday)
and last time i took it, i gained about 40 pounds. i have lost about 14 of those pounds, but starting back on seroquel, i know i am doomed if i can't gain control very very quickly. my psychiatrist told me to see a nutritionist, so i was just wondering if anyone has done this (our insurance doesn't cover it, so it will be out-of-pocket) and were there benefits? are they just going to tell me to eat more veggies and less fried foods (because i already know that LOL) -
and please, anyone who might say, "if you eat right you won't gain weight, even on seroquel" please save your comments. there are many schools of thought on that subject, and some scientific evidence that taking seroquel, or the like, can cause weight gain in those who continue with the same healthy diet/exercise regime. thanks.
But... OP... the answer regardless will be less caloric intake. Whatever a nutritionist will tell you will boil down to this, but be peppered with information in regards to macros (protein/fat/carbs). Some medication makes weight gain easier, but if your metabolism has slowed then you don't need those extra calories (as it's just storing them as fat). It's not fair or easy, but that's really the only answer you can get.
when i gained before, my CICO remained the same. that is, i was exercising the same, had the same macros, same calories as before i started Sero, and I gained 40 lbs. so it's not really about CICO, and if my metabolism slowed, how can i track/control that?
my main question is, what does a nutritionist tell you? how to eat, what foods to consume, which to avoid, how many calories are required, etc. ?
also to fromnebraska, what is an RD?0 -
geneticsteacher wrote: »Can you ask your family doctor for a referral to a registered dietitian? Most insurance companies will cover this.
our insurance doesn't cover nutritionists or dieticians.0 -
and RD is a registered dietitian and will know more than a nutritionist. some nutritionist dont even have to be licensed in certain states in the US to practice, which is astonishing to me. its still about CICO you will just have to eat less than you did the last time before the meds. you could work out more and create a bigger deficit but not sure how well that would work either.some meds will lower your metabolism and make it harder to lose weight so you are going to have to be more accurate with your intake(weighing everything on a food scale may help)
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markswife1992 wrote: »markswife1992 wrote: »i am on seroquel (starting yesterday)
and last time i took it, i gained about 40 pounds. i have lost about 14 of those pounds, but starting back on seroquel, i know i am doomed if i can't gain control very very quickly. my psychiatrist told me to see a nutritionist, so i was just wondering if anyone has done this (our insurance doesn't cover it, so it will be out-of-pocket) and were there benefits? are they just going to tell me to eat more veggies and less fried foods (because i already know that LOL) -
and please, anyone who might say, "if you eat right you won't gain weight, even on seroquel" please save your comments. there are many schools of thought on that subject, and some scientific evidence that taking seroquel, or the like, can cause weight gain in those who continue with the same healthy diet/exercise regime. thanks.
But... OP... the answer regardless will be less caloric intake. Whatever a nutritionist will tell you will boil down to this, but be peppered with information in regards to macros (protein/fat/carbs). Some medication makes weight gain easier, but if your metabolism has slowed then you don't need those extra calories (as it's just storing them as fat). It's not fair or easy, but that's really the only answer you can get.
when i gained before, my CICO remained the same. that is, i was exercising the same, had the same macros, same calories as before i started Sero, and I gained 40 lbs. so it's not really about CICO, and if my metabolism slowed, how can i track/control that?
my main question is, what does a nutritionist tell you? how to eat, what foods to consume, which to avoid, how many calories are required, etc. ?
also to fromnebraska, what is an RD?
That was my point - your CICO stayed the same, but your body didn't use them. I don't honestly know how you're going to figure that out exactly, but if you gained 40 lbs eating the same exact calories before (assuming you're weighing your food here), multiply the number of lbs you gained (40) by number of cals in a pound (3500) and divide that number by the number of days it took you to gain 40lbs. There is the number of calories you could have subtracted from your diet to stay at the same weight.
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markswife1992 wrote: »markswife1992 wrote: »i am on seroquel (starting yesterday)
and last time i took it, i gained about 40 pounds. i have lost about 14 of those pounds, but starting back on seroquel, i know i am doomed if i can't gain control very very quickly. my psychiatrist told me to see a nutritionist, so i was just wondering if anyone has done this (our insurance doesn't cover it, so it will be out-of-pocket) and were there benefits? are they just going to tell me to eat more veggies and less fried foods (because i already know that LOL) -
and please, anyone who might say, "if you eat right you won't gain weight, even on seroquel" please save your comments. there are many schools of thought on that subject, and some scientific evidence that taking seroquel, or the like, can cause weight gain in those who continue with the same healthy diet/exercise regime. thanks.
But... OP... the answer regardless will be less caloric intake. Whatever a nutritionist will tell you will boil down to this, but be peppered with information in regards to macros (protein/fat/carbs). Some medication makes weight gain easier, but if your metabolism has slowed then you don't need those extra calories (as it's just storing them as fat). It's not fair or easy, but that's really the only answer you can get.
when i gained before, my CICO remained the same. that is, i was exercising the same, had the same macros, same calories as before i started Sero, and I gained 40 lbs. so it's not really about CICO, and if my metabolism slowed, how can i track/control that?
my main question is, what does a nutritionist tell you? how to eat, what foods to consume, which to avoid, how many calories are required, etc. ?
also to fromnebraska, what is an RD?
That was my point - your CICO stayed the same, but your body didn't use them. I don't honestly know how you're going to figure that out exactly, but if you gained 40 lbs eating the same exact calories before (assuming you're weighing your food here), multiply the number of lbs you gained (40) by number of cals in a pound (3500) and divide that number by the number of days it took you to gain 40lbs. There is the number of calories you could have subtracted from your diet to stay at the same weight.
i gained that weight really fast. i would say within a month, i had already gained 20 lbs. it would likely be impossible at this point to figure-out exactly how much in what time period (it was last summer)
i quit sero because my cholesterol went through the roof but i really have no choice at this point (mentally)
i do weigh/measure everything very carefully, i have a food scale and keep track. i belong to a gym and have a treadclimber at home. the problem is with sero, there is ZERO energy so it's much more difficult to stay motivated. but i am doing it.
thanks for the input. i will do some research on metabolism.0 -
CharlieBeansmomTracey wrote: »and RD is a registered dietitian and will know more than a nutritionist. some nutritionist dont even have to be licensed in certain states in the US to practice, which is astonishing to me. its still about CICO you will just have to eat less than you did the last time before the meds. you could work out more and create a bigger deficit but not sure how well that would work either.some meds will lower your metabolism and make it harder to lose weight so you are going to have to be more accurate with your intake(weighing everything on a food scale may help)
yes that is strange not to have some guidelines and certifications. i did try to find a dietitian but our ins doesn't cover it with a co-pay. i would be out-of-pocket. might have to do it anyway.
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just be wary of anything that tells you that you can jumpstart or reset metabolism as those things are full of woo and not true. if anything claims those things move on from that info0
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markswife1992 wrote: »markswife1992 wrote: »markswife1992 wrote: »i am on seroquel (starting yesterday)
and last time i took it, i gained about 40 pounds. i have lost about 14 of those pounds, but starting back on seroquel, i know i am doomed if i can't gain control very very quickly. my psychiatrist told me to see a nutritionist, so i was just wondering if anyone has done this (our insurance doesn't cover it, so it will be out-of-pocket) and were there benefits? are they just going to tell me to eat more veggies and less fried foods (because i already know that LOL) -
and please, anyone who might say, "if you eat right you won't gain weight, even on seroquel" please save your comments. there are many schools of thought on that subject, and some scientific evidence that taking seroquel, or the like, can cause weight gain in those who continue with the same healthy diet/exercise regime. thanks.
But... OP... the answer regardless will be less caloric intake. Whatever a nutritionist will tell you will boil down to this, but be peppered with information in regards to macros (protein/fat/carbs). Some medication makes weight gain easier, but if your metabolism has slowed then you don't need those extra calories (as it's just storing them as fat). It's not fair or easy, but that's really the only answer you can get.
when i gained before, my CICO remained the same. that is, i was exercising the same, had the same macros, same calories as before i started Sero, and I gained 40 lbs. so it's not really about CICO, and if my metabolism slowed, how can i track/control that?
my main question is, what does a nutritionist tell you? how to eat, what foods to consume, which to avoid, how many calories are required, etc. ?
also to fromnebraska, what is an RD?
That was my point - your CICO stayed the same, but your body didn't use them. I don't honestly know how you're going to figure that out exactly, but if you gained 40 lbs eating the same exact calories before (assuming you're weighing your food here), multiply the number of lbs you gained (40) by number of cals in a pound (3500) and divide that number by the number of days it took you to gain 40lbs. There is the number of calories you could have subtracted from your diet to stay at the same weight.
i gained that weight really fast. i would say within a month, i had already gained 20 lbs. it would likely be impossible at this point to figure-out exactly how much in what time period (it was last summer)
i quit sero because my cholesterol went through the roof but i really have no choice at this point (mentally)
i do weigh/measure everything very carefully, i have a food scale and keep track. i belong to a gym and have a treadclimber at home. the problem is with sero, there is ZERO energy so it's much more difficult to stay motivated. but i am doing it.
thanks for the input. i will do some research on metabolism.
Good luck, that's a rough situation.0 -
markswife1992 wrote: »markswife1992 wrote: »markswife1992 wrote: »i am on seroquel (starting yesterday)
and last time i took it, i gained about 40 pounds. i have lost about 14 of those pounds, but starting back on seroquel, i know i am doomed if i can't gain control very very quickly. my psychiatrist told me to see a nutritionist, so i was just wondering if anyone has done this (our insurance doesn't cover it, so it will be out-of-pocket) and were there benefits? are they just going to tell me to eat more veggies and less fried foods (because i already know that LOL) -
and please, anyone who might say, "if you eat right you won't gain weight, even on seroquel" please save your comments. there are many schools of thought on that subject, and some scientific evidence that taking seroquel, or the like, can cause weight gain in those who continue with the same healthy diet/exercise regime. thanks.
But... OP... the answer regardless will be less caloric intake. Whatever a nutritionist will tell you will boil down to this, but be peppered with information in regards to macros (protein/fat/carbs). Some medication makes weight gain easier, but if your metabolism has slowed then you don't need those extra calories (as it's just storing them as fat). It's not fair or easy, but that's really the only answer you can get.
when i gained before, my CICO remained the same. that is, i was exercising the same, had the same macros, same calories as before i started Sero, and I gained 40 lbs. so it's not really about CICO, and if my metabolism slowed, how can i track/control that?
my main question is, what does a nutritionist tell you? how to eat, what foods to consume, which to avoid, how many calories are required, etc. ?
also to fromnebraska, what is an RD?
That was my point - your CICO stayed the same, but your body didn't use them. I don't honestly know how you're going to figure that out exactly, but if you gained 40 lbs eating the same exact calories before (assuming you're weighing your food here), multiply the number of lbs you gained (40) by number of cals in a pound (3500) and divide that number by the number of days it took you to gain 40lbs. There is the number of calories you could have subtracted from your diet to stay at the same weight.
i gained that weight really fast. i would say within a month, i had already gained 20 lbs. it would likely be impossible at this point to figure-out exactly how much in what time period (it was last summer)
i quit sero because my cholesterol went through the roof but i really have no choice at this point (mentally)
i do weigh/measure everything very carefully, i have a food scale and keep track. i belong to a gym and have a treadclimber at home. the problem is with sero, there is ZERO energy so it's much more difficult to stay motivated. but i am doing it.
thanks for the input. i will do some research on metabolism.
Good luck, that's a rough situation.
THANKS. i know there are people who dont' believe me when i say that weight packed-on with a simple change of meds. but i lost about 16 lbs right away after stopping, and i have met others who have the same experiences where they either don't change their eating habits, OR they reduce calories and still gain. i do believe there is some science behind the change of body chemistry to make for weight gain.
sometimes my mental health has to come before my weight.
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CharlieBeansmomTracey wrote: »just be wary of anything that tells you that you can jumpstart or reset metabolism as those things are full of woo and not true. if anything claims those things move on from that info
oK
thank you for your input today 0 -
Weight gain/loss all comes down to calories in vs. calories out - you know that. The problem with this drug, as I understand it, is the increase in appetite. IMO, you need to concentrate on two things - one eat a diet rich in protein and fats (satiety value) and two, have lots of low calorie treats to munch on when you get hungry (veggies, lower glycemic fruits, etc.). One of my favs is peanut butter on an apple. You can get this under control now. Good luck!0
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I don't have any advice for you. Just checking in to say I feel the pain of weight loss on an atypical antipsychotic. I ballooned up big time when I started on Risperdal and have been fighting to take it off ever since. Luckily I'm off that and on Latuda instead which seems to be making it easier.0
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I'm so sorry you're dealing with this. Most meds like these do cause weight gain. All I could suggest is cutting calories and adding more exercise. Maybe try different medications to find one that works and causes less weight gain?0
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@markswife1992 I'm on seroquel (2nd time) and I gained 50 pounds (again) It's taken me 9 months to lose 18 of them. It totally sucks like the choice between sanity and thin.
I go to a doctor that specializes in weight loss affiliated with the local hospital. He has put me on a low carb diet that's helpful for people like us. Seroquel has also made me prediabetic and we've talked about me going on a drug for diabetes that could help with weight loss since i can't take anything with phentermine or antidepressants in it and seroquel really messes with the metabolism. I'm going to find out on the 18th.
For all of you who say CICO, it's really not that simple with this medication. I ate 800-1000 calories a day under dr's supervision and worked out with a trainer and didn't lose a thing the last time I took this drug. It really messes with metabolic processes which is why I've had to go low carb this time and exercise more than I've ever in my life to lose weight at a depressingly slow pace. It's a great medication which is why so many of us reluctantly stay or go back to it, and most of the alternatives in this class have similar side effects.0 -
I'm really sorry you're having to deal with this. You don't want to hear this but it is CICO, calories in and calories out. Not accounting for things such as water retention potentially causing increased scale weight. You say that you have no energy on the medication, that right there tells me you have a lot less NEAT (non exercise activity thermogenesis) which would impact your calories out. So if your calories in remain unchanged, but calories out go down, you'll gain weight for sure.
I second everyone who said try to find a registered dietician not a nutritionist as in a lot of places anyone can call themselves a nutritionist.
I'm not a medical professional so take what you want from this but the best advice I can think of is try to do some low intensity exercise to help keep your calories out as elevated as possible without stressing your body more than necessary, because I'm assuming this medication will be stressful on your system already. Go for a walk, look for any option to increase activity through the day. Park at the far end of a parking lot, take stairs vs. elevators, etc. You'll want to reduce your calories in to account for the reduction in calories out that you will likely experience on the medication. Focus your diet on whole foods because they'll give you the best satiety for calories. When I'm cutting I eat a LOT of veggies to help keep myself feeling full, so if hunger will be a problem for you this will probably be beneficial to you when you go on this medication as well.
Good luck, I hope you manage to maintain your weight when you go on.0 -
Weight gain/loss all comes down to calories in vs. calories out - you know that. The problem with this drug, as I understand it, is the increase in appetite. IMO, you need to concentrate on two things - one eat a diet rich in protein and fats (satiety value) and two, have lots of low calorie treats to munch on when you get hungry (veggies, lower glycemic fruits, etc.). One of my favs is peanut butter on an apple. You can get this under control now. Good luck!
actually, that's not quite the case. even when people did NOT eat any extra calories as compared to before they were on sero, they STILL gained weight. in about 7% of people (apparently i am one) there is no known cause of weight gain.0 -
something_obscure wrote: »I don't have any advice for you. Just checking in to say I feel the pain of weight loss on an atypical antipsychotic. I ballooned up big time when I started on Risperdal and have been fighting to take it off ever since. Luckily I'm off that and on Latuda instead which seems to be making it easier.
i just tried latuda in lieu of the sero, but it did absolutely nothing for me, so i had to switch back to sero. i'm really glad you found something that works for you! 0 -
geogirl0626 wrote: »I'm so sorry you're dealing with this. Most meds like these do cause weight gain. All I could suggest is cutting calories and adding more exercise. Maybe try different medications to find one that works and causes less weight gain?
i have tried several (alot actually) and nothing works like sero. my brain is set to "quiet" with sero.
i do agree that i probably need to up my exercise now that i'm back on it.0 -
I'm really sorry you're having to deal with this. You don't want to hear this but it is CICO, calories in and calories out. Not accounting for things such as water retention potentially causing increased scale weight. You say that you have no energy on the medication, that right there tells me you have a lot less NEAT (non exercise activity thermogenesis) which would impact your calories out. So if your calories in remain unchanged, but calories out go down, you'll gain weight for sure.
yes i do have no energy, but i go to the gym anyway. i work-out 5 days per week + i am really into bike riding and walking already. when i say i have zero energy on sero, i mean that it takes a huge amount of motivation to get moving, but i do it. when i was on it last time, i was hitting the gym and bike riding and even sometimes jogging and still gained weight with calorie control. it's just not simple. and there is no way i gained 40 pounds of water weight.
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@markswife1992 I'm on seroquel (2nd time) and I gained 50 pounds (again) It's taken me 9 months to lose 18 of them. It totally sucks like the choice between sanity and thin.
I go to a doctor that specializes in weight loss affiliated with the local hospital. He has put me on a low carb diet that's helpful for people like us. Seroquel has also made me prediabetic and we've talked about me going on a drug for diabetes that could help with weight loss since i can't take anything with phentermine or antidepressants in it and seroquel really messes with the metabolism. I'm going to find out on the 18th.
For all of you who say CICO, it's really not that simple with this medication. I ate 800-1000 calories a day under dr's supervision and worked out with a trainer and didn't lose a thing the last time I took this drug. It really messes with metabolic processes which is why I've had to go low carb this time and exercise more than I've ever in my life to lose weight at a depressingly slow pace. It's a great medication which is why so many of us reluctantly stay or go back to it, and most of the alternatives in this class have similar side effects.
THANK YOU! VERY WELL SAID.
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markswife1992 wrote: »something_obscure wrote: »I don't have any advice for you. Just checking in to say I feel the pain of weight loss on an atypical antipsychotic. I ballooned up big time when I started on Risperdal and have been fighting to take it off ever since. Luckily I'm off that and on Latuda instead which seems to be making it easier.
i just tried latuda in lieu of the sero, but it did absolutely nothing for me, so i had to switch back to sero. i'm really glad you found something that works for you!
Me too. Risperdal was life changing for me in a lot of ways. So I just accepted the weight gain. But I started showing early warning signs for diabetes so my doctor and I decided to try me on Latuda.
The first couple months were rough. I ended up hypomanic and the doc just kept upping the dose until I was on enough to to take down a rhino. At which point I started sleeping 12 hours/day though my mood was stable. Finally we got the dose dialed in and upped my Wellbutrin and now I've had the longest period of remission in my life.
Also... Almost Human from WNYC did a recent episode on some of the problems with calories as a unit of measurement and the criticisms of CICO reductionism. The most interesting part to me was a bit near the end on the effects of Risperdal on gut microbes and how that's been shown to cause weight gain in mice. You can listen to it here: http://www.wnyc.org/story/calorie-myth/
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bumping because that was an awesome clip to hear! TFS something_obscure 0
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in my experience with nutritionists I've found they either haven't been exactly what I'm looking for, or seem slightly inexperienced in working out the issues I've presented. I recommend finding an RD and shooting them an email first, to see if they'll be able help you out and if it's what you're looking for.0
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markswife1992 wrote: »markswife1992 wrote: »i am on seroquel (starting yesterday)
and last time i took it, i gained about 40 pounds. i have lost about 14 of those pounds, but starting back on seroquel, i know i am doomed if i can't gain control very very quickly. my psychiatrist told me to see a nutritionist, so i was just wondering if anyone has done this (our insurance doesn't cover it, so it will be out-of-pocket) and were there benefits? are they just going to tell me to eat more veggies and less fried foods (because i already know that LOL) -
and please, anyone who might say, "if you eat right you won't gain weight, even on seroquel" please save your comments. there are many schools of thought on that subject, and some scientific evidence that taking seroquel, or the like, can cause weight gain in those who continue with the same healthy diet/exercise regime. thanks.
But... OP... the answer regardless will be less caloric intake. Whatever a nutritionist will tell you will boil down to this, but be peppered with information in regards to macros (protein/fat/carbs). Some medication makes weight gain easier, but if your metabolism has slowed then you don't need those extra calories (as it's just storing them as fat). It's not fair or easy, but that's really the only answer you can get.
when i gained before, my CICO remained the same. that is, i was exercising the same, had the same macros, same calories as before i started Sero, and I gained 40 lbs. so it's not really about CICO, and if my metabolism slowed, how can i track/control that?
my main question is, what does a nutritionist tell you? how to eat, what foods to consume, which to avoid, how many calories are required, etc. ?
also to fromnebraska, what is an RD?
"How Do Prescription Drugs Cause Weight Gain?
For many drugs, it is not known exactly what causes the weight gain. Some medications can increase appetite, cause fluid retention, or slowly lead to weight gain over a period of time due to fatigue and lower activity. Drugs that trigger increases in appetite may work in the brain and affect the satiety (fullness) center. It is often difficult to distinguish between weight gain from a drug and weight gain from other reasons, like diet or lack of exercise, because it can be a slow process."
CICO still remains. An RD is a registered dietician...0
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