Can you loose weight while on Prednisone?

Options
I need to loose at least 10 lbs. I am starting today. I am on prednisone for an autoimmune disease. I know you usually gain weight on this medication. How hard is it to acually loose weight on this. Am I fighting a loosing battle?
«13

Replies

  • mdm97b
    mdm97b Posts: 4
    Options
    Note: Please don't give up or be discouraged by my words below. Because you have a different disease than what I took the prednisone for, your body may react completely differently. Your body could need it so much that you have no adverse affects! God made us all wonderfully different! The following is just my personal account and opinion. :smile:

    I have been off and on prednisone for many years in my life. (I used to suffer from ulcerative colitis before my large colon had to be removed via emergency surgery.) Anyway, I was never able to maintain my current weight or lose weight while on those steroids - except when I was in the hospital for that emergency surgery & I nearly lost my life. And, although I lost 40 lbs in that month of hospital stay with extremely high does of steroids, I still got the "moon face." I happily welcomed that moon face in the mirror because it meant I was still alive and able to be a Mommy to my baby!

    I think that if you are on a low dose of steroids, it is indeed possible not to gain an excessive amount of weight. One of the main troubles I have is that they will irritate your stomach and many people mistake it for hunger and/or try to alleviate it with food - it's quite a tricky drug! However, it's not just the extra calories consumed that will cause weight gain; its the steroid itself, too.

    Have you talked with your doctor who prescribed it about your desire to lose weight? I always protested when my doctor put me on it by saying "but I don't want to gain weight!" Nearly every time my doctor would say that this was the best course of treatment for me to get better....and I wanted to get better more than be thin. I would ask your doctor if anything else would work as well, and if not, then at least you can be sure you are doing the best thing for your body - getting/ staying well - even if it means a couple pounds don't melt off right now. I hope someone does post with a trick to losing while on prednisone! I need it, too!
  • Nerple
    Nerple Posts: 1,291 Member
    Options
    Definitely can. I just got off my second go round with prednisone on 4 days ago. Both times I immediately jumped up initially (though that is probably more from insatiable appetite after not having food for a week) and started losing weight again after 2 weeks or so. Though it was definitely slower than without prednisone.
  • AnneGenevieveS
    AnneGenevieveS Posts: 436 Member
    Options
    YES you can... but its going to be HARDer than normal.

    Prednisone makes you release more insulin, which can make people SUPER hungry. That's the only reason they gain weight.
    I have been on it, and I am a nurse who has seen many people who have had to be on it for a long time.

    I took mine once per day, so I took it at night before bed to get through the worst cravings. I exercised like a crazy person and it took a lot of will power to maintain my weight. I also took it for autoimmune issues.

    Medicines affect everyone differently, and it depends on the dose. Hopefully you won't have too many problems with it.

    If you are on it a long time ( like i was) you might get little cheeks, but this is temporary, and is NOT from a weight gain necessarily. Called moon face. It will go away when you are done
  • loosingit3
    Options
    Thank you all for your replys. I am having the hardest time getting motivated and keeping my cravings under control. Ill be on the prednisone for at least 2 months. Plus on on Lyrica which ALSO makes you hungry. So i have a lot going for me. :) I really need to just eat certain foods and be really strict. Other wise I will end up like a balloon.

    Thanks everyone!

    Merrie
  • EricMurano
    EricMurano Posts: 825 Member
    Options
    Have you seen "Fat, Sick and Nearly Dead"? It's a doco about a guy that has your disease and how he ended up stopping taking Predinsone by juicing fruit and veges. He lost a lot of weight out of it too.

    Disclaimer: He does say that you should be monitored by your doctor while trying this. DO NOT stop taking your meds unless your doctor says it's ok.
  • sailingsal
    sailingsal Posts: 285 Member
    Options
    you can, but as has been said it makes you hungry. My chest specialist says the weight gain is due to eating the wrong things when craving food. I've been told to have lots of celery sticks and carrot sticks to nibble on when hungry due to steroids. Last time i was on them i managed to keep loosing!
  • lslater4
    lslater4 Posts: 11 Member
    Options
    I also am on prednisone. But I am on it for polymyalgia. It is the only thing You can take for it. But every one keep saying you can loose on it. That is why I am here. I also hold alot of water and take lasix for it. But dont give up. Since I have been on this site Just eating right and watching my food drinking lots of water. I have lost 10 lbs alone in water. So I am sure once I finish with the water i will start loosing real weight. Hang in there you will too.

    You can make me a friend if you want
  • net360
    net360 Posts: 9
    Options
    I too am on prednisone. I am currently @ 20 mg daily. Depending on dosage, the length of time you are on the medications, and your side affects (hunger, happy, angry, swollen hands and feet, increased/decreased energy) I would speak to your pharamcist about loosing weight and how you cant curtail some of the side affects. For me the first round, during Christmas time, all I did was eat eat eat and gained 4 lbs in 2 weeks. This round I have been on fitness pal and watching what I am eating and exercising and have not had the weight gain.
  • Luvlynamazing
    Options
    I was on this for a long time a few years ago because of my ashtma problems, and I did gain weight from it. I now take it a few times a year for only a week or so. Most of the weight that I gained was water weight, but I also wasn't watching what I was consuming and I couldn't excersice a whole lot because of my medical situation.
    I trully hope you give wieght loss a try and that you find a wonderful support system on here to help you out:)
  • sar87g
    Options
    I am 25, and have taken Prednisolone every single day since I was 21 (when I suddenly developed a rare blood disease which left me with chronic renal failure, needing dialysis then eventually a kidney transplant). I now take 10mg a day. It used to be more than triple that.
    I gained 40kgs in 6 months. I did not over eat, and I'm also a strict vegetarian. Prednisolone is the WORST of all my medications. I have tried exercising vigorously, hiring personal trainers, crash dieting, shake diets, strict crazy diets. They don't do a thing.
    The only thing that I have found works is calorie counting. You have to be diligent. It will take a lot longer than normal to lose the weight, but steroid diabetes is real and you have to try and lose that weight to help yourself.
    Trust me, I know it's easy to give up trying and blame it on the Prednisolone, but you'll only put on more weight. It's a terrible side effect of the drug, but I'm tryingu best to do something about it.

    Good luck to everyone else who's struggling with weight loss, I truly believe you can all do it if to change your attitude about "dieting" and just focus on a healthy lifestyle.
  • kimathy69
    Options
    Hi I am also on Prednisolone as I am slowly losing my sight! I am on 80mg and also on an immunosuppressant. I have been on it for nearly 3 years and struggle big time to control my weight! I eat healthily and exercise regularly but still seem to balloon! My doctor has given me weight loss tablets which do not have nice side effects but help a little.

    Good luck with the weight loss and any body comes up with new ideas please let me know, apart from starving myself I'm at a loss x
  • tbrider28
    tbrider28 Posts: 2 Member
    Options
    Nice to see others are struggling too :) I was diagnosed with SLE Lupus 11 years ago and lost about 20lb before I was diagnosed due to not being able to eat. Put me on prednisone as a 17 years old, the doc said be carful, but of course I wasn't. I gained the 20lb back and another 20. I slowly lost weight but I've always been bigger even as a kid. I started running seriously about 7 years ago when I was trying to join the police force. I lost about 10lb and got really fit in training and I've kept it up. This past winter, after spending last summer running running running, 5k,10's, half marathons, I had the worst flare I've ever had. The joint pain was worse than at my initial diagnosis. Back on the prednisone now. I worked SOOOOO HARD to avoid the weight gain, I do an hour of cardio and about 15 min weights 4 days a week and half an hour cardio other days, with a day off here and there. I know how to work out, I've been doing it long enough. I track calories, I watch the sodium, I get the sleep I need but it's soooo frustrating! I definitely have the moon face and it drives me nuts. I have a picture from a race last summer with me and a bunch of girlfriends and I can see the difference in my face and body and it's pretty depressing. :( I've put on 8-10lb but it's frustrating because I worked so hard last summer to lose that 10lbs! One of my main flare symptoms is lack of appetite so when I did get a flare in the last few years, I gotta admit, I ran with the no appetite thing, but when other symptoms kick in I know to see the doc lol
    I'm at 25mg/d now for 2 weeks, tapering from 60 and it's been about 3 months now. I cannot wait to get down to 5 where the doc said I'll be for a few years at least.
    We're all in it together for sure. Prednisone sucks but it does work like magic on what it has to do.
  • thenoxus1
    thenoxus1 Posts: 56 Member
    Options
    What disease are you taking it for? A few years ago I spent a year and a half on prednisone. I ballooned up, mostly because I was eating whatever and not working out. This used to be fine but not on prednisone. I gained a lot. If you eat right and work out you can counter act those effects. You WILL retain water weight a lot more, so do not freak out about that. Also - space meals out and have them more frequently. This can help the hunger you get from it. The biggest other side effect I had was sleep loss. I became completely sleep free...getting 2-5 hours a night, meds like meletonin can help a lot with that as does diet.
  • BinaryPulsar
    BinaryPulsar Posts: 8,927 Member
    Options
    I'm just replying to read this thread, for info for a family member.
  • lboogie757
    Options
    I am on prednisone for sarcoid. I've been on prednisone for 5 months now ( 40 mg for 2.5 months, 30 mg for 1 month, 20 mg for 1 month and currently on 10 mg ) and it shows. In the beginning the weight came on super fast. Since I've started tapering, it's still coming but, it's slower. Even though its still slowing coming on, I've noticed that if I increase my water intake, I feel better. I have started working out an extra day during the week so, I hope that helps. Now that I've found this forum, I hope that we can keep each other motivated on our journeys :) good luck everyone.
  • Sassylady51
    Sassylady51 Posts: 1 Member
    Options
    I am on loads of medications daily for an autoimmune liver disease, which progressed to Cirrhosis, non alcohol related.
    My consultant put me on Prednisolone which reduces my liver enzymes but the weight increase and bloating was soul destroying. Added to that was iron tablets and the constipation that brings...

    I'm trying to lose weight by following a diet but I've lost nothing at all.

    I welcome any suggestions!
  • lwbane
    lwbane Posts: 1
    Options
    I've been on and off prednisone for almost 20 years for RA. I am currently on 15 mg and this is the first time I've gained significant weight. Maybe because I'm older now and my metabolism is slower. Anyways, I want to say that prednisone makes you gain weight not only because it makes you hungrier and you eat more, but because it alters your metabolism and redistributes fat. It's an upstream battle. I've gained 10 pounds in less than two months and I haven't been eating any different. I've always been thin and could eat whatever I want, but I guess not anymore. It seems the harder I try to lose weight, the more I gain. I will just have to wait until I get off the prednisone and borrow a bunch of pants two sizes bigger.
  • missraye33
    missraye33 Posts: 5 Member
    Options
    This has been part of my struggle...I have systemic lupus erythematosus (autoimmune) and fibromyalgia (also autoimmune) and have been on varying doses of Prednisone for almost two years. I admit my eating hasn't been the best either; I'm learning to choose better when the cravings hit.
  • Zasloss
    Options
    Hi. I have been diagnosed with SLE for 2 years now and initially I lost like 15kg in one month before I was diagnosed which was awesome cause I looked perfect. Then the Dr started prescribing me Prednisone and within 2 months all the weight was back on again. I do not like the wight gain but choose to live rather so I tolerate it. I just wish it will go easier. It is not an escuse to use but it also doesn't make weight loss easier. I am on 10mg a day. Is it best drinking at night or in the morning?
  • funnygirlt
    funnygirlt Posts: 23 Member
    Options
    Hi

    I was originally diagnosed with SLE, and that has morphed and changed over the last few decades--Now, the rhuematolgists are concluding that it is psoriatic arthritis and also mixed connective disease, fibro etc. I am also on prednisone )20 mg) and just started methotrexate--it is driving me crazy with the side effects. I always seem to gain weight when I am on it, and this time, I want to at least stay the same. It is hard to deal with the cravings etc

    I would love to add you as a friend for mutual support and motivation so that this time we will win versus prednisone and our autoimmune diseases :)

    Enjoy your day:smile: Terri



    hope you are having a fun day ! Terri smile