Can you loose weight while on Prednisone?

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Replies

  • huv123
    huv123 Posts: 54 Member
    I personally gained 25 kilos in a few short weeks while on prednisolone but I was on very high doses for Crohn's disease for several months. The doctor did not prepare me for the side effects at all, and I was hyper-vigilant, hungry all the time and completely irrational. Because the weight gain happened so quickly, it all happened between visits to his office. But I blame my lack of awareness about the side effects - if I have to go on it again I will totally be more prepared, and be ready to speak up if I think it's affecting me.
  • ok my experience was my doctor had no clue what was wrong with me. It wound up being reoccurance of staph infections but the experience I had with prednisone was OH MY!!! I got the prescription...to take for 7days....well all said and on 3day I was up to where I lost a total of 17lbs!! I have been to 5 different doctors and this med has this affect on me....the weight drops off and they cannot explain it. I am still going thru numerous tests for enough...bloating, intestinal aches, diarriah, constipation, allergies coming up all of sudden, etc. and still minimal staph infections now but this steriod med does not put weight on me...it makes me lose the weight! I can be off it and then a few months later my top state doctor wanted to see if it could do the same thing or help another issue Well it did the same thing. The other thing is I DO NOT put the weight back on.....granted I've needed and wanted to loss my 60lbs I gained since my kids were born so it's coming off at least. The other issue they are watching is to make sure immune system is stable and that I don't have bouts again with anemia that use to haunt me growing up from the age of 4 to 15.
    If any one else has experienced this or if a doctor has recommended this as a way to lose weight I would so love to hear from you (because my doctors are freaking out!!).
  • therunner42
    therunner42 Posts: 1 Member
    Yes definitely just exercise eat healthy and there should be no problem. I have been on it for a month (for Bells palsy having 1 side of my face paralysed and gaining weight) and gained 5 pounds in the first week. It took two weeks tor reverse it but it did reverse....good luck:smile:
  • Hi. I have SLE. I have regular prednisolone. I am a nurse. I am losing weight steadily. Need to be pretty strict. Drink lots of water if hungry. Eat lots of veggies. Fruit etc. good luck
    Asthmatic here using Prednisone for ocassional control.
    I'm going to try your method for controlling the inevitable weight gain.

    I, however, did experience the weird fat increases and distributions some years ago: One day (after too many prescribed regimens of Prednisone, my allergy doctor never discussed these side-effects) I was getting dressed one day and my skirts and pants no longer fit; my thighs were so bulgy and weird that I nearly fainted in surprise!!
    So, this time, let's see what happens with increased exercise and cleaner eating and far less salt.
    Be well.
  • I deal with this same problem and find that after two years of dealing with a chronic condition the best thing to do is watch what you eat. Protein mixed with water or un-sweetened almond milk, salads, raw vegetables, fish, skinless chicken breast, tofu. Things to avoid - bread, pasta, pizza (unless you run a lot). Pretty much anything that you crave or might consider comfort food avoid as you will over eat and often there are a lot of bad calories. If you have to eat bread or pasta - whole grains or oats are great to eat. but watch the carbs. I keep my load at 50/25/25 while training and off season I keep it at 50/30/20 (Protein/Carbs/Fat). While I no longer train for sports, I do train to stay in shape. With having developed this AI disease in my 40's and suffered for 2 years and putting on 60 lbs. for me to get into the gym. Currently I run 4-6 miles 5 times a week and weight lift at a high intensity as I used to when I was in my 20-30's. I go big but work high reps light weights as well. Working both strength and endurance for myself is important for it gives me muscle to burn calories while tying this and cardio to help raise my BMR (Base Metabolic Rate).

    Keep at it and don't give up. It can seem like an uphill fight - and it is - but it does not mean you have to give up. Get out, get involved, and follow some of the good advice of others that have posted. I especially like the suggestion of raw carrots and celery as these are great filler foods and don't pack a lot of calories and have some great nutritional value. Finally, record everything you eat - everything. Scan it using the app and be honest what a portion size is. Sometimes we like to lie to ourselves. ;)

    last thing I do to track exercise is a heart rate monitor that I sync with myfitness pal. A great t.ool that keeps the guess work out of calories burned and making certain my calorie count is negative.

    Good Luck!!

    Brian
  • Fayve
    Fayve Posts: 406 Member
    Woo, lots of ulcurative colitis people, yay (sorta)! When I was taking 45mg/day, I found it almost impossible. I ballooned up at the start and was able to just about maintain (maybe 5lbs gain over the 3 months or so I was at full dose). I've been on prednisone 4 times for about 4-5 months at a time. It's -possible-, but I urge you to seek health before thinness. I had a lot of late nights crying about how heavy I felt, how large my moonface was, and how hungry I still felt after eating constantly, and it did nothing for me in the end. When I was on prednisone, I had tons of energy though. I urge you to use that extra energy if you have it for exercise and wellness :) Good luck friend!
  • aspexil
    aspexil Posts: 2
    Get the book "Wheat Belly" I started a year ago eliminating wheat/grains and lost 14" off my waist. Go to http://www.wheatbellyblog.com/ if you can't afford to get the book start at http://www.wheatbellyblog.com/2012/12/wheat-belly-quick-dirty-2/ While I'm still battling the appetite stimulation prednisone at least I'm not consuming bad carbs that spike blood sugar which is how we gain weight. Give it a try!
  • I've just started taking prednisone for a herniated disc and it's helped enormously with the previously agonizing pain. However I specifically asked my dr if weight gain was a common side effect and she said no so I'm a little peeved!

    So far, and I'm only two days in, my loss of appetite following my injury is still hanging around but I'm really concerned about weight gain after finding out the actual side effects! Especially because I'm not sure when I'll be able to go back to exercising again. If I manage to stick to a low calorie, low sodium diet it should be possible to not gain right? But I have no idea how badly the increased appetite is from personal experience yet! From other's experiences it seems very quite difficult on this med.
  • currently taking prednisone and other medications (i think like 23 total?) started working out and eating better starting jan 1st of 2014. iv already lost about 14 lbs. dont give up. you can do it if u have the will power. ;-D
  • hcrengle
    hcrengle Posts: 2
    I was on 20mgs a day prednisone for a decade and gained 40 kilos over that time. I lost 57 kilos in the tenth year, easily, 12 -15 kilos every 3 months. I just stopped eating meat, wheat/gluten, eggs, or dairy products and ate anything else I wanted. It worked.

    I've now been on prednisone for a total of 22 years. This year, Ive lost 35 kilos so far - current rate of loss 10 kilos in 7 weeks.

    It is very possible to diet effectively and lose weight on Prednisone. Restricting food group needs helped me because I didn't have to manage portions and could cope with the appetite spikes created by the medicine.
  • LisaMB7714
    LisaMB7714 Posts: 7 Member
    I have 5 autoimmunes and a whole lot of other health issues. I've been on and off prednisone almost my whole life due to my breathing issues/disroders and the autoimmune issues as well. You can lose weight on prednisone it's just harder.
  • meluka29
    meluka29 Posts: 2 Member
    I had a kidney pancreas transplant 6 months ago i have gain 30 pounds and i dont know how to loose them i ve tried everything but the steroids dont let me loose no pounds at all . I dont know what to do i am trying to do everything to loose them but its junst not functioning....
  • leslina42
    leslina42 Posts: 1
    I was recently diagnosed with the autoimmune disorder Sarcoidosis, I'm on week 4 of a 12 month regiment of Prednisone treatment and immunosuppressant treatment. My current dosage is 40 mg. I've been working really hard to lose weight; walking 3x a week and following a stringent high protein/ low carb diet. I haven't gained any weight, but it's been a lot harder to lose weight for sure. Taking comfort that I'm not alone in this battle. When I get cravings or hunger pangs I drink a cup of green tea and that seems to help curb the cravings and pangs. I am most concerned with developing diabetes being on steroids for such a long time.
  • medic218mc
    medic218mc Posts: 1
    Hey I found out August of last year that I had ulcerative colitis. I weighed 175 at the time and was fairly healthy I was then put on prednisone and gained 50 lbs. I remained in remission for several months not paying attention to my weight cause I did not notice a the 50 lbs gained. Went with son to a pack hike and realized how out of shape I was. I started working out very hard this past month and with myfitnesspal it was doing really well had energy. Losing weight with relative ease lost actually 10 lbs in month. But during the last two weeks I had knee pain. I went to doctor to find out that I had bursitis in my right and was prescribed dicofenlic and my colitis flared like none other. Now I am getting put back on prednisone and really hate it cause I can not afford to back track again or gain another 50 lbs. is there any thoughts as how manage through this and not fall back do much. I feel so horrible cause I was actually about to keep up with my boys both active and now I just feel run down. If anybody a meal plan that could help me stay close to weight so once I can get off. I won't be so bad off with my weight. I would love the assistance t
  • lucful
    lucful Posts: 18 Member
    I've got lupus nephritis and am on presi. I was on it earlier but i was not exercising or eating better. Now I as i am on it, I have been able to loose weight alright my face is still a little bigger, but the calorie tracking and exercising are keeping my face from being as big as it was the first-time.
  • 33Freya
    33Freya Posts: 468 Member
    You will puff up on that, but watch your calories and work out. Concentrate more on body composition as opposed to the number on the scale and you'll do yourself some good. Good luck!
  • Ang108
    Ang108 Posts: 1,707 Member
    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?

    I am on high doses of Prednisone as well s Dexamethasone ( plus I am older....past 65) due to almost life long RA as well as active systemic Lupus for the last three years. I have to be very disciplined in regard to my calorie intake as well as the quality of the calories I ingest. Due to age and height ( under 5 feet ) I eat 1200 calories a day and walk 45 minutes six days a week. I have lost 50 pounds over the last year. In case you are interested....my food log is open.
  • cz_scrap
    cz_scrap Posts: 1
    It was so good to read all your stories. 3 years ago I lost 30 pounds on weight watchers-looked and felt better than in years, but I was still having difficulty going up stairs and climbing a step that was high. Then one day, my legs went out from under me as I was getting on a shuttle bus. I mentioned this to my rheumatologist who dx my with polymyositis-put me on 60 mgs of prednisone. I didn't handle it well and gave up and just ate everything-feeling what's the use. I just got down to 5mgs last month, but was dx yesterday with vasculitis-and was put back on to 40 mgs. I'm at my upper weight now and just do not want to gain any more. I'm determined not to freak out like I did last time so it was good to hear the stories of those of you that have maintained or lost weight. I'm with the camp that doesn't like the side affects, but am so glad there is this medication as I don't want to imagine what my life would be like without it. I started tracking today and will focus on eating lots of veggies, some fruit, some protein, a little carb and exercising(once these lesions on my leg heal-eww-they are gross but I'm hoping the prednisone helps quickly-)
  • vtcapel
    vtcapel Posts: 1
    Hi, i've been taking prednisone for a year already decresing dosis. Now im at 12.5mg I got diagnose Dermatomyositis and besides the monthly internations at thr hospital for gammaglobuline i was on solumedrol, another steroid. At first i lost 15 lbs gained from my illness and felt good about, but after two months on 60mg prednisone got blowned up. I have always kept a healthy eating habit, but it didnt stopped the weight gain. I've gain 43 lbs and i wasnt able to exercise until a month ago, because i wasnt able to walk properly because of the illness. It has been already two weeks since i started exercise and feel much better and less like a balloon, still my weight is the same. Its sooo depressing!! Hope to friend you guys, you all understand how prednisone works and could really cheer up each other :)
  • JustGettingBy
    JustGettingBy Posts: 1 Member
    Yes, you can! But be prepared to hit a plataeu on the scale. I'm a physician who treats patients with high dose steroids and slowly reduces the dose over weeks to months. Up until I was diagnosed with an autoimmune disease myself, the only advice I had to offer for my patients was to cut back on salt and maintain a healthy diet and exercise program to avoid the weight gain. Well, I now realize there is much more to Prednisone.
    First thing I have come to realize is that I was being too hard on myself and had high expectations of the scale! Over a 2-month period while being on 60 mg of Prednisone I lost almost 12 lbs but the scale hasn't budged over the past 3 weeks. I was quite frustrated given that I was doing a great job with both my diet and my exercises. The change I saw instead? Fuller face but fitting into smaller pant sizes!
    So, I now accept that for the period I am on Prednisone, I will have a fuller face, a redistribtuion of body fat and a scale that may not make me happy but eventually I know my healthier diet and exercise program will pay off once I can come off the Prednisone.
    Realistic expectations such as maintaining weight while on Prednisone (and restricitng salt and caloric intake) rather than weight loss is much more encouraging to keep looking for healthy recipes! I'm grateful for my health and for the opportunity to experience what my patients go through!!
    Good luck to you all and keep in mind studies have shown that exercise helps fight autoimmune diseases! :smile:
  • I have a kidney disorder that, when not in remission, requires me to take prednisone. I agree with so many of you that this may be the ideal medication to treat our ailments. However, this medication is quite brutal. I found out today that I will be starting another round and decided to find out how to beat the weight gain and other "fun" symptoms instead of blame the drug and throw in the towel. Thank you all for your positive comments and encouragement! So glad to know I'm not alone in this battle!
  • I've been on Prednisone for 5 weeks now of my 8 week prescription. I'm taking it for Ulcerative Colitas, which I was diagnosed with 5 weeks ago also. In the 5 weeks I have gained 6 pounds. Before I was diagnosed, I lost almost 10 pounds in around 10 days from the UC complications (my body was not retaining much nutrients and water). I do not have moon face, and I'm feeling really good now. My secret was I completely changed my diet and removed all processed foods and minimize my carbs. Paleo, SCD, FODMAPS, etc. are all diets that are based on these guidelines. I have no doubt that this is the reason why I am seeing little to no side affects of the prednisone, and it's definitely helping my UC symptoms, and also my overall well-being.
  • forgetmenot_priya
    forgetmenot_priya Posts: 1 Member
    I understand your pain. I have been on Prednisone for over 4 years for an autoimmune disease as well. i have rheumatoid arthritis, and although helps out a lot with the pain, and the amount of weight that i have gained is unreal and completely unwanted. I recently changed my eating habits to low-carb. I am thinking of becoming a vegetarian but i am not sure how that will pan out.
  • Aine8046
    Aine8046 Posts: 2,122 Member
    edited March 2016
    I've been on it for almost 20 years (and probably will be on it for the rest of my life :/ ). Did not gain weight until few years ago - just getting older and lazier I think... My weight got redistributed though - my arms and legs (and especially hands and feet) are thin, and all the extra weight ends up on face, breasts, and waist... :(
  • singingflutelady
    singingflutelady Posts: 8,736 Member
    I know this is an old thread but I am an odd duck. I didn't gain any weight at all ( and actually was underweight while on it). Perhaps that's because I only take it when my Crohn's is really bad and I'm not absorbing much and eating is painful.
  • queenliz99
    queenliz99 Posts: 15,317 Member
    I was on prednisone for years, I gained weight because I was always hungry. This was before MFP and counting calories.
  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
    aspexil wrote: »
    Get the book "Wheat Belly" I started a year ago eliminating wheat/grains and lost 14" off my waist. Go to http://www.wheatbellyblog.com/ if you can't afford to get the book start at http://www.wheatbellyblog.com/2012/12/wheat-belly-quick-dirty-2/ While I'm still battling the appetite stimulation prednisone at least I'm not consuming bad carbs that spike blood sugar which is how we gain weight. Give it a try!

    @aspexil welcome to MFP forums. I have read Wheat Belly Total Health about a year after I left off sugar and all grains and I agree it was an important book in my case.

    In the case of @loosingit3 cutting out grains might or might not help however. I took Prednisone for many years and it impacted my joints and have been off of it for years now.

    Healthy people do not become obese typically and sick people do often wind up gaining a lot of weight as I see it. My autoimmune problems lead to arthritis, IBS and obesity. The doctors had me set up to start Enbrel injections as of Nov 2014. Finally after trying to taper off of sugar and grains during Aug/Sept 2014 and totally failing I left sugars and all form of grains Oct 2014 and in just 30 days my autoimmune related health problems started to resolve without using any Rx medications. Had I done that 40 years earlier I expect my life would have been very different.

    It might not work for others but when I was able to 'fix' my autoimmune related health issues by my new Way Of Eating as my health started to improve my weight started coming off and I have maintained at 200 down from 250 for the last year.

    Loosingit3 I encourage you to keep reading and searching with Google about your health condition to see if you can learn more as you are doing here on MFP forums. Just keep in mind social media is not a place of trustworthy medical advice typically. Plus what advice may be great for one person might kill another so be carefully. Read as much research as you can find. The treatments for autoimmune diseases can be more dangerous than the disease itself I have found. Best of success.
  • Sarc_Warrior
    Sarc_Warrior Posts: 430 Member
    leslina42 wrote: »
    I was recently diagnosed with the autoimmune disorder Sarcoidosis, I'm on week 4 of a 12 month regiment of Prednisone treatment and immunosuppressant treatment. My current dosage is 40 mg. I've been working really hard to lose weight; walking 3x a week and following a stringent high protein/ low carb diet. I haven't gained any weight, but it's been a lot harder to lose weight for sure. Taking comfort that I'm not alone in this battle. When I get cravings or hunger pangs I drink a cup of green tea and that seems to help curb the cravings and pangs. I am most concerned with developing diabetes being on steroids for such a long time.

    I also was diagnosed with sarcoidosis. Add me if you want
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