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Wellness Wednesday for March 15, 2023

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

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I'm curious about your experience with dextroamphetamine in regards to appetite. Besides attention disorders it's sometimes prescribed for binge eating and seems to work well. I once took a (possibly too large) dose of it and sure enough I felt no desire to eat anything for the whole day, along with feeling a bit jittery. You mention trying to lose weight so is it not working in that way for you? Or if it does to a small extent, are you expecting to gain weight after going off of it?

Dextroamphetamine does reduce my appetite. When I first started taking it I had some hopes that I would just start losing weight, but that didn't happen. Appetite or no, I enjoy eating too much. However it has been helpful in making dieting easier than it normally would. I've had a concentrated campaign of trying to lose weight for 7 months now and I've managed to lose about 20 pounds. Skipping breakfast, not eating any sweets or fast food, small lunches, vaguely counting calories, that sort of thing. Even with dextroamphetamine it has been difficult to do.

I was a bit worried switching to bupropion would sabotage my weight loss efforts, but apparently suppressing appetite is a known side effect. Supposedly dextroamphetamine works by stimulating the release of dopamine, and bupropion is supposed to lower the rate dopamine is removed from the brain, so I guess it makes sense they have similar effects there.