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:
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Requests for advice and / or encouragement. On basically any topic and for any scale of problem.
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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.
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So, I've been struggling with my weight since I first went on antipsychotics, almost two decades ago, and I'm losing the will to keep trying — why bother? How do I find the motivation to keep at it?
This is a common side effect of that class of medications, you should discuss this with your primary care doctor and psychiatrist, they may recommend medication changes, dietary counseling, ancillary medications like statins etc.
I did, many years ago, and got the pat "diet and exercise" advice I mostly already knew. Edit: because it at least partially comes down to what Medicaid covers.
If you are willing to explore changing medications (may not be safe depending on your situation) some of the medications in that class are more weight neutral than others.
Additionally depending on the pathology an alternate medication class might be available, especially if you haven't really revisited it in the years since you started (some things will require that type of med though).
Medicaid may cover a dietician which is better than nothing.
Your primary care may have some routine health suggestions (again a statin, some preventative care etc) or maybe even something like Ozempic.
From what I've seen (with respect to relatives trying to see a dietician), the answer to that is "no." Besides, I'm not sure what more information they can give me.
"Eat less, work out more." That's what she always says.
And the key point is — why should I even bother with all this effort, anyway? It sounds like so much effort… to what end?
Why shouldn't I just let the fat pack on and on?
Why do you want to continue to live at all? Whatever your answer to that is, it probably works better when you're not getting dragged down by half a ton of flab.
Also, what's wrong with diet and exercise? Eat half, move double, problem solved.
That's part of the problem… I don't, really.
Well eat away then, champ.
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I personally felt terrible when I couldn't climb a flight of stairs and slept badly every night.
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