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I was previously on citalopram and sertraline and a hoard of sleeping pills to manage acute depression but had horrid side effects, difficulty sleeping and little effect on mood. I was put on Mirtazapine in Late August and have since been thrilled with the results of a higher more stable mood, better concentration, energy and most importantly able to get to and stay asleep! I had however been chuffed that my weight had been stable and healthy at around the 9st mark throughout spring/summer and now is approaching 11st (Jan) and all weight around my middle. Note: I am barely 5ft so this is nearly an 'obese' BMI now. In hindsight I can see I put on a huge amount of weight immediately after starting these but just put it down to being happier. I have noticed an increase in cravings and appetite recently but although maintaining a healthy calorie intake of foods of great nutrition and exercising, I am neither shifting nor toning this weight. Is it really a choice of depression vs low/healthy weight or is there something similar and as effective as Mirtazapine without the weight gain? Or is there something I can take alongside the Mirtazapine to reduce this side effect as this is affecting my self-esteem and fitness now. Thank you.
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