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Just thought I’d like to share my experience with the drug and talk about the weight gain/weight loss journey I have encountered.
I have been on Mirtazapine now for 14 months. I was perscribed it as I had depression/suicidal thoughts/insomnia/ anxiety and a stage of mania. Before taking it I was nestled at 11st with around 15% body fat.
Within 8 weeks of taking it I had gained 1st 10lb. I was sitting at 12st 10 for months. I felt horrible with this excess weight so I decided to take up a healthier lifestyle and up my excersize to shift it. After carefully calculating my macro’s and constructing a professional nutriton plan (friend is a PT and trained in nutrition) that put me in a healthy caloric defecit I was all set to go. After 16 weeks I managed to get myself back down to 11 stone. It was such a hard slog. Some weeks I was losing 2lb and other weeks 1lb then some weeks nothing! I trained every day but Sundays. Even when I was in a caloric defecit, some weeks I’d lose no weight. I always weighed myself first thing on a morning. Same time every day on an empty stomach.
Anyhow I decided to quit the plan and go back to my regular eating as the weight was off. Bearing in mind it was just typical eating. Light breakfast and lunch and a hearty tea. I did make sure I still tracked calories and kept them at maintainence levels. I have done this as part of my normal routine for years. Never once went over. Anyhow in 3 weeks I managed to gain 8lbs!
I went straight back onto the caloric defecit diet and in 5 weeks I managed to lose 7 of the 8lb’s.
Again as soon as I got back to (slightly under) maintainence calories I seemed to gain weight.
I have come to the conclusion now that it isn't impossible to lose weight on mirtazapine but it is a constant battle to keep it off.
If you are aiming to do it you need to ensure it becomes a lifestyle, I honestly dont think it is possible to keep the weight gain at bay unless you are living in a defecit. Im not a scientist so unaware what effect the chemical can actually do to stop you losing weight but in my case I’ve found it definitley does unless you excersize regularly, drink lots of water and put yourself in a caloric defecit.
Just wanted to share my experience incase anyone else has noticed anything similar. Hoping to start coming off the drug after christmas. I am certainly not looking forward to the withdrawal/taper that it seems to come with, however I think if you have a goal (like losing weight) whilst tapering I’m hoping it’ll make the withdrawal a lot easier.
My advice to anyone who has been perscribed this drug... please research and weigh up every option you have before considering it to be an easy fix to your problems.
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