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I've was on a combination of Venlafaxine 150mg in the morning and mirtazapine 45mg at night for many years. I'd started on Mirtazapine 15mg but over the years it was increased due to insomnia. My Venlafaxine was increased to 225mg last year due to a severe episode of depression. I never really picked up. I've experienced severe anxiety and paranoia recently. I'm now trying CBT. I comfort eat, big time. I was going to a gym but lost the will when despite exercising x3/week I still gained weight. I learned only recently that Mirtazapine stimulates the appetite. Does anyone know of any alternative to Mirtazapine that helps insomnia? My weight gain is so depressing but I have zero will power not to eat.
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