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I am a little more than a year out from my gastric sleeve an initially lost around 75 lbs. I recently started back on my antidepressant and seem to crave carbs. I have put back on about 20 lbs and really need to get my snacking under control. In the past being on antidepressants was a major cause of my weight gain and I am trying to tame the carb monster since I started back on the meds. Any suggestions besides getting back to religiously tracking calories. I still work out about 4 days a week. I think focusing on my Protein intake may help with the carb cravings but I thought I would see if others have any recommendations.

Sent from my SM-G998U using BariatricPal mobile app

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There are some antidepressants that can cause weight gain (for example, tricyclic antidepressants are notorious for it). Surely your doctor didn't prescribe an antidepressant that can cause weight gain since they know that you are trying to lose weight. IMO, the best antidepressant for overweight patients is Wellbutrin (burpopion) because it can actually promote weight loss. Sorry, I am a pharmacist so I can't stop myself from making drug recommendations. I know everyone pushes the "reset diet" but I have to say that what made it easy for me to get rid of my regain and not feel hungry doing it was my doctor prescribing me Ozempic. I am a type 2 diabetic and I had been taking Bydureon in the past without weight loss effect then my insurance removed Bydureon from their formulary and I was switched to Ozempic. Weight started coming off within a month of starting the Ozempic and just kept coming off. I have currently lost around 30lbs. If you are not a diabetic, Wegovy has the same drug in it as Ozempic (semaglutide) just at a different dosage for weight loss. I have been taking Ozempic for almost a year now and I no longer have cravings and rarely ever even feel hungry. It is funny how Ozempic, Bydureon, and Saxenda are all in the same drug class but I only experienced weight loss with Ozempic. I just flat out couldn't tolerate Saxenda. Slowed my gastric emptying to an unbearable level. Bydureon worked for my diabetes but didn't have any effect on my weight. Of course, these are all injectable drugs (Ozempic/Wegovy/Bydureon are only once a week though vs daily for Saxenda). Contrave is an oral weight loss drug that contains wellbutrin (bupropion) as one of the ingredients. It seems like it would be a good option for those who can't stand the thought of using an injectable medication but honestly, I. Rybelsus is the oral equivalent of Ozempic. Phentermine is probably the most popular weight loss drug but I have known of people with poorly controlled hypertension to have strokes while on phentermine so I don't recommend it unless I know that the person either does not have hypertension or they take their BP meds and check their blood pressure frequently.

Best of Luck

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