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My doctor has prescribed me Zoloft for anxiety. I had gastric sleeve surgery in May, and I am scared the medication will cause weight gain. Does this medication typically cause weight gain?

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First of all, I'm so proud of you for reaching out to get treatment. That is truly the hardest part! As a fellow anxiety sufferer, I can tell that it DOES get better. As someone who also had WLS I will tell you, from my experience, any amount of weight my meds may have contributed to is NOTHING compared to feeling healthy and strong and not carrying the burden of chronic anxiety. I was on treatment prior to WLS so its hard to say what impact, if any, it had. But even if I were starting today, knowing it might impact me weight, I would absolutely do it in a heartbeat. YOU ARE WORTHY OF GOOD MENTAL HEALTH.

That being said, Zoloft may contribute to a ~1% weight gain over the course of the first year of treatment, which is pretty negligible. And its helpful to remember that the med itself doesn't cause the weight gain, the changes in habits it can lead to are what cause the gain. So if you stick to your good habits (hit your Protein, drink your Water, move your body) you will be just fine.

We are rooting for you!

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Google says:

How can I avoid gaining weight on Zoloft?
Maintain your normal eating habits.

Sertraline may affect your appetite, causing you to feel less satisfied by food than normal. To minimize weight gain, try to maintain your previous eating habits, such as food choices, portion sizes and meal timing.

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I was put on anti-anxiety meds a few months ago due to chronic anxiety and frequent panic attacks, and I got into a really in depth convo with my PCP because I'd already been on a med for my TN (trigeminal neuralgia) that made me gain weight and I was only able to lose half the weight that I gained so I absolutely did not want to go on a med that had a high possibility for weight gain. She told me that basically anything for anxiety or depression could lead to weight gain. So we ended up choosing a med that had less potential side effects and moderately low risk for weight gain which is the med Celexa. I take 20-30mg a day (20 for good days and 30mg on bad days). The holidays f-ed up my med cycle and I had to go without my meds for a solid week (the pharmacy f-ed up my refill order and due to the holiday couldn't get in touch with my doctor) and I had multiple panic attacks in that time and during that week it really hit home just how much the meds had been helping because without them I was an absolute disaster (the worst day of the week I had four panic attacks in one day. FOUR. IN. ONE. DAY). Anxiety is a terrible thing to have to deal with and I'm glad you reached out for help (I waited. I allowed it to get worse and worse and for 3 months I just dealt with it until the panic attacks that were one a week or one every other week started happening almost daily. I hope you don't have the panic attacks with your anxiety. Because it's scary. And sucks. So much.)

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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