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?

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!

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.

Thank you

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.)