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    Includes Expert Content
    Dr. P. and You, Any good weight loss plan ?
    WomanInBath posted:
    My stomach is so big, I look like I'm pregnant.
    I had finally had enough
    I tried the S. Beach Diet. Mostly greens and proteins.

    EVERYONE I talked to lost at least 10 pounds in the first 2 weeks.
    I did the beginning program for 3 weeks and did not lose 1/2 pound.
    I know that one cannot sustain a diet like that, but it's just to jump start a healthy eating plan.

    Honestly, I do eat a very healthy diet but there is some chocolate in there sometimes.
    No dairy.
    very, very little red meat.
    mostly wheat/gluten free.
    low sugar.
    Why cant I lose a pound?
    I walk for excercise but lately my ankles have been killing me so that's out for right now.
    In the 5 years since FM, I have gained 40 pounds--all in my stomach.
    Anyone have the same?
    I'm on Wellbutrin, but just started that about 3 monhts ago.
    Any ideas?
    Doctor, is there a reason for this stomach area weight gain?
    Love to All, Meg.
    Anjl26 responded:
    Do you have any issues with IBS or constipation? That can really cause tummy bloat and could be adding to the problem. is an online nutrition and exercise journal that can be quite helpful. Try logging everything you eat for a couple of weeks. Every single bite. You may find some hidden calories in there, like from condiments.

    But it also breaks down your diet into cals, carbs, proteins, fats, and various vitamins, so you can see if you need more of one thing or another. I discovered I am lacking in Vit K in my diet by doing this.

    You can log your actitivies too. Not just scheduled exercise, but things like housecleaning and yardwork. Then you can compare the two, cals in versus cals out, to see where you stand.
    Being happy doesn't mean everything's perfect. It means you decide to see beyond the imperfections. hugs Sharon
    WomanInBath replied to Anjl26's response:
    Thanks, I'll try it.
    Yes, I take Probiotic pearls every day.
    Never thought that it might be my vitamins or suppliments......
    But still....not ONE pound??
    deal14 responded:
    I have the same issue mine was with Lupron for Endometriosis when I gained my weight(80lbs) in a year... needless to say havent lost it yet. My belly looks like that too.... and with fibro and other pains its been hard getting to exercise the past couple years without feeling like I am torturing myself. but I recently started doing this
    Paleo diet(google it thats the short name) because my brother whos in the military has done this and swears by it. He is skinny now and its basic prinicpal be good 80% of the time which means instead of sugar in things use honey, and other simple coversions like that. and the other 20% of the time is a cheat day, not where you go completely nuts but where you can have your chocolate(im the same, i bought extra dark which isnt bad for you) and do things normally you know probably arent the best but still arent the worst. So far Ive lost a little weight and I havent even tried to start working out yet, so it seems to help plus I ask him all about it. To me it makes sense because like south beach or atkins they want you to take carbs away really quick until you relapse into eating them again and where-as this you slowly learn to eat how you shouldve been eating, takes you down but isnt going to take it all away. Good luck HTH!
    fibroinsd responded:
    Well Meg...looks like my "job" today is empathy...I am so totally with you...

    I seem to gain and gain...all in the stomach...I look like I am carrying twins..and I am nine months pg..!!! My doc tried me on Wellbutrin to lose...and I gained another five. I have tried every diet and nothing correlation to what I eat...I exercise about four days a week...25 or so min. on a bike and then a swim. I have added a few weights. Now, I realize, that this is not "The Biggest Loser"...and JIllian is not screaming at me to do more...which she would be if I was, I guess I need to exercise eight hours a day to get this off...but is that realistic??? ugh..super depressing !

    Wish I had a magic wand.

    Let's put the fun back in dysfunctional !- Mary Englebright
    jroseland replied to WomanInBath's response:

    I can completely understand your frustration because I've been through it. Wellbutrin did help me lose weight, though. I'm not quite sure how long I was on it before it did anything, and I did increase my dose (I take 300mg/day). I've done some research on this problem and here's what I think I know:

    What we have going against us:
    1) Medications--Many anti-depressants commonly prescribed for FM cause weight gain--whether some doctors will admit it or not. Also, neurontin and Lyrica can cause weight gain.

    2) Lower levels of human growth hormone--Not getting enough or the right kind of sleep inhibits HGH. HGH effects metabolism. HGH is also released during exericise. A study found that people with FM who did the exact same level of exercise as someone without it, did not have the same level of HGH.

    3) Adrenal fatigue--lack of sleep, stress (like chronic pain) wears on adrenals. Adrenals also effect our ability to lose weight. (See recent posting with Dr. Pellegrino's comments on adrenals).

    I am not a medical professional, but that is some research I've read through. In years past, I think the general opinion was that people with FM gain weight because they are less active. Probably, that is true sometimes. But now it seems that having FM and its issues with sleep and metabolism, are actually the cause of weight gain. And it's not just weight gain, it's the frustrating inability to lose weight.

    I wish this was more of a talking point with doctors. I was majorly affected by this. It definitely takes its toll, emotionally and physically. Which causes more stress, which causes . . .Yep, weight gain! I don't have much in way of solutions. Wellbutrin seemed to put my metabolism back to a better level. Interval training exercise can help. There are also adrenal support supplements and meds to check into.

    Since you've gained weight in such a specific area, you may want to consult with your doctor. In any case, I hope you can find something that helps--maybe the wellbutrin will kick in.
    jroseland replied to jroseland's response:
    The discussion where Dr. Pelligrino talks about adrenals is titled "Dr P" originally posted by Magprincess. His comments are a little ways down.
    WomanInBath replied to jroseland's response:
    Thank you so much, I see the logic in your theories!

    I agree, I wish my Doctor took more interest in this sub-section of the disease. She is a specialist and does not concern herself with weight issues.

    She is the best we've got in this area.

    It has a major effect on my self esteem / emotional stess / depression--which did NOT need an extra hit of 40 pounds of belly walking around in front of me!

    Thanks to all,
    I am on now--
    Really a good idea for everyone!!
    Very interesting.
    and gonna look at the Paleo Diet.

    Love to All, Meg
    Mark Pellegrino, MD responded:
    Hi Meg,

    You've gotten some great responses. You asked about weight gain in the stomach. As women get older, they are more prone to weight gain due to slower metabolism, hormone changes, hereditary factors etc. In those with FM, additional "risks" include decreased physical activity, additional metabolism slowing, and medicine side effects.

    The weight shift in women, especially after menopause or hysterectomy, is a redistribution of weight/adipose tissue from the arms, legs and hips to the abdoman. So woman are more prone to gaining weight in their abdoman if they have FM and other risk factors mentioned.

    Research has shown that increased deeper abdominal fat build-up (called visceral fat) is associated with increased risk of cardiovascular disease, diabetes, and certain types of cancer. Hereditary factors play a major role in this visceral fat build-up which is different than a build-up of surface/cutaneous abdominal fat.

    As you probably know, a regular exercise routine targeting the abdominal muscles as tolerated and permitted by your doctor, combined with a healthy diet or prescribed weight loss program can help. Some women are candidates for hormone replacement therapy if the doctor finds hormone problems. I encourage you to keep working hard and keep working with your doctor and hopefully you will be rewarded with achievement of your personal goals, weight goals and health goals. Keep encouraged, Meg!

    Dr. P
    CLKWC1964 replied to fibroinsd's response:
    All I can say is thank God I am not the only one although that is not much consolation at this point. Is anyone over 40? I thought maybe it was an age issue also. We have fat genes (sorry for lack of a better way of saying it) in my family and we do love our chocolate and sweets. If you find that magic wand please wave it this way lol. Cat :0)
    An_198995 replied to Mark Pellegrino, MD's response:
    Thanks for another clear and fully explained answer. I am 50 and over the past year I have been stressing big time about my huge abdoman.

    I look like someone connected an air pump to my belly button and pumped away!!!

    I am surprised that so many of us share the same stressing problem. Good luck to all who try to deflate the buldge!!!!
    alispazz replied to Mark Pellegrino, MD's response:
    Wow ...

    Now that I know its all my female fault....can I switch to male and get the same explanation...I know to many 60 ish men who have the same gut I have...and I have long suspected it was a hormonal change for them too...

    Glad my Mom gets blamed for mine.....Now I can eat more chocolate....

    Just bustin your chops Doc....But I am on the right track about it going both sexes..aren't I

    Follow your heart and not your dreams..the dreams are from your mind and can lead you astray, the heart never can..SMOLOL Hugs Ali
    ruthy209 replied to alispazz's response:
    You nailed it for both sexes. I have to agree that it hormonal and some other stressing factors that play a role in weight gain. I have gained 10 pounds in 6 weeks. Just going with the flow, I need this support group.
    Caprice_WebMD_Staff responded:
    Hi everyone,

    I thought I'd let you know that, within the next week or so, we're going to have guest experts in the Diet Community who directly address the needs of folks who have anti-depressant related weight gain; this diet is aimed at folks with depression, fibro, menopausal symptoms, etc.

    Keep an eye out for an announcement from me next week for more on this and the links you can follow. :-)
    Treat people as if they were what they ought to be, and you'll help them to become what they are capable of becoming. ~Goethe
    brendajo56 replied to An_198995's response:
    yes my stomach is bigger but I take injection and my f
    ace is very puffy. Any one has any idea that would be great

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