I'm obese and recently went on a new medication that's causing me massive weight loss. I can't handle the other side effects, so I'm unfortunately going to have to switch eventually. I'm looking for tips on how to maintain my lower weight once I'm off the drug, and hopefully lose some more.
So I recently switched onto lamotrigine for my epilepsy. It's been found
for weight loss in obese people, but we're talking nine to twelve pounds in a year. I've gone from 289 to around 245 in ten weeks
. (I'm a 5'10 dude.) My doctor has run tests for diabetes and hypothyroidism, both negative; at this point he's thinking it's the drug. I swear, I'm case study material.
Basically, it wipes out my appetite. I get physically hungry, and I can eat and enjoy it when I want, but there's never that nagging urge.
At this point I have to actively remember to eat, so I've taken the opportunity to go on a crash diet. I just have a small meal whenever the hunger is uncomfortable enough to be a distraction. It adds up to 1100-1600 calories a day, usually on the low end. I don't have a scale at home yet, but I'm guessing my weight loss has eased up a bit, as it does for everyone. So it's not quite so scary-fast anymore, but we're still talking 2.5+ pounds a week.
I'm doing all the stuff you're supposed to do. I do light to moderate exercise two hours a week to keep my metabolism up, I take a multivitamin, I eat a lot of fruits and veggies, and I make sure to get a decent balance of macronutrients, with lots of protein for weight training.
Unfortunately, I need to switch drugs soon, because the lamotrigine is giving me short term memory loss, trouble balancing, and other problems. I'm hoping I can dial back to a sub-clinical dose and take it alongside my new med, but I'm not betting on it. It's pretty depressing: this might have cured my obesity for life. I can put up with the other side effects maybe two to five months before I really have to switch.
Even with all the good habits this is helping me learn, I will very likely relapse and gain all of the weight back once I'm on the new drug. It feels like I could handle it now, but stats are stats: 95% of diets fail within five years. Mine always fail within six months. And since I didn't even lose the weight thanks to (much) effort or commitment in the first place... yikes.
What can I do to have a glimmer of hope for keeping this weight off, or some of it? Can I use the fact that I can essentially dial my appetite back up slowly to my advantage? Is there anything I can do now to help train myself to do better? All thoughts and ideas are welcome.
Thanks in advance for the wisdom.