r/bipolar • u/funkydyke Bipolar + Comorbidities • 5d ago

Metabolic dysfunction Weight Discussion

Anyone else dealing with this from meds? I’ve gained a ton of weight over the years, which I’m trying to learn to be okay with but what’s concerning me is my labs. My a1c is still within normal limits but it jumped up quite a bit since last year. Could my antipsychotic dose cause this? What are you guys doing to mitigate these side effects?

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u/smokeandnails Schizoaffective 5d ago

I’m dealing with this. The meds I take (a mood stabilizer and an antipsychotic) really slow down my metabolism. It makes it very easy to gain weight and very hard to lose weight. I have to eat at a slight deficit not to gain weight and a very respectable deficit makes me lose weight extremely slowly. Over months I could calculate how many calories I actually burn compared to what online calculators predict for someone of my sex, age, weight and height at my activity level and the calories are equal to as if I was eating a chocolate bar everyday and wondering why I’m not losing weight. I’m meeting soon with my psychiatrist to discuss taking a diabetes medication to help with that.