Hello,
Thank you for your question. I understand that you are a DMD (Duchenne Muscular Dystrophy) patient, 24 years old, and have been taking Wysolone (prednisolone) 10 mg for 4 years. Yes, long-term steroid use like Wysolone can lead to weight gain, especially due to increased appetite, fluid retention, and fat redistribution.
Now, the good news is — yes, you can lose weight without reducing your steroid dose, but it must be done very carefully to support your health and mobility. Here are some key strategies:
1. Controlled Nutrition Plan
Focus on high-protein, low-glycemic index meals to help maintain muscle and manage appetite.
Avoid excess sugars, refined carbs, and processed snacks.
Use anti-inflammatory foods like turmeric, berries, flaxseeds, and omega-3s.
2. Calorie Control Without Malnutrition
Moderate calorie deficit is possible under guidance — just 200-300 calories below maintenance can make a difference without affecting energy levels.
Include fiber-rich foods to help you feel full.
3. Salt & Fluid Management
Steroids cause water retention, so reducing salt in your diet can help with bloating and puffiness.
4. Light Physical Activity (As Per Mobility Level)
Even gentle physiotherapy or stretching under supervision can help maintain metabolism and avoid muscle loss.
5. Regular Monitoring
Track your weight, blood
sugar, blood pressure, and muscle strength regularly.
Warm regards,
Dr. Surabhi Jain
Chief Nutritionist & Functional Medicine Expert
Nutriwell India | Nutrimomma
Next Steps
Would you like me to prepare a customized diet chart based on your preferences and current physical capacity?
Health Tips
Work with a clinical nutritionist who understands DMD and steroid side effects.