With a BMI of approximately 42, multiple comorbidities (BP, cholesterol,
thyroid, OCD), and long-term medications, this is a complex obesity case that goes beyond simple diet and exercise advice. The first and most important factor to review is your current medications â many commonly used drugs for OCD, BP (beta-blockers), and thyroid conditions are well-known to cause significant weight gain. For example, certain antidepressants and antipsychotics used for OCD (like olanzapine, mirtazapine, some SSRIs) are among the most weight-promoting medications available. Similarly, if your thyroid is not optimally controlled (
TSH not in the lower half of normal range), weight loss becomes very difficult. At your current weight and BMI, standard dieting alone is unlikely to produce meaningful long-term results without medical support.
Next Steps
Schedule appointments with: (1) your Psychiatrist â to review whether OCD medications can be changed to more weight-neutral alternatives; (2) your Physician â to optimise
thyroid and BP medications; (3) a Bariatric Surgeon or Obesity Medicine Specialist â at BMI 42 with comorbidities, bariatric surgery is medically indicated and is often the most effective long-term solution. Also get a sleep study done (sleep apnea is very common at this weight and worsens obesity). Start gentle walking 20-30 minutes daily, reduce refined carbs and sugars, and increase protein in each meal. Please consult me directly on Practo for a detailed evaluation.