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Weight fluctuations
Hi sir
Myself 34 yrs old lady diabetic since 3-4 yrs hypertensive 3yrs hypothyroidism 3yrs all are under controlled my issue is despite of taking normal food my weight fluctuates ie antidepressants are ongoing for my anxiety every test is normal help me out it gives me lots of anxiety tension and what not
Even I m taking pioglitazone 15 mg twice a day telma 40 livogen tab sompraz and night time me antidepressants I.e mirtaz 15 xepar 25 clodiv 0.25 and melatonin 3 mg
I concern about my weight every time sometimes it increases and sometimes it decreases this he'll fluctuations cause me panic
My recent hba1c 6.5
Fasting was 114
Have consulted many doctors but no one days the right thing they reassured me that everything is alright but my mind and body both shows difference plz doctor help me out I m tired of going doctors to doctor what should be the right treatment or cause of my this annoying problem it is really annoying
Thanks in advance your response would be appreciated
Answers (21)
1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices
9 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
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Hello maam, we have multiple issues here, hypothyroidism increases weight, diabetes decrease, however you are taking multiple psychiatry meds and they all interfere with other meds hence you are having weight fluctuations, mirtaz is notorious for anxiety and weight gain........I can guide you more
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See how much is your weight fluctuation after checking weight and charting it daily. Check all the blood parameters including liver and kidney function tests.see that there is no premenstrual fluid retention.with all these done we can come to a conclusion. Check for anaemia and any cardiac problems by doing an echo.take enough proteins in the diet
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Need proper evaluation please consult for assessment and treatment
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Consult to me
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Endocrinologist
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Weight fluctuations can occur from thyroid control, diabetes medicines, diet or fluid shifts. Please share your recent weight trend, HbA1c, TSH and complete medication list so I can assess this properly. I recommend a Practo consultation with me or a visit to Synergy Multispeciality Hospital, Miraj.
Next Steps
Please get HbA1c and TSH, keep a weekly weight record, and book a Practo consultation with me or visit Synergy Multispeciality Hospital, Miraj for personalised guidance.
Health Tips
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Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance.
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Pioglitazole and some antidepressants also cause wt gain ... U can connect me in practo app and will try to investigate further on ur concern
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Weight fluctuations are often due to fluid balance, diet and medications; pioglitazone and mirtazapine may contribute to weight gain.
Focus on consistent diet, activity and periodic weight monitoring rather than daily changes.
For personalized evaluation and management, you may connect with me via Practo.
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Huge query
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Need to review your daily activities, diet history,calories intake. Weight can fluctuate between plus or minus 1 to 1.5 kg. Persistent adherence to a diet for a minimum 3 months should be done before evaluating weight loss .
Next Steps
please have a consult
Health Tips
need to review your medicines
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
Kindly consult with me on practo app for detailed discussion
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Day to day weight swings of a kilo or two are mostly water and salt shifts, not real fat change, and with your conditions under control they usually mean nothing dangerous. Some of your current medicines can also nudge weight in both directions.
Next Steps
Weigh yourself once a week, same time and same clothes, and take your full medicine list to one treating doctor for a single combined review.
Health Tips
Please don't stop or adjust any of these medicines on your own, and do tell your psychiatrist how much this worry is affecting you.
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