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Old 04-21-2008, 09:50 AM   #1
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Lightbulb Unusual weight gain & fatigue..thyroid?

I'm 23 years old. I've been gaining alot of weight suddenly, yes it's spring time and I know many of us gain in the winter myself included but my family has noticed it as sudden. I'm extremly fatigued and sleep so much. I get these unusual highs and lows and get irritable and my appetite can be very big. I know it's not depression I am on Paxil for an anxiety disorder. The fatigue can be very bad. I was tested for anemia (have had it in the past) and my blood work was normal. We do have thyroid disorders in the family and I know sometimes in women it can affect their periods... I'm on the pill and last month my period was very heavy usually the pill makes it do the opposite. Is it my thyroid? I have a doc app May 7 and going to see if I can get some more blood work done to check.

 
Old 04-21-2008, 10:22 AM   #2
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Re: Unusual weight gain & fatigue..thyroid?

Paxil is an antidepressant and all antidepressants have the same side effect... Weight gain. No matter why it is prescribed to to for..it causes drastic weight gain in some people and this is why you have gained weight...it makes you more hungry and thus you eat more. I wish doctors would warn patients of this potential because before ya know it you are 30 to 40 lbs heavier and even more depressed because of weight gain. You are going to have to cut back on your eating and fight the hunger pangs..it is just the medicine 'talking'. I doubt there is anything wrong with your thyroid but of course with a family history you would want to check on it once in awhile.

 
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Old 04-21-2008, 11:03 AM   #3
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Re: Unusual weight gain & fatigue..thyroid?

What symptoms were you having before Paxil?

How is/was your sleep? Have you been too a sleep specialist?

I would take two routes here:

Just to have a baseline and make sure MDs didn't miss a thyroid condition get a basic thyroid profile run. This is NOT just a TSH.

Here are the labs codes so you can hand them to the MD:
TSH, Free T3, Free T4, TPOAb and TGAb. This will catch Hashimoto's and or any low thyroid function.

Next read up on sleep disorders in particular sleep apnea/hypopnea. Weight gain and sleep disorders go hand in hand. Also how is your blood sugar and insulin resistance levels?

Finally test: blood chemistry with the rarely checked but very important vitamin B12 and D, and ferritin thrown in. Low in these can mimic hypothyroid as well. Most Mds are not qualified to rule out your thyroid or a sleep disorder just by physical inspection. Get the blood work and a copy of it sent to you. We can double check them and tell you for sure if it is an issue or questionable. Then if the blood work is fairly normal you should serious see a sleep specialist.

MG
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Old 04-21-2008, 11:11 AM   #4
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Re: Unusual weight gain & fatigue..thyroid?

Quote:
Originally Posted by AnnD View Post
Paxil is an antidepressant and all antidepressants have the same side effect... Weight gain. No matter why it is prescribed to to for..it causes drastic weight gain in some people and this is why you have gained weight...it makes you more hungry and thus you eat more. I wish doctors would warn patients of this potential because before ya know it you are 30 to 40 lbs heavier and even more depressed because of weight gain. You are going to have to cut back on your eating and fight the hunger pangs..it is just the medicine 'talking'. I doubt there is anything wrong with your thyroid but of course with a family history you would want to check on it once in awhile.
I've been on Paxil 2+ years it's never been this bad

 
Old 04-21-2008, 11:15 AM   #5
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Re: Unusual weight gain & fatigue..thyroid?

Quote:
Originally Posted by mkgbrook View Post
What symptoms were you having before Paxil?

How is/was your sleep? Have you been too a sleep specialist?

I would take two routes here:

Just to have a baseline and make sure MDs didn't miss a thyroid condition get a basic thyroid profile run. This is NOT just a TSH.

Here are the labs codes so you can hand them to the MD:
TSH, Free T3, Free T4, TPOAb and TGAb. This will catch Hashimoto's and or any low thyroid function.

Next read up on sleep disorders in particular sleep apnea/hypopnea. Weight gain and sleep disorders go hand in hand. Also how is your blood sugar and insulin resistance levels?

Finally test: blood chemistry with the rarely checked but very important vitamin B12 and D, and ferritin thrown in. Low in these can mimic hypothyroid as well. Most Mds are not qualified to rule out your thyroid or a sleep disorder just by physical inspection. Get the blood work and a copy of it sent to you. We can double check them and tell you for sure if it is an issue or questionable. Then if the blood work is fairly normal you should serious see a sleep specialist.

MG

Been on Paxil 2+ years it's never been this bad. Thank you I will let my MD know of the tests I want, I'm going to be very firm and tell her they're necessary. I really don't think it is a sleep disorder. If it means taking 5+ tubes of blood then let that be. My mom is a phelbotomist and sees thyroid disorders in ppl alot. At least I know the anemia was ruled out.

 
Old 04-21-2008, 11:56 AM   #6
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Re: Unusual weight gain & fatigue..thyroid?

I was on Paxil many yrs ago. The first 3 yrs on it I was fine, no weight gain. But, the next 2yrs, I gained 30 lbs! I look back at those pictures and don't even recognize myself!!! This past October I was on a low dose of Remeron, for insomnia. Within about 2 wks the lbs were piling on!! I'm off it now, but the 10lbs I gained are still sitting there. My sister in law is on Paxil and she was fine for a few yrs, now she is HUGE! I've been hypo/ hashi's for most of my life and never had a weight problem, only with drugs! ( neurontin was another one they tried me on, I have spinal issues, I quickly gained weight with that too!) so for me, no more meds! only thyroid pill now can't get rid of that little guy. So in alot of cases meds could be the culprit??? There not easy to wean off, takes awhile, little cuts every other week. Wouldn't hurt to get labs done though!!
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