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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Bipolar. Started Depo Povera. Went On Birth Control. Now What?

Hi, I have Bipolar II. I got half way to my goal weight when I was 18 (I m 5 8, started at 100 kilos, got to 85 kilos, which I maintained for 6 months) then I got diagnosed with Bipolar. At the same time, I started Depo Provera . I was also put on Epilium 500mgs twice a day. Since then, my weight has ballooned, and now I am up to 112 kilos. I want to come off both sets of medications because I m sick of being obese and want to look and feel like a regular 22 year old. I ve gone through periods of strict eating and exercise but nothing seems to make a difference. Done Weight Watchers and WWW.WWWW.WW Its so frustrating. I went on birth control because I was losing a lot of iron because my periods were going for about 10 days and were happening too often. I also have trouble taking pills everyday and at the right time, so getting an injection seemed easier. I m worried about going off my Epilium because I have had lots of suicidal thoughts in the last three months, when I have forgotten to take my pills for a few days at a time. Can t afford counselling. Help?
Thu, 28 Nov 2013
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Infectious Diseases Specialist,  's  Response
Hi,
Welcome to HCM.

I understand your concern and hormonal contraceptives do cause weight gain. In your case, I suggest a strict calorie count for each day with atleast 2 hours exercise involving cardio, aerobics and stretching. Exercise is a must as this will help elevate your mood and stimulate positive attitude. Based on your height, weight and age, your calories should be around 1800 - 1900 calories. Keep small targets to achieve. Weight loss of half kg to 1 kg per week is good weight loss. Do not get disheartened so easily. You are only 22 years old, you have lots of time to get to your target weight.

Thanks.
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Have Bipolar. Started Depo Povera. Went On Birth Control. Now What?

Hi, Welcome to HCM. I understand your concern and hormonal contraceptives do cause weight gain. In your case, I suggest a strict calorie count for each day with atleast 2 hours exercise involving cardio, aerobics and stretching. Exercise is a must as this will help elevate your mood and stimulate positive attitude. Based on your height, weight and age, your calories should be around 1800 - 1900 calories. Keep small targets to achieve. Weight loss of half kg to 1 kg per week is good weight loss. Do not get disheartened so easily. You are only 22 years old, you have lots of time to get to your target weight. Thanks.