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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Reduce Weight

I was on Diane 35 for more than 10 years (I m 31 years old), and I stopped two months ago to give my body a break and try to lose a bit of weight (currently 68kg, wanting to get down to 60kg). After six weeks of irregular spotting and periods my skin stared breaking out and now I m on minocycline and epiduo to treat the acne but two weeks have passed and it s not helping. I m also conscious that this treatment is both long term and not necessarily a permanent fix. I haven t lost the weight I wanted to lose yet, and my skin is suffering. What should I do?
Thu, 4 Dec 2014
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General & Family Physician 's  Response
Hello
You were taking diane 35 ( cyproterone ) for 10 years .
Diane 35 is prescribed for hirsutism , acne , as oral contraceptive pills in female . While it is also advised in male .
But as you mentioned that there is breaking of skin , so this may be due to the side effect of diane .
But important thing you mentioned that weight is not decreasing .
You didn't mention ,why you were taking this drug .
As this is also advised in pcod cases, while pcod is the main reason of weight gain in young child bearing age group patient.
You mentioned that you are , now taking treatment for acne and skin rash, so regular it.
First of all for weight gain find out ,what is the reason.
Get in ultrasound of both ovaries to rule out pcod as you are also having irregular bleeding ( main characteristic feature of pcod).
Try to avoid spicy , greasy , pizza, burger, sweets as these are main reason of weight gain.
I advise my patient to take "ORLISTAT " 120 mg twice in day on empty stomach for 6-12 months for weight reduction.
But this drug must be taken under strict medical supervision , so consult a physician and get his opinion but before this consult a gynecologist and rule out pcod.
Good luck.
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Suggest Treatment To Reduce Weight

Hello You were taking diane 35 ( cyproterone ) for 10 years . Diane 35 is prescribed for hirsutism , acne , as oral contraceptive pills in female . While it is also advised in male . But as you mentioned that there is breaking of skin , so this may be due to the side effect of diane . But important thing you mentioned that weight is not decreasing . You didn t mention ,why you were taking this drug . As this is also advised in pcod cases, while pcod is the main reason of weight gain in young child bearing age group patient. You mentioned that you are , now taking treatment for acne and skin rash, so regular it. First of all for weight gain find out ,what is the reason. Get in ultrasound of both ovaries to rule out pcod as you are also having irregular bleeding ( main characteristic feature of pcod). Try to avoid spicy , greasy , pizza, burger, sweets as these are main reason of weight gain. I advise my patient to take ORLISTAT 120 mg twice in day on empty stomach for 6-12 months for weight reduction. But this drug must be taken under strict medical supervision , so consult a physician and get his opinion but before this consult a gynecologist and rule out pcod. Good luck.