I'm so huge and fat, I'll be dead in five years

[AppleJuiceAvid]

In my early 30s, 5ft4 and last time I got on the scales, I weighed 26 and a half stone. Currently on the antipsychotic Aripiprazole (15mg daily) and Fluoxetine (20mg daily). Before that, I was on Olanzapine and Paroxetine. Before that I was on Sertraline. Before that I was on Mirtazapine. Before that I was on Citalopram. Got a parent who has hypothyroidism. At the beginning of the year, I had blood tests after a stomach bug and got told I am deficient in Vitamin D and B12. I was prescribed some Vitamin D to take twice a week, but I have not been taking it consistently. My face is puffy and I get hairs on my chin and a few on my chest. Periods are irregular and when I do get them, they get quite heavy. I'm tired all the time and the house is a mess, but I just have no energy to do anything. I barely manage to get up for work. Got left pelvic pain and left hip hurts when walking. Ankles seem swollen and feel sore when I lie down in bed at night. Get out of breath going up the stairs and too fat to reach my toenails to cut them. I want to lose weight, but just feel hopeless.

I’m so sorry as a Sertraline taker myself as I’m making myself ill.
keep seeing about the heat whilst on anti depressants but probably not good to abandon what you are doing.

under active thyroid since 10 in a smelly old children’s ward (freedom fields not deriford onlij the 90’)

Mounjaro and it likes is very short term fix for people who feel dreadful for their weight.

This post is the start of your new life! I would focus on firstly having regular therapy if you don't already, this can really help implement a life change. Often (not saying definitely the case with you), but obesity or over-eating is a way of dealing with emotions. So, sometimes, when a big life change happens like no longer using that coping mechanism, all sorts can come up that you didn't know were subconsciously there!

So I think, first, therapy/ counselling (BABCP accredited). Then it's small changes, they add up. I would seek GP advice regarding your medications, the possibility of weight loss aids, PCOS etc. And then managing your existing physical pain with some kind of movement and potentially physio. It might sound overwhelming right now but don't think of it all at once.

The hardest thing is it might be in baby steps, but this time next year there will be some improvements and you just have to keep going.

But, right now, give yourself some grace & kindness. Food may have been your survival and it did the job, you have survived! And now you're recognising that coping mechanism has run itself into more harm than good. It can change if you want it to, which I think you do by posting this.

It’s absolutely crazy that the NHS will offer weightloss surgery to certain patients but not WLI. The whole thing needs looking at and guidelines redrawn immediately.

It does not. I checked. Sorry

Weight loss injections. Without a doubt. They will change your life.

What a lovely supportive thread. Come back OP. You could update this thread and be a source of support for other people in the same position reading. 🌷