u/owldatime

Is it worth it to switch SSRIs to find one that doesn't make me gain weight so easily?

I've been on 5mg Lexapro for a little over 3 years now, and it's changed my life. I've done so many things I could never have even dreamed of without it. The side effects aren't my favorite, but I've been willing to tough them out until lately. Last year, I added on Welbutrin to help with libido and sleepiness, which definitely helped with the sleepiness! But now I'm really struggling with my weight. I gained 15lbs (more than 10% my body weight) in the first year, and I've been climbing steadily since. Recently I've been really watching CICO, working out, avoiding snacking and binge eating, etc. I was losing weight slowly. Then my mom visited this weekend. We walked 10k steps a day and I didn't eat a ton or anything crazy. Stepped on the scale the other day and I had gained back all my progress over 2.5 weeks in 4 days. I'm fed up and this inability to get back to a healthy weight is starting to affect my mental health and self image more consistently. I made an appointment with my doctor to discuss switching to a different SSRI, or maybe just staying on my Welbutrin only, but I talked to my friend who has tried several different SSRIs, and she said she hasn't been able to lose weight on any of them. So, before my doctor's appointment in 3 weeks, is it reasonable to find an SSRI that doesn't keep me in the overweight range? Should I just resign myself to getting fatter and fatter if I want to continue to live the rich life Lexapro has given me? Could Welbutrin alone keep my anxiety at bay? I don't know what to do.

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u/owldatime — 24 hours ago