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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy To Lose Weight Gained By Taking Epilim

Him, may I answer your health queries right now ? Please type your query here...Hello, i'm on Epilim for my Epilepsy. I have gained 11kg and want to know if there is a diet plan i can follow to help me lose some weight because i know Epilim makes you pick up weight. I drink 1000mg a day. I am 27 years old and weigh 111kg.
Thu, 28 Jan 2016
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Dietitian & Nutritionist 's  Response
Welcome to HCM. Congratulations on wanting to take the weight off. Darn those drugs! They do mess with things and make you gain weight without necessarily increasing food intake, which surprises many doctors. I am researching this area at this very moment.

First, you say you are drinking 1000 mg (meaning cc) which is not enough. Specifically 1 cc per calorie consumed so even on a 1200 calorie diet that is low, but you should optimally consume 8 x 240 cc = 1920 cc per day in small amounts throughout the day.

Are you familiar with the Diabetes Exchange Lists or Weight Watchers?
The distribution for a 1200 calorie diet is about like this:

2 Milk or milk group servings, low fat
5 Lean protein servings (1 0z meat serv. or any equivalent)
4 Vegetables, non starchy
5 high fiber starches
3 fat servings
2 serv.fresh or frozen fruit (no juice)

Use the lists on: https://www.uaex.edu/publications/pdf/FSHED-86.pdf
to plan meals based on the above distribution.

The diet above is deficient in vitamin D, vitamin E, choline, potassium. Generally, I recommend a hypoallergenic multivitamin in the am. Dietitians encourage personalized counseling, however and I do as well.

Here is a site that will encourage you to read labels and shows you many self-help tools:http://www.accessdata.fda.gov/videos/CFSAN/HWM/hwmintro.cfm

I am sorry I am taking so long, I am trying to get the database to load to look at your medication.Okay, my very expensive database says there is a major risk for you being depleted in calcium which combined with the strong predisposition for vitamin D deficiency is not good. Please clear a calcium/vitamin D supplement with your doctor to be taken 4 hours away from your multivitamin. Acetyl-l-carnitine is at moderate risk of deficiency with many B vitamins following along. L-Carnitine may be depleted as well.

I usually can only run these reports on premium queries, but I wanted you to get the full scope of how nutritionally compromised medications can make us so on top of trying to lose the weight we are looking at several potential important deficiencies.

I don't have your height to calculate calories, but if you change your nutrition by controlling calories, add some green tea or green coffee in am to speed up fat loss and counteract hunger hormone changes causes by medication, and start a 150 - 200 minute/week exercise program at 70% of your maximum heart rate, you should be off to a good start.

Always get a new program coordinated with your doctor and I wish you good luck! This answer is difficult on a free forum, so if at any time you need additional help, I suggest you contact a Dietitian for a personal visit and a personalized plan. Regards, Kathy Shattler, MS,RDN
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Suggest Remedy To Lose Weight Gained By Taking Epilim

Welcome to HCM. Congratulations on wanting to take the weight off. Darn those drugs! They do mess with things and make you gain weight without necessarily increasing food intake, which surprises many doctors. I am researching this area at this very moment. First, you say you are drinking 1000 mg (meaning cc) which is not enough. Specifically 1 cc per calorie consumed so even on a 1200 calorie diet that is low, but you should optimally consume 8 x 240 cc = 1920 cc per day in small amounts throughout the day. Are you familiar with the Diabetes Exchange Lists or Weight Watchers? The distribution for a 1200 calorie diet is about like this: 2 Milk or milk group servings, low fat 5 Lean protein servings (1 0z meat serv. or any equivalent) 4 Vegetables, non starchy 5 high fiber starches 3 fat servings 2 serv.fresh or frozen fruit (no juice) Use the lists on: https://www.uaex.edu/publications/pdf/FSHED-86.pdf to plan meals based on the above distribution. The diet above is deficient in vitamin D, vitamin E, choline, potassium. Generally, I recommend a hypoallergenic multivitamin in the am. Dietitians encourage personalized counseling, however and I do as well. Here is a site that will encourage you to read labels and shows you many self-help tools:http://www.accessdata.fda.gov/videos/CFSAN/HWM/hwmintro.cfm I am sorry I am taking so long, I am trying to get the database to load to look at your medication.Okay, my very expensive database says there is a major risk for you being depleted in calcium which combined with the strong predisposition for vitamin D deficiency is not good. Please clear a calcium/vitamin D supplement with your doctor to be taken 4 hours away from your multivitamin. Acetyl-l-carnitine is at moderate risk of deficiency with many B vitamins following along. L-Carnitine may be depleted as well. I usually can only run these reports on premium queries, but I wanted you to get the full scope of how nutritionally compromised medications can make us so on top of trying to lose the weight we are looking at several potential important deficiencies. I don t have your height to calculate calories, but if you change your nutrition by controlling calories, add some green tea or green coffee in am to speed up fat loss and counteract hunger hormone changes causes by medication, and start a 150 - 200 minute/week exercise program at 70% of your maximum heart rate, you should be off to a good start. Always get a new program coordinated with your doctor and I wish you good luck! This answer is difficult on a free forum, so if at any time you need additional help, I suggest you contact a Dietitian for a personal visit and a personalized plan. Regards, Kathy Shattler, MS,RDN