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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by BlueM on May 4, 2010, at 17:40:18
OK - it's day 5 on Nardil and I'm getting a little concerned about my hunger - does anyone have any suggestions? I can't afford to gain too much weight - I'm depressed enough as it is - I don't need another 30 lbs. Thanks!
M
Posted by angels78 on May 4, 2010, at 17:47:40
In reply to Any solution for the Nardil hungry horrors?, posted by BlueM on May 4, 2010, at 17:40:18
I remember when I first started with Nardil, I could eat like a pig! Give it 2 months, and those cravings will diminish. Best of luck!
Posted by bleauberry on May 4, 2010, at 18:19:57
In reply to Any solution for the Nardil hungry horrors?, posted by BlueM on May 4, 2010, at 17:40:18
The munchies should diminish over time. By then you will have gained too much weight and it will be hard to lose. Better to not let it happen at all?
To do that is not easy to start with, but actually gets easy with time. In a couple months your taste buds will actually change and prefer your new food choices over the things you previously ate a lot.
All non-root veggies. Organic as much as possible. Lots of them, especially when you have the munchies. If nothing else, they will cause you to eat less of the bad stuff. But try to avoid the bad stuff.
Lots of purified water. It can trick the stomach into feeling full if you drink a lot before eating.
Lean organic meats. You absolutely do not want pesicide, herbicide, hormone, and antibiotic residues if depression is an issue.
Avoid or greatly diminish all types of sugars including artificial ones. Stevia is the only good substitute.
Limit grains to white or brown rice. Pretend you are gluten intolerant. With depression being an issue you could be anyway and don't know it. Wheat products turn to fat. Oats, millet, rice, these are good. You'll find specialty pizzas and cereals made with these, intended for the gluten-free customers. Whole Foods Markets have wide choices.
No one ever said healing was easy. It just depends how badly you want it. Again, trust me, the taste buds do change. In a couple months you will actually crave and prefer your romaine leafs with organic turkey slices rolled up in them over your pizzas and donuts.
Setting aside the whole weight gain thing, the above eating choices are extremely friendly to healing of all kinds including mental. The right food choices by themselves are worth a couple points on the 1 - 10 depression scale.
Posted by sigismund on May 4, 2010, at 18:24:55
In reply to Re: Any solution for the Nardil hungry horrors?, posted by bleauberry on May 4, 2010, at 18:19:57
>Limit grains to white or brown rice.
And let basmati be your white rice.
Posted by angels78 on May 4, 2010, at 18:28:46
In reply to Re: Any solution for the Nardil hungry horrors?, posted by bleauberry on May 4, 2010, at 18:19:57
> The munchies should diminish over time. By then you will have gained too much weight and it will be hard to lose. Better to not let it happen at all?
>
> To do that is not easy to start with, but actually gets easy with time. In a couple months your taste buds will actually change and prefer your new food choices over the things you previously ate a lot.
>
> All non-root veggies. Organic as much as possible. Lots of them, especially when you have the munchies. If nothing else, they will cause you to eat less of the bad stuff. But try to avoid the bad stuff.
>
> Lots of purified water. It can trick the stomach into feeling full if you drink a lot before eating.
>
> Lean organic meats. You absolutely do not want pesicide, herbicide, hormone, and antibiotic residues if depression is an issue.
>
> Avoid or greatly diminish all types of sugars including artificial ones. Stevia is the only good substitute.
>
> Limit grains to white or brown rice. Pretend you are gluten intolerant. With depression being an issue you could be anyway and don't know it. Wheat products turn to fat. Oats, millet, rice, these are good. You'll find specialty pizzas and cereals made with these, intended for the gluten-free customers. Whole Foods Markets have wide choices.
>
> No one ever said healing was easy. It just depends how badly you want it. Again, trust me, the taste buds do change. In a couple months you will actually crave and prefer your romaine leafs with organic turkey slices rolled up in them over your pizzas and donuts.
>
However you should not be eating pizza on Nardil. Stick to the diet 100% you'll do fine. :)
>
Posted by BlueM on May 4, 2010, at 18:59:44
In reply to Re: Any solution for the Nardil hungry horrors? » bleauberry, posted by angels78 on May 4, 2010, at 18:28:46
Thanks everyone - this hunger just came out of no where - I thought I was side effect free - but I guess not. So I guess cheez-its are out too?
Posted by Phillipa on May 4, 2010, at 20:12:50
In reply to Re: Any solution for the Nardil hungry horrors?, posted by BlueM on May 4, 2010, at 18:59:44
Calories do count and add up quickly unfortunately. Phillipa
Posted by pedr on May 6, 2010, at 7:49:45
In reply to Any solution for the Nardil hungry horrors?, posted by BlueM on May 4, 2010, at 17:40:18
I actually just went to see a dietician about my +40lb on Nardil. I was constantly craving carbs. Bagels specifically. For a few months I was on 3-4 bagels a day (and not much else). The complication for me is I have IBS and I'm very sensitive to portion-size, fat content, artificial stuff, acidic foods and so on. Bread is one of my 'safe' foods.
However the dietician said 'bagels are evil' (literally) and out they went. I've replaced them with Greek Yoghurt, whole wheat pretzels&PB and so on. Essentially I've replaced carbs for protein. I feel better for it and am eating less. She reckons it's because my blood sugar isn't roller-coastering around any more (all that white flour). I agree but my hunger overall is diminished and I am no longer obsessing over bread/carbs. I believe that's the Nardil s/e's diminishing. It's taken a looooong time though - longest of any med I've been on.
HTH & remember - YMMV,
Pete
Posted by rnny on May 6, 2010, at 16:32:09
In reply to Any solution for the Nardil hungry horrors?, posted by BlueM on May 4, 2010, at 17:40:18
rid the house of fattening stuff and stock up on non-fattening things.
Posted by pedr on May 10, 2010, at 22:03:40
In reply to Re: Any solution for the Nardil hungry horrors?, posted by bleauberry on May 4, 2010, at 18:19:57
> Lean organic meats. You absolutely do not want pesicide, herbicide, hormone, and antibiotic residues if depression is an issue.
I've never heard of this before. Do you have any studies on it please?
> Avoid or greatly diminish all types of sugars including artificial ones. Stevia is the only good substitute.
Why avoid artificial sweeteners?
> Limit grains to white or brown rice. Pretend you are gluten intolerant.
Why? FYI it's not that simple - different types of rice have different glycemic indexes (http://www.carbs-information.com/glycemic-index-food-chart.htm) and can lead to rollercoaster blood sugar levels.
> With depression being an issue you could be anyway and don't know it. Wheat products turn to fat.
Wheat products turn to fat? I don't understand that. Any left over calories can be stored as fat, irrespective of origin. Wheat is no different.
> Setting aside the whole weight gain thing, the above eating choices are extremely friendly to healing of all kinds including mental. The right food choices by themselves are worth a couple points on the 1 - 10 depression scale.Very true, esp. if you do turn out to have GI issues. I had really bad IBS-C for many years and thought it was just the pain of depression :( I think everyone with treatment-resistant depression should be tested for celiac and informed about IBD, IBS, GERD and so on since they are so often co-morbid.
Pete
Posted by pedr on May 10, 2010, at 23:21:22
In reply to Re: Any solution for the Nardil hungry horrors?, posted by BlueM on May 4, 2010, at 18:59:44
Hi,
I have been taking Provigil 200mg occasionally. I've found it really supresses my appetite. You might want to suggest that to your PDoc. I haven't lost weight because of it but my weight has stopped increasing at least...!Pete
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