So I weighed myself yesterday as I have every few days to monitor my weight (same time and before I eat/drink to make sure it’s just me I am weighing not stuff in my stomach) and I am down another 5 pounds despite eating very particular food, planning my calories and other nutrients… What the heck! I thought I had at least stopped myself from losing weight! So once again I started to stress and worry (thinking about this and my constantly dropping WBC) which was not good to add on top of everything else I am dealing with right now. But I was sitting at my desk where I have all my medication laid out (so I don’t forget to take them) when I realized… whenever I am asked what medication I am on I typically only think about what I keep in my Monday-Sunday pill organizer thing but what about all the other pill bottles on my desk? Most of that is “as-needed” stuff like Temazepam for insomnia or Ritalin (methylphenidate) for fatigue. Ritalin. How did I never think of this? Ritalin is a stimulant. Stimulants cause you to lose weight! One of the main reasons I stopped taking Nuvigil!
So I started reading about it more and yep, people abuse Ritalin to lose weight just like Nuvigil. Stimulant speed up your metabolism so you burn more calories. Because they can also make you lose your appetite you typically eat less but are more active (thanks to the energy). So that means you have less calories to burn when you are doing stuff that now cause you to burn even more calories at a faster rate thanks to the Ritalin (or whatever stimulant you are taking). Now, Nuvigil definitely made me eat less because it either killed my apatite or made me nauseous. Ritalin doesn’t do that to me and after I stopped taking vitamin D (8,000 IU) I started eating way more because my stomach was no longer always upset so I didn’t feel like it was an issue. But now it makes sense; if I am eating the right amount of food and taking in the right amount of calories to keep me at the right weight based on what was normal for me a year or two ago that would not be enough now if I am burning more calories! So maybe that is why I have not been able to gain weight and am constantly losing it despite me really trying not to? Could it be that simple? I was on Nuvigil before and then switched to Ritalin. This whole time everyone has been telling me “check the side effects of all your medication” but I was really only thinking about what was in my M-F thing… I feel dumb haha.
So I am stopping the Ritalin to see what happens. I definitely don’t feel as alert, getting out of bed this morning was a little more difficult and even sitting here and writing is feeling more labor intensive (CogFog) but if it means not wasting away I think it might be worth it. I still have a couple other ideas for managing my fatigue so I can deal with it for now. I mean, I already had a fast metabolism; I have always been a thin guy who could eat as much as he wanted so I probably did not need to be taking a medication people abuse to speed up their metabolism and lose weight… Now when I was reading about it in forums about Ritalin and other “stimulants” a lot of people said that once they stopped taking it (cold turkey) they started drastically gaining weight pretty much right away, several saying as much as 20 pounds in 2 months which made it extra hard for them to want to give it up. If I could just put 5 pounds back on in 2 months I will feel relieved! So it will be interesting to see what happens in the next little while. If I do start putting some weight back on I can only hope that I can manage my fatigue with something else.