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Discussion Starter · #1 ·
I have been DX w/IBS after months of having the runs & real sick. They say stress is bad but I have a very stressfull life. I have lost alot of weight w/this & look 100 yrs old, my arms & legs got real thin & my face is all sunk in. Does anyone know what I could take to put weight on. It's bad enough having this but now people think I'm so much older than I am.
 

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It would be useful to figure out how many calories a day you are eating and how many you need to maintain weight. www.practicalweightloss.com has some calculators to figure out what you need based on age, activity level, etc.Typically to lose weight you need to eat ~500 calories less than you need so it makes sense that conversely you need to add ~500 calories more than you need to gain weight. The gain would be slow and steady, but that is the best way to change weight.If you are eating way more calories than you need, call the doctor. That may indicate something else is going on.Typical ways to gain weight is to add one of the supplemental nutritional drinks several times a day. Often people will tolerate that sort of addition (some doctors don't do a fancy drink but suggest milk shakes or another option may be fruit smoothies that aren't made with milk if milk is not an option for you--my Mom had a doctor make her drink a bottle of dark beer with every meal when she was convelescing when she had to regain weight after an extended illness--this was back in the 1950's and may not be a good idea if you have to go to work
).The other options is to add high calorie snacks. Nuts, cheese...things like that. Also if you do tolerate fat well adding some olive oil or other fats to the things you eat can help. OR just increase all your portion sizes for every meal by 1/4 to 1/2.K.------------------ kmottus###aol.com�When I despair, I remember that all through history the way of truth and love has always won. There have been tyrants and murderers and for a time they seem invincible but in the end, they always fall�Think of it, ALWAYS. �Mahatma GandhiMy story and what worked for me in greatly easing my IBS: http://www.ibsgroup.org/ubb/Forum17/HTML/000015.html
 

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It would be useful to figure out how many calories a day you are eating and how many you need to maintain weight. www.practicalweightloss.com has some calculators to figure out what you need based on age, activity level, etc.Typically to lose weight you need to eat ~500 calories less than you need so it makes sense that conversely you need to add ~500 calories more than you need to gain weight. The gain would be slow and steady, but that is the best way to change weight.If you are eating way more calories than you need, call the doctor. That may indicate something else is going on.Typical ways to gain weight is to add one of the supplemental nutritional drinks several times a day. Often people will tolerate that sort of addition (some doctors don't do a fancy drink but suggest milk shakes or another option may be fruit smoothies that aren't made with milk if milk is not an option for you--my Mom had a doctor make her drink a bottle of dark beer with every meal when she was convelescing when she had to regain weight after an extended illness--this was back in the 1950's and may not be a good idea if you have to go to work
).The other options is to add high calorie snacks. Nuts, cheese...things like that. Also if you do tolerate fat well adding some olive oil or other fats to the things you eat can help. OR just increase all your portion sizes for every meal by 1/4 to 1/2.K.------------------ kmottus###aol.com�When I despair, I remember that all through history the way of truth and love has always won. There have been tyrants and murderers and for a time they seem invincible but in the end, they always fall�Think of it, ALWAYS. �Mahatma GandhiMy story and what worked for me in greatly easing my IBS: http://www.ibsgroup.org/ubb/Forum17/HTML/000015.html
 

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red - I probably looked a bit like you a year or two ago. I finally managed to gain back a fair amount of weight (but not all that I wanted to). It took a lot of work. Eating a "good" nutbutter such as almondbutter for snacks is a suggestion. Also, eat several times throughout the day. If you can't have dairy, try drinking rice (or soy) milk. Have a bit of protein with each meal, if possible. Eat sweet potatoes for snacks or with meals. (They have a lot of calories but also are very good for you and generally easy to digest - more so than white potatoes.) I also like the idea of drizzling a bit of olive oil on top of your veggies. Eat rice once or twice a day. It's hard gaining weight on just "healthy" food, but as long as there's not something else wrong with you, and you are patient, you should be able to_Oh, and try to find ways to lower the stress. Stress alone can trigger weight loss.[This message has been edited by HipJan (edited 10-23-2001).]
 

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red - I probably looked a bit like you a year or two ago. I finally managed to gain back a fair amount of weight (but not all that I wanted to). It took a lot of work. Eating a "good" nutbutter such as almondbutter for snacks is a suggestion. Also, eat several times throughout the day. If you can't have dairy, try drinking rice (or soy) milk. Have a bit of protein with each meal, if possible. Eat sweet potatoes for snacks or with meals. (They have a lot of calories but also are very good for you and generally easy to digest - more so than white potatoes.) I also like the idea of drizzling a bit of olive oil on top of your veggies. Eat rice once or twice a day. It's hard gaining weight on just "healthy" food, but as long as there's not something else wrong with you, and you are patient, you should be able to_Oh, and try to find ways to lower the stress. Stress alone can trigger weight loss.[This message has been edited by HipJan (edited 10-23-2001).]
 

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A good nutritional supplement that I like is BoostPlus. It has 360 calories and I think like 14 or 15 grams of fat. I get it in chocolate and amazingly it tastes like real chocolate. Its also lactose free and easy to digest. Ensure plus is also lactose free but I found it hard to digest b/c it was so heavy. Boostplus is a little lighter. Their website is Boost.com...I hope this helped!
 

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A good nutritional supplement that I like is BoostPlus. It has 360 calories and I think like 14 or 15 grams of fat. I get it in chocolate and amazingly it tastes like real chocolate. Its also lactose free and easy to digest. Ensure plus is also lactose free but I found it hard to digest b/c it was so heavy. Boostplus is a little lighter. Their website is Boost.com...I hope this helped!
 

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I have good news for you! I was in your exact situation and I got help from the drug Remeron. I have had IBS for 15 years or more. I know what it was like to lose the weight and feel so sick and awful looking because of not being able to eat because your stomach won,t let you. Many episodes of painful loose stools and a constant pain to my bowels. I thought I was never going to be able to eat again without having to have stomach aches and loose stools that would keep me at home and resrict my social life. I started to become depressed about the whole IBS situation and how I looked. This all happened last November when my flareup was at its worst. I weighed around 127 pounds before the flareup, I'm 5'7 and thats where my normal weight would stay. I got down to 119 pounds and looked like HELL! I got the help from not my gastroenterologist but a psychiatrist who had a MD friend that worked at the Mayo clinic in treating IBS patients and suggested Remeron. It saved my life! My whole life has changed and I feel great. It took about 3 weeks after I started Remeron to feel better. Remeron and dietary changes, thanks to a wonderful cookbook by Heather Van Vorous have let me live a healthy lifestyle and free of bowel pain. I now weigh 150 pounds and feel wonderful. Remeron's side effect is weight gain. I had no other side effects from the drug. I hope this helps you and lets you feel good about yourself and healthy. I understand completely what you are going through. There is help out there, suggest to your MD Remeron.------------------
 

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I have good news for you! I was in your exact situation and I got help from the drug Remeron. I have had IBS for 15 years or more. I know what it was like to lose the weight and feel so sick and awful looking because of not being able to eat because your stomach won,t let you. Many episodes of painful loose stools and a constant pain to my bowels. I thought I was never going to be able to eat again without having to have stomach aches and loose stools that would keep me at home and resrict my social life. I started to become depressed about the whole IBS situation and how I looked. This all happened last November when my flareup was at its worst. I weighed around 127 pounds before the flareup, I'm 5'7 and thats where my normal weight would stay. I got down to 119 pounds and looked like HELL! I got the help from not my gastroenterologist but a psychiatrist who had a MD friend that worked at the Mayo clinic in treating IBS patients and suggested Remeron. It saved my life! My whole life has changed and I feel great. It took about 3 weeks after I started Remeron to feel better. Remeron and dietary changes, thanks to a wonderful cookbook by Heather Van Vorous have let me live a healthy lifestyle and free of bowel pain. I now weigh 150 pounds and feel wonderful. Remeron's side effect is weight gain. I had no other side effects from the drug. I hope this helps you and lets you feel good about yourself and healthy. I understand completely what you are going through. There is help out there, suggest to your MD Remeron.------------------
 

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Discussion Starter · #10 ·
Thanks to all who gave advice! I called my specialist to ask for remeron (sounds good) he's sick & not in but the nurse who answered sd whats the name, oh thats an IV I doubt it. I never heard anyone say it was an IV so I;m going to my primary dr in the morning & will ask him for it, hopefully they won't say the same thing.
 

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Discussion Starter · #11 ·
Thanks to all who gave advice! I called my specialist to ask for remeron (sounds good) he's sick & not in but the nurse who answered sd whats the name, oh thats an IV I doubt it. I never heard anyone say it was an IV so I;m going to my primary dr in the morning & will ask him for it, hopefully they won't say the same thing.
 

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Discussion Starter · #14 ·
Remeron is for depression & I have seen where alot of people w/IBS swear by it. The only problem I see is I just went to dr & got the prescription & had to pay 40. for 30 pills, starting 2002 I will have no prescription coverage so I don't know how I will afford 90. a month. Thats enough to add to my depression!
 

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Discussion Starter · #15 ·
Remeron is for depression & I have seen where alot of people w/IBS swear by it. The only problem I see is I just went to dr & got the prescription & had to pay 40. for 30 pills, starting 2002 I will have no prescription coverage so I don't know how I will afford 90. a month. Thats enough to add to my depression!
 

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One of the receptors it interacts with is the same one that Lotronex does.K.------------------ kmottus###aol.com�When I despair, I remember that all through history the way of truth and love has always won. There have been tyrants and murderers and for a time they seem invincible but in the end, they always fall�Think of it, ALWAYS. �Mahatma GandhiMy story and what worked for me in greatly easing my IBS: http://www.ibsgroup.org/ubb/Forum17/HTML/000015.html
 

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One of the receptors it interacts with is the same one that Lotronex does.K.------------------ kmottus###aol.com�When I despair, I remember that all through history the way of truth and love has always won. There have been tyrants and murderers and for a time they seem invincible but in the end, they always fall�Think of it, ALWAYS. �Mahatma GandhiMy story and what worked for me in greatly easing my IBS: http://www.ibsgroup.org/ubb/Forum17/HTML/000015.html
 

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It is NOT the same as Lotronex.There are a number of drugs that interact with the 5-HT3 receptor.One thing you have to remember is the body uses the SAME thing for many different purposes (which is one of the reasons things have side effects. If you muck with X in the liver (for example) which is where you want it to act, the body also uses X in any number of other places and the drug mucks with X whereever it finds it, sometimes causing things you don't really want to happen).Lotronex is for diarrhea predominate IBS.Zofran is for nausea, mostly used for chemotherapy patients.Remeron is an antidepressant and the following is all the things it interacts with (and as an antidepressant it will cross the blood brain barrier, I'm not sure if the other two can get in the brain)
quote:The precise mechanism of action of mirtazapine is unknown. It's activity is likely related to an increase in central noradrenergic and serotonergic activity. This occurs via antagonism of presynaptic alpha-2 autoreceptors and heteroreceptors and antagonism of postsynaptic 5HT2 and 5HT3 receptors. Mirtazapine also has effects on histamine (H1) receptors, and to a lesser degree muscarinic and peripheral alpha-1 receptors.
K.------------------ kmottus###aol.com�When I despair, I remember that all through history the way of truth and love has always won. There have been tyrants and murderers and for a time they seem invincible but in the end, they always fall�Think of it, ALWAYS. �Mahatma GandhiMy story and what worked for me in greatly easing my IBS: http://www.ibsgroup.org/ubb/Forum17/HTML/000015.html
 
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