Congratulations SM !!
Congrats SM. Great seeing you today. Thus far, you have lost 61 pounds and look wonderful. Your goal is right around the corner!! Keep up the good work.
Dr. T.
Health benefits of weight loss
Hey Dr. Tapia…….I forgot about this at my last appointment. Last year at this time, my employer had us all do a health assessment. I don’t have the numbers in front of me right now (I’m going to log in and find them this week) but I do know that my cholesterol and triglycerides were pretty high. Well, they did our annual assessment for 2012 last week, and everything is back down in the normal range!!! I’m really excited about that, and just wanted to share. 🙂
A quick word about exercise
Many of you have heard me say that exercise is a “time commitment.” Therefore, when choosing an exercise routine, make sure that it will easily fit into you weekly schedule. Convenience and easy access is very important, especially when we have kids, a job, chores and so many other responsibilities. The less disruptive your exercise routine is to your daily life, the more likely you are to exercise on a regular basis. Most important, do something that you enjoy and find satisfying.
Dr. T
Good JOB MH!
You lost 43 pounds! You look fabulous. Your family and friends are very proud of you.
Congratulations JJ!
Thus far, you have lost 34 pounds. You are developing some good habits. Keep going! You are doing great!
Dr. T
Congrats KS !
Thus far, you have lost 45 pounds. You have really changed your lifestyle for the better. I look forward to your next visit. You are so close to your goal. Keep up the good work !
Dr. T.
Good job TM
So far, you have lost 32 pounds by changing your eating habits. Imagine what you can accomplish by incorporating exercie into your weekly routine! You continue to do well. Keep up the good work. See you next month. Dr. T.
Bontril and Celexa question
Hi, i started taking bontril on Saturday after meeting with you on Friday. Everything seems to be going good and I am very excited about starting this journey, however I seem to be feeling a little more anxious and I am also taking celexa and have been for numerous years. After doing a little research on a drug interaction website I found that they said these drugs used together can cause possible enhanced sympathomimetic effects and possible serotonin syndrome? I am not sure if this is something I should be concerned with and what possible side effects I should watch for? Thank you for your help!
REPLY
That is a good question……
But first of all, It is well known that drug inserts (information packs) contain side effects and interactions that may happen in 1/million patients. I seriously doubt that the combination of Celexa and Bontril is making you anxious. Bontril increases Dopamine and Norepinephrine in your brain, very similar to anti-depressants such as Wellbutrin and Buspar. Having said that, it is common for psychiatrists to add a drug like Wellbutrin or Buspar to Celexa, especially if a patient has been taking Celexa for a long time. They tend to work well together especially if someone on Celexa begins to complain of sexual side effects.
There are two more likely causes of your anxiety:
1) You may be taking too much Bontril. You might have to cut back to twice daily instead of three. I allow patients to change the regimen if a different dosing schedule works better for them.
2) Many people inadvertently use food for comfort. Food is like a security blanket……..and when you remove that security blanket (using food to help you feel better during times of emotional emergency), people get anxious. This is why I spend a lot of time helping people change their beliefs and “way of thinking.” Only by changing your beliefs, can we change your feelings and behaviors (eating better and healthier).
Thanks for sending me this note.
Dr. T
Hi AD !
Thus far, you are down 28 pounds. You are very close to your goal. Its been a tough road but you stayed focused and continue to do a good job. Look forward to your next visit.
Way to go AM !
You have lost 11 pounds in your first month at Health Smart. You have become more conscientious about food and are working on portion control. lets shoot for double digitc again next month.
