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Old 01-21-2009   #449 (permalink)
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Re: Obesity: Why are we getting fat? :epizza:

Quote:
Originally Posted by Nitack View Post
No medication or condition can MAKE you gain weight. You have to take in more Calories than your body is using on a consistent basis to gain weight, the energy that the fat is storing can not just appear. Not trying to be insensitive here, just factually accurate.
Nitack, you seem incapable of thinking two levels deep on this issue.

If person A were to fatally shoot person B with a gun, then it's well-understood that person A killed person B. You are fixated on the bullet—saying that the cause of death is the bullet. You cannot seem to consider the gun that fired the bullet nor the hand that pulled the trigger, nor the person, nor the motives. You're just fixated on the physical cause of death—bullet through torso.

It is completely consistent for a bullet to cause death and for a person to cause death. These things are not mutually exclusive. You have no grounds or reason to object to other people who are examining this issue with greater depth than you are.

The listed side effect of almost all antidepressants is weight gain. Double-blind drug trials examining side effects show marked increase in body mass over placebo

Quote:
Many antidepressants in all categories are associated with weight gain usually in the range of 5-25 kg (10-50 pounds) but not uncommonly upwards of 50 kg (100 pounds). The specific cause is unknown, but it is known that antidepressants are associated with increased cravings, an inability to feel full despite ingestion of adequate calories, low energy levels and increased daytime sleepiness which can lead to overeating and a lack of desire to exercise, and dry mouth which can lead to ingestion of calorie-laden beverages. In addition, the antihistaminic properties of certain TCAs, and NaSSa's have been shown to contribute at least in part to the common side effects of increased appetite and weight gain associated with these classes of medication. Eating low fat, low protein carbohydrate snacks and carbohydrate-rich dinners allows the brain to make serotonin which then controls appetite and balances mood. Carbohydrates thus eaten, as part of a balanced diet, by virtue of their effect on brain serotonin levels, thus support weight loss in the setting of antidepressant weight gain.

Antidepressant - Weight Gain
In a double-blind drug trial there is only one variable—the medication. It is then not only appropriate, it is PERTINENT to say "antidepressants cause weight gain". Do you see how this is consistent with the idea of conservation of energy (e.g. calories in / energy out)? Can you think 2 levels deep like this?

~modest


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