Has anyone had difficulty losing weig... - British Heart Fou...

British Heart Foundation

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Has anyone had difficulty losing weight on their medications?

Haylsnewc profile image
17 Replies

I was taking propranolol for the last three years for migraines, and looking back my weight increased but I also struggled to lose weight. After my heart attack I was put on bisoprolol and initially lost weight, but that has slowed down to a standstill. Despite exercising loads, mainly eating healthy I’m not losing weight (I am losing inches, my clothes feel better/ looser now).

I’m not sure if there is actually anything I can do, but thought it was worth asking 😀

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Haylsnewc profile image
Haylsnewc
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17 Replies

I gained 6lb in just over a week after being put on bisoprolol at the end of April. I was gutted because at the time I was sticking to plan and had lost just over 2st prior to being put on the drug.

Visited several forums and lots of people with the same problem. I had a 24 hour monitor fitted last week and the technician that did it said the problem with drugs like bisoprolol is that they slow down everything not just heart rate including metabolism.

Haylsnewc profile image
Haylsnewc in reply to

Thanks JustSharon, I know there may not be a solution but it just makes more sense of it. Will keep trying!

in reply toHaylsnewc

I've had to cut my carbs down to a minimum to get mine shifting again but even then it isn't coming off at the same rate as it was. I suppose I should just thank my lucky stars that it is at least moving in the right direction.

Haylsnewc profile image
Haylsnewc in reply to

Sounds like you are doing well 🙂

Heather1957 profile image
Heather1957 in reply to

I said in another thread that I started taking bisoprolol in 2016 and was a member of SW. I lost 3 stone during that time. I now need to start SW (yet) again but am confident that by taking the medication it won't slow down my weight loss. I may just be lucky. Way back in 1995 (ish) I lost 5 1/2 stone and gave up smoking at the same time.

Haylsnewc profile image
Haylsnewc in reply toHeather1957

It’s just that I’ve really struggled in the last three years (I was on propananol for migraines) and always managed to lose before, so I’m guessing it’s that for me? I’ll keep going though, need to lose weight now I have a heart confition.

Good luck with slimming world.

Heather1957 profile image
Heather1957 in reply toHaylsnewc

Thank you - I just need to get started again!! June 1st seems a good time to buy a 12 week count down!! Good luck to you, I know many who don't take medication seem to reach a plateau and it is hard to get going again!!

Debee28 profile image
Debee28 in reply toHaylsnewc

Hi, I just thought I would mention, have you considered a daith piercing for your migraines? I was having 11 migraines a week and had my daith pierced, I then had only maybe 4 or 5 migraines over the next year! Had my 2nd daith pierced and not had any migraines in over a year (except when I had angioplasty).

It really doesn't hurt and I would really recommend it x

If you’re losing inches, then what you’re doing is working and you should still be pleased imo and just keep at it. I was morbidly obese, and successfully shifted 7 stone by eating less, moving more, and switching out some of my carbs for extra protein instead. However, I’m at a stage now where like you, I’m no longer losing weight, but I’m still losing inches, and the reason for that is in exercising well, you begin to build muscle in addition to burning fat. Muscle is more dense than fat, so the inches keep falling away, but your actual weight may not change at all. There’s quite a few articles online (with before and after pics) of people who have trimmed down massively, but still weigh almost the same as they did when they were bigger as a result of building muscle in place of the fat they lost. As long as you’re still shrinking, it’s still working.

Transformerman profile image
Transformerman in reply to

I wanted to reply to your mail, but Charlie G said exactly what I would have suggested.

Heather1957 profile image
Heather1957 in reply to

If If If this is true then why is it the Health Professionals only weigh us and not measure us. I ask this as I have read many articles refuting the fact that muscle weighs more than fat which is why some people exercise more but don't lose weight. I actually have no strong feelings either way but believe that we should always be told facts!

in reply toHeather1957

It is absolutely true and scientifically proven. Muscle is denser than fat, meaning that a smaller volume of muscle would weigh a pound compared to the volume of fat that would weigh a pound: it doesn’t weigh less, which is what’s commonly stated, it’s just the same weight of muscle takes up less space, hence why exercising contributes to inch loss much better than diet alone, and why you can continue to lose inches without the numbers on the scales changing much (if at all). There is guidance issued by the NHS on what a healthy waist measurement should be in relation to height, but that tends to be ignored in favour of focusing on bmi. I now weight 11st 6 with a height of 5ft 8, which puts me in the healthy bmi range, however my ‘true’ waist measurement (as opposed to my very healthy trouser waist of 34) is 40 inches because I carry excess fat in my belly due to metabolic disorder/insulin resistance, so I still have a good 4 inches I need to shift from there to be truly healthy.

I think that some of the difficulty is that a surprising number of people don’t/can’t recognise just how overweight they actually are, there’s a fair bit of denial going on, so bmi is an easy way to demonstrate to the masses where they’re at. But it’s accepted that bmi doesn’t account for muscle versus fat, only overall weight in relation to height: the vast majority of professional athletes and sports players (or even amateur gym nuts/body builders) will be classed as overweight/obese by bmi, and it’s one of the arguments often given by those who feel it’s not the most helpful measure to give a picture of someone’s health in relation to their weight. That said, for most of us who are *not* ridiculously active and down the gym 5+ times a week or running marathons or whatever, it’s still an extremely useful method, and that’s why it’s used religiously by medics. They just have to exercise a bit of common sense if faced with someone who scores as overweight but is very clearly not.

jimmyq profile image
jimmyq in reply to

At my last MOT (as the annual medical is called at our surgery) the nurse weighed me and calculated my BMI, which deemed that I am overweight. She looked at me and said that I obviously am not, I am built like a racing snake. It is muscle from exercising. Exercise also increases the mass of your bones.

Mjd7568 profile image
Mjd7568

I have gained weight and inches but I have to be honest my problem is self control and motivation basically eating to much ☹️

Haylsnewc profile image
Haylsnewc in reply toMjd7568

Do you think the medication has effected your self control though? It’s so tough when we are all trying to lose weight but some of the medications make it impossible!

But you are right, I’m happily losing inches so will ignore the weight for a bit.

Tab1966 profile image
Tab1966

I lost a stone and a half really quickly following my treatment, but since Christmas have not lost a pound. Despite eating healthily and exercising moderately, all I manage to do is maintain. However, I've changed from a size 16 to a size 12 / 14 and especially over the last few weeks, I've lost count of the number of people that have commented on how slim I look!! Weird, as I haven't lost any weight for 5 months! Can only think I've changed shape.

I'm on bisoprolol and have only just realised that it could be the reason for the struggle with weight loss. Will keep going with everything though because we have to really don't we?

Haylsnewc profile image
Haylsnewc

We do, very true!

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