Treating Weight Gain From Psychiatric Medications with Dr Matt Bernstein

Can you successfully lose weight that you’ve gained from antipsychotics and other psychiatric medications for bipolar disorder, depression, schizophrenia, and other mental health disorders? Dr. Matthew Bernstein faces this question daily in his psychiatric practice and believes a combination of ketogenic therapy and medications like Wegovy or Ozempic may lead to sustained weight loss - as long as it is done safely and with a plan.
Dr. Bernstein also acknowledges that stubborn weight gain is a common side effect of psychiatric medications that standard "diet and exercise" weight loss advice doesn't address. Will GLP1 agonist weight loss drugs become the norm? Or should ketogenic therapy be the first-line therapy? These are ongoing questions patients and doctors will have to keep asking as this field evolves.
Expert features in this video
Matthew Bernstein, MD
www.ellenhorn.com/our-team/
/ matthew-bernstein-5743338
Watch our previous video with Dr. Bernstein
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About us:
Metabolic Mind™ is a nonprofit initiative incubated by Baszucki Group. Our mission is to provide education and resources in the emerging field of metabolic psychiatry, including ketogenic interventions for mental disorders.
Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
Timestamps
0:00 Metabolic Mind introduction
0:17 Weight gain from psychiatry medications and use of GLP1 medications
1:18 Dr. Matthew Bernstein introduction
2:02 Weight gain from common antipsychotics and other psychiatry medications
4:47 Usual care for psychiatry drug-induced weight gain
7:18 GLP1s Wegovy and Ozempic for psychiatric drug-induced weight gain
9:35 Concerns with GLP1 medications and loss of muscle mass
11:11 Ketogenic therapy for psychiatric drug-induced weight gain
12:58 Team approach for treating psychiatric drug-induced weight gain
13:58 Combining ketogenic therapy and GLP1 medications
16:26 Ellenhorn Metabolic Psychiatry Conference, November 2023
#MetabolicMind
#KetoForMentalHealth
#MetabolicPsychiatry
#BipolarTreatment
#KetogenicMetabolicTherapy
#NutritionalKetosis
#MentalIllness
#Bipolar
#GLP1
#Ozempic
#Wegovy
#Weightloss

[@MMartyMM7]

I love your urge to get this topic forward, thinking about what could be tweaked really strategically.

[@MichaelBLive]

I am very excited for the Metabolic Psychiatry event Nov 3 and 4. It is very hopeful that these topics are being discussed by providers as well as patients. Cheers. Michael

[@metabolicmind]

Thanks, Michael. We hope you are able to attend!

[@MichaelBLive]

I sure am. I am giving a patient perspective on Saturday with 2 others.

[@dyaneharwood2023]

Yes, I’m honored be joining Michael as a lived experience speaker to discuss vegan keto for bipolar one/postpartum bipolar.

[@MichaelBLive]

@@dyaneharwood2023 this is ultimately so important for the providers to hear these stories.

[@MichaelBLive]

@@dyaneharwood2023 oh - really excited you are speaking on vegan keto. There are those too passionate on carnivore and vegan sides that it makes it seem like it's a carnivore thing. In my search for healthy eating over the years I have done it all. I was vegan/veggie for 12 years and enjoyed it.

[@jjgrammy4794]

We were just talking about this!!! It’s definitely an uphill battle.

[@reneekennedy38]

I’m bipolar 2, this info gives me hope. I hope my doctor will approve one of these medications, in conjunction with keto therapy. This gives me so much hope

[@susanbeever5708]

Glp-1 RA stimulate TRPV1 that causes many secondary disease processes. One example is overstimulation of insulin causing hyperinsulinemia . It is important to monitor this drug with oral glucose tolerance test and insulin and c-peptide curves to actually see what is happening that is lowering blood glucose. Hyperinsulinemia leads to even more TRPV1 and reactive oxygen species too. There is so much to know about TRP receptors and how they relate to many diseases.

[@CashMoneyMoore]

Great perspective

[@thehansepeter]

It would be helpful to mention why patients experience weight gain? Are they more hungry? Are the moving more or less? Are they eating more frequently? Are they eating more? Are they eating different foods?

[@jan_ellison_baszucki]

it's likely all of the above. What is most notable is that ketogenic therapy can: reduce hunger, increase satiety, increase energy available for things like exercise, reduce carbohydrate cravings.

[@metabolicmind]

Yes! It is likely a combination of factors involving hunger and cravings. We address those in our intro video on this topic kzbin.info/www/bejne/g2W7gnuZnsmNjqc

[@ElderQueen]

I can say from personal experience that I ate like a pig. I just ate constantly all day everyday.

[@Pablo.S3]

100+ Pounds over 6 years Victoza and Metformin did not work for me, yes its very frustrating also my active lifestyle from construction you would think I would lose the weight but still no luck.

[@KimRobbins]

My son gained 40 lbs in 2 months after getting on anti-psychotics! He has been able to lose some weight by walking ALOT! But the weight loss has slowed and he is very self-conscious about his appearance so this doesn't help.

[@DaveCBwfc]

I've been take semaglutide for a month. Calories are super low. Workout 3 days a week. Prioritize protein. Lost almost no weight!! Antipsychotics suck.

[@chuckylamb4398]

Chuck medications- fast