Avoiding food

[20dts15]

My weight is the most that it's ever been without a change in diet.  I take medication that directly affects the mechanics of regulating weight.  Each person I ask for advice point toward alcohol consumption.  I feel like that is too easy of an explanation since my habit hasn't changed, and currently I'm drinking alcohol at the least I ever have.  My food consumption ranges from 700 - 1500 calories.  Most recently my psychiatrist could only explain that it may just be a combination of the 4 meds I take daily.  We both suspect the geodon however I am nowhere near the therapeutic level of milligrams.  The other issue is waste elimination.  I pass waste 2-4 times each morning and the consistency is of diarrhea, and has been for years.  Exercise is always an option, however, I want to know just why is there unexplainable weight gain without changes to my normal consumption.  If I remove the geodon I may just experience bipolar mania, yet I don't think I could manage self-acceptance at this weight.  If anyone would like to do some q&a to explore other options I'll do it.  I'm considering wiring teeth or anorexia.  

[Paxiled]

Look, your drug regimen is probably allowing you to have a life.  But it's also got to be faced that it isn't sustainable for you.  If what you're taking is causing constant diarrhea, you're not absorbing the nutrients from the little food you're allowing yourself to eat.  You're already anorexic, basically, as you're not eating enough calories now to sustain an exercise program or to get the requisite amount of nutrients needed to sustain muscle tone, get sufficient antioxidants, etc.  If you got your teeth wired you'd have to be fed through tubes, because you still have to eat.  I'm guessing you're not really serious about that, but that's what would happen.  So your problem might be the food you eat, and given the drugs you're taking, and I know, there has to some enjoyment of life, but alcohol does not go along with those kinds of drugs -- they don't interact well and can make the problems you're treating worse in combination.  Alcohol is just trouble for people with mental illness long-term and short-term, as it increases disorientation which can provoke a feeling of anxiety, and it's a depressant, which is a big part of what you're fighting against.  I don't know which drug you're taking is responsible for what you're experiencing, as I'm guessing if they're all for mental illness they all can have as a side effect weight gain and diarrhea.  So who knows what's causing what?  All I can say is, you need a different combination if you want to be healthy physically as well as mentally.  If you're having loose stools on that little food, you actually need to eat more, not less, to compensate, but basically, your digestive system isn't working.  It's also not a question of dosage -- side effects are a very individual thing. One nutrient all meds for mental illness can affect adversely is magnesium, which is a big part of regulating digestion.  But because of your diarrhea, you probably can't even try supplementing with it, as that's one of the side effects of taking too much of it.  You have to get it from eating green leafy veggies and that means eating.  But I'm guessing the alcohol isn't the reason for the weight gain, although it is mostly sugar.  It's the drugs.  It's what they do.  It's one of the most common side effects.  So are digestive problems.  When you get that and it's more than you can handle, you need different meds.  As for a diet program, there are those suggested for those who take these kinds of drugs if they cause weight gain.  A book that doesn't actually have a particularly healthy diet but one that can give you some ideas about this is called The Anti-Depressant Survival Guide.  It's written by Hedaya, a functional physician, meaning a psychiatrist who also still practices medicine, something psychiatrists don't do.  They mostly just dispense drugs.  Functional physicians also tend to use integrated medicine, meaning they also learn something about diet and natural medicine.  Your psychiatrist, like almost all docs, probably knows very little about such things.  If I were you in your boat and could travel and afford it, I'd try to find a functional physician who might be able to come up with a program of medication, diet, and lifestyle that suits you better than the one you're on now.  Best of luck, but no, don't starve yourself, you already are and it isn't working out, is it?