I've been on 75 mg. of Effexor XR for about 4 years now. I do realize that this is a very small dose to be on in comparison to some people. A year before that (when I was first diagnosed with Generalized Anxiety/Panic Attacks), my dr. prescribed me Paxil. While on that, I gained upwards of 30 lbs. in only 1 year!? It worked for my attacks, but after a while, it's effectiveness wore off and my body seemed to have plateaued. The weight-gain was out of control, so I asked my dr. what I should do. She switched me to Effexor XR from that point on. Since that time, I have had excellent success with this med. in the respects of controlling my anxiety (almost to a fault). But since starting all of my drug therapies (in total), I have gained 75+ pounds!!?!?!?? Being that I am barely 5'2", you can imagine how awful I look. I have tried every avenue of removing this weight (from the most basic & strict diet you could imagine, to the South Beach-esque diets) to no avail. I would love to get off this type of med. altogether, but if that is not an option, I am desperately seeking some advice on any other meds that may allow my body's natural metabolism to correct itself and return to what it used to be before I started any meds. Just for a visual, before I started I weighed 114 lbs., now I weigh 200 +. Please help me.