Rheumatoid Arthritis Support Group
Rheumatoid arthritis is a chronic, inflammatory, multisystem, autoimmune disorder. It is a disabling and painful condition which can lead to substantial loss of mobility due to pain and joint destruction. The disease is also systemic in that it often also affects many extra-articular tissues throughout the body including the skin, blood vessels, heart, lungs, and...
I agree with you that the activity level definitly decreases, but for 5 years I was maintaining, or losing.
Yeah...thats the thing I have read other places that Enbrel has made people lose weight.
It has been a 20 pound weight gain in 1 1/2 years, I work out 4 days a week and eat like normal. They are testing my thyroid. I will find out on Monday what that test shows. If not they will look into the whole hormone picture.
I don't know anything about Enbrel, per se, but the harsh reality of weight gain is that it comes because there are more calories going in than coming out. It takes 3500 calories to lose one pound of weight, and if the number of calories that you eat is more than the sum of what your body burns through its normal metabolism, its excretions and what you burn through exercise, you will gain weight.
There are a couple of twists, however. Some substances (I'm thinking of prednisone, specifically) will cause an increase in appetite, and they may affect the manner and rate that calories are metabolized.
I spent a lot of time agonizing about the effects of prednisone on my weight and on my ability to lose weight and girth. In the process of researching that, I was confronted with the simple arithmetic of weight gain: a) it takes 3500 calories to lose one pound, b) 1 gram of fat = 9 calories, c) 1 gram of protein = 4 calories and d) 1 gram carbohydrate = 4 calories. That didn't answer my questions, but it did change the direction of my thinking.
I suspected that prednisone, being a corticosteroid, which mimics our bodies' production of cortisol, in stress, was causing my metabolism to change, such that it produced more fat and less muscle, and directed the fat to be deposited where I least wanted it: my belly, waist and neck and back. The rest of the story was supplied by a weight management doctor (and endocrinologist), who confirmed my basic theory. My body thought it was being starved (prednisone induced "fight or flight" response, in my case) that resulted in its retaining fat supplies (fat is gold, at 9 calories per gram), and dipping into sugar reserves, which are quickly depleted, then protein reserves, which are maintained as mucle. This resulted in skinny legs and big belly.
The doctor's solution was to eat small, balanced snacks and meals, every few hours, to make my body forget the notion that it was being starved. I was already exercising a lot, and since I wasn't burning enough calories, my solution was to reduce caloric intake. I ate something within an hour of rising and every 3 hours thereafter. I had small snacks that were balanced between protein and carbs and were low in fat, between "regular," but smaller meals that were balanced in the same manner.
This worked very well for me, and I've been satsfied with the way it explained what was going on for me. I make no claims to validity, other than the arithmetic and my results (15 pounds in 6 weeks). Good luck with your weight issues. It's a constant battle, but there is hope.
I, of course, am not on predisone, but have been for a brief short period of time in the past.
With these added pounds, I am still NOT overweight. But over the last year, with no reason whatsoever, have had noticable chubs pop out here and there. :-)
Had to pack away my skinner clothes for awhile.
The only thing I know Prednisone (as every steroid) brings my weight up, I am hungry all the time! :-)
Linda
Considering that my diet is better than it has ever been and I exercise regularly......
I will just wait and see what the thyroid test comes back as.
Thanks again!
Roni