do you gain weight when you switch instead of add a medication? Is there any way you could ask for a medication specifically for paranoia but also place a stipulation on it not having weight gain as a side effect? There are a few that either dont cause weight gain or actually have weight loss as a side effect...for example i know abilify doesn't have weight gain as a side effect while wellbutrin has a weight loss side effect....i dunno...maybe there is something else out there...you will never know unless you ask...make em work for thier money..and find something that suits your needs....if they can.