I told my doctor the 3 changes my IOP pdoc wanted to make and he disagreed with all but one of the changes. In fact, he insisted that this new pdoc was incorrect on the other two potential changes. He told me that one of the changes, taking me off of the Vyvanse would be detrimental to me. He said, "just remember, I have seen you plenty, and I know you and he has seen you once for 3 minutes." He is right. I am going to stick with my pdoc's prescribing at least until I go for a full second opinion in Sept. This is going to be total chaos I have a feeling. I am afraid to tell the IOP doc that I am not following his advise for fear he will mark me non compliant.

Furthermore, I asked my pdoc what will happen if this increase in Zoloft doesn't work and he said he will add Welbutrin. That will bring the count to 8 meds. All of the cards are stacked against me when it comes to losing all of this psych med induced weight gain. I am going to see a dietician tomorrow though and I am praying we can work together to return to a healthy weight. I feel frustrated, helpless, and still suicidal. I feel suicidal to even get off of the couch, which is disturbing. I know it will get better eventually. It simply must get better.