On top of my bipolar, anxiety, suicidal ideation and ptsd I have body image issues. I refuse to have my picture taken and that kills me because there really are no pictures of me and my kids. I swore I would not buy bigger clothes many time but here we are and I needed bigger shorts again for the summer. The weight just keeps creeping up no matter what I do. I know the main culprit is Seroquel but I have other weight gaining meds too. In 4 years I gained 100 pounds and I can’t seem to stop the scale. I am depressed and frustrated. I try to exercise but I need a knee replacement which makes some exercises hard. The catch is they won’t do the knee replacement until I lose enough weight because I am young for a knee replacement but I need the replacement so I can be more active to lose weight. I think my depression would improve if my weight improved. I was on Victoza for a couple months and lost 15 pounds but then it started to make me sick.

How can I lose weight when my psych meds are working against me? I am on a very delicate cocktail of meds that just barely work. I have tried to get off of Seroquel many times but that never ends well. I need to lose 90 pounds but could live with just 50 even though that would still leave me obese. Can anyone help?