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For me it was weight neutral, but I was on only 10 mg anyway.
My former roommate was on the highest dose of Prozac for MDD for many years. He is very skinny despite being in his 60s. He is super active, though.
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Bipolar I w/psychotic features
Last inpatient stay in 2018
Lybalvi 10 mg
Naltrexone 75 mg
Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)
Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
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