Today's Email To The Specialist

I have an appointment with a neuro tomorrow to follow up regarding my migraines. Although I doubt if the neuro will do anything other than take an assessment tomorrow, I still require something for my mood. I am managing well with my Lexapro.

Although I do not take it every day, I'm averaging every other day at this point. I believe I don't require a full dose at the low dose. I experienced this a few years ago when I was on Celexa, as well.

My question to you is, how seriously do you think topamax will help me? I have been using the last month or so to give a lot of consideration to this. The bottom line is, I don't want my brain to suffer on topamax the way my colon and my pride did when I was on Xenical.

As it stands, I feel I'm on entirely too much medication, and it's getting tricky for me to space things out to avoid interactions etc. Just as a reminder, I believe I am passing some of my metformin pills out, undigested.

I do not know what to say other than I'm not looking for a miracle pill to make me dump off scads of weight--because I know there is nothing out there to help me. Arrogant? Perhaps. Is it my depression speaking? Perhaps. I can't help but view the whole weight loss thing as an exercise in futility and failure.

Metformin was supposed to help with my weight and it hasn't.
Xenical was supposed to help with my weight and it hasn't.

I just don't know what to say or think at this point. My depression (and joint and back pain) is keeping me from being more active, and my fat is keeping me depressed (among other things).