Should I try to lose weight?

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Veteran Member

Date Joined Apr 2006
Total Posts : 733
   Posted 1/30/2008 12:18 PM (GMT -6)   
I am about 20 lbs overweight, since the Prednisone I can't fit well into my pants :( so I guess I need to lose at least 5 pounds or else I'm gonna have to go up a size, which I REALLY don't want to do... Ok, so I definitely need to lose at least 5, but should I try to get to my "healthy" weight?  I might be getting surgery and am thinking I might lose quite a bit after that and then I will be too thin??  What do you all think I should do?  PS- I am on a new med, Lyrica, which can cause weight gain and my "diet" right now is mostly carbs...
Diagnosed with Left-sided Ulcerative Colitis 1995 at 15, Tried: Prednisone, Rowasa & Hydrocort. Enemas, Proctofoam, Sulfasalazine, Asacol, Probiotics, Fish Oil, Canasa, Enotcort, Colazol, Anamantle, etc... had almost recto-vaginal fistula in 2004, put on Remicade, August 2007:Increased Remicade dosage-700mg every 6 weeks,diagnosed w/ Psoriatic Arthritis & Fibromyalgia Current meds: Remicade 700mgs every 6 wks (had reaction, will start Humira Feb 11) Clorazepate, Proctofoam HC, Glucosamine 500, Vitamin B, Lomotil,  Tylenol pm, Lyrica for Fibromyalgia started 1/17/08

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 1/30/2008 12:58 PM (GMT -6)   
Typically they say all of us IBDers should try to maintain a little more than our recommended weight for our height, but 20lbs does seem a little high, I think being about 10-15 lbs overweight is the recommended numbers simply because when a severe enough flare comes on we tend to drop weight too quickly.

Regular exercise and a healthy diet along with portion control is the safest and natural way to lose and maintain a healthy weight.

My bum is broken....there's a big crack down the middle of it!  LOL  :)

Veteran Member

Date Joined Jan 2004
Total Posts : 8360
   Posted 1/30/2008 3:17 PM (GMT -6)   
i would say if your diet is mostly carbs, that's what you should be trying to lose - the weight will probably follow - a low carb diet has been beneficial in reducing UC symptoms for a lot of us - it's worth a try - Lonnie

diagnosed with pancolitis december 21, 2003
currently taking: NOTHING !

Mamas Boys
Veteran Member

Date Joined Oct 2005
Total Posts : 1460
   Posted 1/30/2008 4:13 PM (GMT -6)   
I'm in the same boat as you.  After my last major flare and round of prednisone - I ended up around 20lbs over where I started (lost 15 lbs and gained 35lbs. from the pred).  I went to the nutritionist in my GI's office to get a diet plan that was IBD friendly.  Well - it didn't work then cuz the pred was still coursing through my system but at the beginning of December (it's now 2 years later) I gave it a try again - and it seems to be working now.  I have so far lost 15 of the 20 lbs and I am finally starting to fit into my clothes again!  If you are interested I will be willing to share the details.
And yes - I would definitely try to lose the weight now because the longer it sits on you the harder it is to lose.

Veteran Member

Date Joined Feb 2006
Total Posts : 5698
   Posted 1/30/2008 4:16 PM (GMT -6)   
Don't worry about potential weight loss from surgery. Yes, most of us lose on average 10lbs after surgery but that weight quickly goes back on during the recovery. I was at my perfect weight at surgery, lost 10lbs after the surgery, and then with a healthy j-pouch I put on 30lbs!

If you are overweight now and considering surgery, lose the weight.

dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free

Veteran Member

Date Joined May 2007
Total Posts : 528
   Posted 1/30/2008 4:30 PM (GMT -6)   
I think if you are feeling a bit lousy about yourself, and feeling like losing weight would make you feel better, then go for it, for sure. being at a healthy weight is something everyone should aspire to, both IBD-ers and non-IBDers. I understand the issue though, in terms of a carb-heavy diet. I am eating lots of carbs these days too, as it seems to be one of the only things my tummy is realy happy with right now. so I am just trying to eat a bit less, in general, to balance it out, and that's working ok for me, so maybe just a smaller quantity would do the trick for you...nothing too dramatic.
Pancolitis dx 3/07
9 Colazal a day (was on 12 Asacol/day, but suddenly got sick from it)
150mg Imuran/day (steroid dependent, reached this dose 9/07)
Various vitamins, bit of fish oil, a probiotic.

Veteran Member

Date Joined Aug 2006
Total Posts : 6571
   Posted 1/30/2008 11:50 PM (GMT -6)   
it will be easier on you to be at a healthy weight when you have the surgery, it's always easier to recover from anything if you are not overweight. However, it's next to impossible to lose weight while on steroids, and as ya'll know, the weight you put on from steroids is not the same as regular weight, it's really hard to lose. I also know how hard it is to lose weight with any kind of IBD, because what you can eat is really limited. When i went in for surgery i was about 135, a pretty good weight for me, when i came home i was at 122, i looked like a skeleton! But it didnt' take long to gain back up to 135, and then a little more!
Anyway, if you feel like it, work in some walking and cut out your sugars, i don't hold much to the low carb diet thing, but alot of people do.
good luck

Regular Member

Date Joined Dec 2007
Total Posts : 96
   Posted 1/31/2008 12:00 AM (GMT -6)   

If you didn't see the other thread about oxygen and weight loss (ironically, I have NEVER lost weight from UC and gained from the Pred) you should check out  It not only gets oxygen into your oxygen starved cells, but you end up losing fat. It has been proven that when you do aerobics, it's not the movement and sweating, it's the increased oxygen that does the good work. Check it out - it's all good healthy breathing.

Diagnosed with LS UC 1984, suffered for 16 years, high doses Pred and eased off to Azulfidine; remission for 9 years, just flared recently. Asacol 3, 3x day; 20 ml. Pred.. Heading into remission again with addition of: prayer, deep breathing, walks on the beach and: 4-1000 mg.garlic twice daily; 2 zyflamend twice daily, SuperFoods RX multi-whole food vita twice daily, SuperFoods RX Omega 3; 3 Asacol 3 x day with 3 Vitamin Shoppe Ultimate 10 Probiotic; Metamucil morning and night - no dairy, hardly any coffee, lots of water and green tea. Was using L-Glutamine but read that it can aggravate?

Regular Member

Date Joined Jun 2004
Total Posts : 123
   Posted 2/1/2008 1:14 PM (GMT -6)   
My personal opinion is that as UC folks we need to focus on healthy eating and put less focus on losing weight. Since so many of us have to personalize our daily foods, losing weight is tough. Some, cannot tolerate fruits and veg. Others, no whole grains.
What we need to do is choose the healthy eating at every meal and snack.
Basic math helps. Calories in versus calories out. Yes, white bread and white foods are generally not the best choice. But for UC folks, sometimes it feels like that safe choice.
Just my 2 cents.

February 04: Rushed to hospital with severe blood haemorrhage. Diagnosed with indeterminate UC in 2/3 of my bowel. Treated with heavy doses of Pred; started Salofalk tabs and sups.


April 06: First major flare – more haemorrhaging. Colonoscopy once against confirmed indeterminate UC.


May 06: Started 40 mg Pred. Weaned down to 10mg by July 8, held at 10mg until December 20, tapering 1mg every 2 weeks, 5mg a day as of February 14. All this plus 10 Salofalk tabs daily.


Jan through May 2007: Suffering from severe headaches and vomiting likely caused by prednisone.


Feb 26 07: Started Imuran with continued success.


May 12 07: Final dose of prednisone after 50 weeks!

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