How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Sophie :: Medicine & Neurolog...

Dr. Sophie :: Medicine & Neurology
Dr. Sophie :: Medicine & Neurology, Doctor
Category: Medical
Satisfied Customers: 2951
Experience:  Neurologist :: Clinical Neurophysiologist :: University of California.
19824690
Type Your Medical Question Here...
Dr. Sophie :: Medicine & Neurology is online now
A new question is answered every 9 seconds

My Doctor will not prescribe me Adipex. He says I am just

Customer Question

My Doctor will not prescribe me Adipex. He says I am just being Vain. However he isnt the one carrying around 50 extra pounds that makes me so friggin worn out daily. Either I have a fatique issue or I need to lose the weight. I have never had a weight issue before and now Im huge! 5'5 and 190. Im so tired when I get home from work that i cant even imagine excercising however I do try. I have the Wii Fit and a treadmil that I get on for about 30 min but Im just tuckered. I have had all the blood work done and no thyroid issue so he says.. what do I do. I eat low fat and low sodium. I do eat alot of veggies and I drink pleanty of Water. Im on Cymbalta... could this be the problem with my energy levels. Have to take it at night. makes me sleepy.
Submitted: 5 years ago.
Category: Medical
Expert:  Dr. Sophie :: Medicine & Neurology replied 5 years ago.
How long have you been on Cymbalta?
When did you first note your weight began to go up?
Is your weight distributed 'evenly' or are some areas worse than others (ex. neck, belly)?
What other blood tests, besides thyroid, were done?
How is your blood pressure?
Are you menstruating and are your periods regular?
Are you on an oral contraceptive?
Any other medications?
Customer: replied 5 years ago.
Almost 2 years
about a year ago
I have always had a flat stomach and my belly is huge
Im not sure about the blood tests. he just tells me I am fine. My cholest is good
blood pressure is good
yes periods are regular
no birth control. too old. never had children My guy is fixed. :)
no other meds except for pepcid and Advil an occasional Xanax .25mg. that he prescribed me.
Expert:  Dr. Sophie :: Medicine & Neurology replied 5 years ago.
Sounds like your thyroid was checked and there are "no thyroid issues".
However, if you only had your TSH checked (which is typically done) and not free T3 and T4, it may not be enough to say your thyroid is OK. It is possible to have a semi-subclinical hypothyroidism with TSH that is within normal limits and have low T4, which would cause weight gain and fatigue. Another issue is your belly fat. This pattern of weight gain, as opposed to hip and thigh area in women, can be familial but also can mean corticosteroid excess due to overactive adrenal gland. This usually means your blood pressure may be elevated, however, if you normally run pretty low and develop adrenal problem even if your BP goes up it can still be "normal".
Since your menstrual periods are regular, it would be unlikely for you to have PCOS (polycystic ovary syndrome) which is one of the causes for 'unexplained' weight gain in women.
I would make sure there is absolutely no organic causes for your weight gain before you try to get Adipex prescription .
Dr. Sophie :: Medicine & Neurology, Doctor
Category: Medical
Satisfied Customers: 2951
Experience: Neurologist :: Clinical Neurophysiologist :: University of California.
Dr. Sophie :: Medicine & Neurology and 7 other Medical Specialists are ready to help you
Customer: replied 5 years ago.
Ok... not so concerned with Adipex now. Could I have Adrenal Fatigue? That is the first thing my sister said when I talked to her. I blew it off. But I am wondering.

My doctor is a jerk so I guess I need to find a new one. (he has no personality at all).

When I go see my doctor what should I say to him to make sure I get the right tests?
Expert:  Dr. Sophie :: Medicine & Neurology replied 5 years ago.
It's really up to you if you want to go back to him since he's at least somewhat indifferent.
There are several ways to evaluate adrenal function: urine, saliva, blood, etc.
They can order urinary free cortisol level, evening serum and salivary cortisol level, low-dose dexamethasone suppression test and dexamethasone–corticotropin-releasing hormone test.
As far as the thyroid, do the tests I mentioned if they have not been done. Ask for a copy of your results from him.
You can also ask him to refer you to an endocrinologist which is a hormonal gland specialist.
Expert:  Dr. Sophie :: Medicine & Neurology replied 5 years ago.
What is actually meant by adrenal fatigue is under-active adrenals.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions