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How to Prevent Weight Gain While Taking Prednisone

How to Prevent Weight Gain While Taking Prednisone

Prednisone, a powerful glucocorticoid steroid, is often prescribed to manage inflammation and autoimmune conditions. However, its impact on the body’s metabolism, particularly glucose processing, can lead to unwanted weight gain.

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In a recent post in I Heart/Hate Prednisone Group, a meme humorously depicted this side effect with images of a skinny cat before treatment and a fluffy cat afterward. Prednisone Warrior Marina, shared her personal success story of avoiding weight gain while on prednisone through strategic lifestyle adjustments.

prednisone weight
prednisone weight

Understanding Prednisone’s Impact

Prednisone alters the body’s sugar metabolism, making it less efficient at processing glucose. This can lead to weight gain, particularly in the form of increased fat deposits. Marina’s approach to counteracting this involves eliminating added sugars and ultra-processed foods from her diet. By focusing on whole, minimally processed foods, she effectively manages her sugar intake, which is crucial during prednisone treatment.

Dietary Adjustments: Cutting Out Sugar, Alcohol, and Junk Food

Marina emphasizes the importance of cutting out sugar, alcohol, and junk food. Alcohol, with its high sugar content, poses additional challenges for those on prednisone. It can exacerbate side effects like osteoporosis, as both substances negatively impact bone health. By eliminating alcohol, Marina reduces her risk of bone density loss and fractures.

Junk food, particularly ultra-processed items, is another target in Marina’s strategy. She advocates for a diet rich in foods that are as close to their natural state as possible. For example, she recommends freshly steamed potatoes over heavily processed potato chips. This approach ensures that her body receives the nutrients it needs without the added burden of unhealthy additives.

Staying Active: The Importance of Movement in Maintaining Your Weight

Physical activity is a cornerstone of Marina’s approach. Despite potential fatigue or discomfort, the daily movement, aiming for 5,000 to 10,000 steps per day. Regular exercise not only helps manage weight but also prevents muscle loss, known as sarcopenia, a common side effect of prednisone. By maintaining an active lifestyle, this would preserve muscle mass and bone density, counteracting the adverse effects of the medication.

Protein and Complex Carbohydrates: Building Blocks of Health

In addition to staying active, this highlights the importance of protein intake. Protein is essential for muscle maintenance and overall health, contributing to the structure of muscles and bones. Adequate protein consumption also helps individuals feel fuller, reducing the likelihood of consuming unhealthy sugars and carbohydrates. It is recommended to focus on complex vegetable carbohydrates, such as whole vegetables, which retain most of their nutritional value.

Dr. Megan Milne, PharmD, BCACP

Dr. Megan Milne, PharmD, BCACP, is an award-winning clinical pharmacist board certified in the types of conditions people take prednisone for. Dr. Megan had to take prednisone herself for an autoimmune condition so understands what it feels like to suffer prednisone side effects and made it her mission to counteract them as the Prednisone Pharmacist.

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