Consequences of Prednisone Weight Gain – Not Just the Belly!
Here’s the truth: The real danger of prednisone weight gain isn’t how you look in the mirror. It’s what’s happening inside your body that you can’t see.
Today we’ll cover:
- The statistics about prednisone weight gain and its consequences
- How the drug causes these consequences
- Why you’re gaining weight but becoming nutritionally deficient at the same time
- What nutrients are being affected (and what you can do about it)
Watch now!
All My Prednisone Weight Gain Videos in One Place
My Personal Experience: What Prednisone Did to My Blood Sugar
I want to show you my personal experience with prednisone so you can see what actually happens inside your body.
Here’s my blood glucose over time:
The Chart Breakdown:
- Left side (Y-axis): Numbers from 75 to 110 milligrams per deciliter of blood glucose—this shows how much sugar was floating around in my blood
- Bottom (X-axis): Time period from September 2017 to July 2018
- The prednisone period: From about a week before Halloween 2017 until June 2018
- Additional treatment: I also had chemo with Rituximab during April 2018

What happened to my sugar levels:
Before prednisone: My sugar levels hovered around the high 80s
While on prednisone: It bumped up at least 10, if not 15 or 25 points
The problem: Anything below 100 is normal. I was hovering above normal. I had hyperglycemia.
And hyperglycemia is the biggest risk factor for diabetes.
So as I continued on prednisone, I was increasing my risk for diabetes every single day.
The Statistics You Need to Know
Let me share some statistics about prednisone and how it causes the consequences from weight gain.
Statistic #1: 10x Increased Risk of High Blood Sugar
Someone taking prednisone over 30 milligrams a day has a 10 times increased risk for high blood sugar.
I was in that situation for quite a bit because I had taper after taper after taper, and each time they’d take me back up that high—or higher. I started out at 60 milligrams.
That means a normal person has one unit of risk, and you on prednisone over 30 milligrams have 10 times increased risk of high blood sugar.
“So What? Who Cares?”
Let me tell you what difference that makes.
Statistic #2: 4x Greater Risk of Getting Diabetes
If you’re on high doses of prednisone, you have a 4 times greater risk of getting diabetes.
And that’s a problem. Getting diabetes is not only unpleasant because you’ll likely have to:
- Give yourself insulin shots
- Deal with lots and lots of complications in your life
But it leads to even more serious consequences.
Statistic #3: 4x Greater Risk of Hypertension
The combination of high blood sugar and diabetes leads to a 4 times greater risk of hypertension (high blood pressure).
And hypertension leads to cardiovascular disease such as:
- Stroke
- Heart attack
How These Numbers Connect
Each of these numbers reflects how much prednisone creates that effect on its own, but they are all related.
Let me show you how.
The Deadly Cascade: From Prednisone to Heart Attack
Here’s the terrifying pathway prednisone creates in your body:
Step 1: You take prednisone
Step 2: It causes a metabolism change—your blood sugar is constantly elevated
Step 3: That high blood sugar can lead to diabetes
Step 4: Diabetes leads to high blood pressure
Step 5: High blood pressure leads to cardiovascular disease, strokes, heart attacks, and death
This Isn’t Type 1 Diabetes
The diabetes prednisone causes is not like type 1 diabetes (where there’s a lack of insulin).
Instead, here’s what happens:
- High blood sugar forces your pancreas to put out a lot of insulin to get rid of all that sugar
- That excess insulin makes the rest of the cells in your body resistant to the insulin
- Just having high insulin floating around in your body is a risk factor for many things—including cancer
It’s a miserable, slippery slope.
What Else Happens? The Nutrient Depletion Crisis
Here’s the cruel irony: You’re gaining weight, but you’re becoming nutritionally deficient at the same time.
Let me break down what’s happening to specific nutrients in your body.
Sodium and Potassium: The Balancing Act Gone Wrong
Sodium is increased. Having high sodium leads to:
- Swelling
- Water retention
- Water weight gain
This happens because the kidneys are holding onto the sodium (salt) instead of letting it go in the urine.
Here’s the problem: Sodium and potassium work together. When one of them is high, your body makes the other one go low so that your balance of salt in your blood stays the same.
So because sodium’s going high, potassium is dropping—you might have low potassium as well.
And both of those together lead to high blood pressure.
Cholesterol: Another Piece of the Puzzle
Cholesterol increases on prednisone, and that leads to cardiovascular disease.
Now we’re adding another layer to that deadly cascade.
Chromium: The Missing Link
Chromium is a trace mineral (a metal) in our bodies.
Low chromium is associated with diabetes.
When people have enough chromium, their insulin levels and sugar levels tend to be lower. So chromium has an effect on keeping blood sugar steady.
And prednisone has an effect on chromium—it gets rid of it.
So which came first?
- Prednisone making the chromium disappear?
- Or low chromium leading to high blood sugar from the prednisone?
It’s a tough question to figure out the answer to.
No matter what, we need more chromium.
Magnesium: Effects All Over the Body
Magnesium has effects all over the body:
- It helps the heart muscle know when to contract
- It helps the muscles know when to contract
- It has effects on keeping blood sugar steady
- It helps maintain correct bone mass
Two side effects of prednisone include:
- High blood sugar
- Osteoporosis
And having low magnesium can lead to both of those problems.
Calcium: The Weight and Bone Connection
Calcium has been studied to help with weight loss. It’s very minimal weight loss, but it shows that there is an effect between calcium and weight regulation.
So when weight gain goes up and calcium is down, that can lead to osteoporosis.
And prednisone is the number one drug cause of osteoporosis.
What Doctors Are Recommending
The doctors who prescribe prednisone the most—rheumatologists (who treat conditions like rheumatoid arthritis)—suggest that everyone who is taking prednisone should be supplementing with calcium and vitamin D.

The Complete Picture: How It All Connects
Let me put this all together so you can see the full picture of what prednisone is doing to your body:
The Cascade:
- Prednisone → Metabolism change
- Constantly elevated blood sugar
- Diabetes develops
- High blood pressure develops
- Cardiovascular disease, stroke, heart attack
The Nutrient Depletion:
- Chromium depleted → Worsens blood sugar problems → Increases diabetes risk
- Magnesium depleted → Affects blood sugar AND bone health
- Calcium depleted → Leads to osteoporosis
- Sodium increased, Potassium depleted → High blood pressure
- Cholesterol increased → Cardiovascular disease
Every single one of these is connected.
What You Can Do About It
I suggest that you find a way to get the correct nutrients while you’re taking prednisone.
You need a diet that’s:
- Low in sodium
- High in potassium (lots of fruits and vegetables)
- High in chromium
- High in magnesium
- High in calcium
The Problem: Diet Alone Isn’t Enough
But here’s the challenge: When prednisone is actively depleting these nutrients faster than you can replace them through food, diet alone often isn’t enough.
That’s why I created Nutranize Zone—to give your body the specific nutrients prednisone is stealing, in the forms and doses that actually work, at the times of day when your body needs them most.
It’s not about replacing healthy eating. It’s about filling the gaps that even healthy eating can’t address when you’re on this medication.
Morning bottle:
- Chromium (200 mcg) – The exact dose shown to reverse steroid-induced diabetes
- Calcium (500 mg) – First dose for optimal absorption
- B vitamins, vitamin C, zinc – For energy and immune support
- Berberine and cinnamon – For blood sugar support

Bedtime bottle:
- Calcium (500 mg) – Second dose (your body can only absorb ~500mg at a time)
- Magnesium glycinate – For sleep and muscle/heart function
- Melatonin – To restore what prednisone suppresses
- Vitamin K2 – To direct calcium to bones, not arteries

Protect yourself with Nutranize Zone →
The Bottom Line
Prednisone weight gain isn’t just about how you look.
It’s about:
- 10x increased risk of high blood sugar
- 4x increased risk of diabetes
- 4x increased risk of high blood pressure
- Increased risk of heart attack and stroke
- Nutrient depletion that makes everything worse
You’re gaining weight while becoming nutritionally deficient—and that combination creates a perfect storm for serious, long-term health consequences.
But you’re not powerless. Understanding what’s happening is the first step. Taking action to replace what prednisone is stealing is the second.

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