Quote Originally Posted by alcopop View Post
Only worry I have is the weight gain.

Does it:

A) Cause weight gain in everybody?
I need to preface the following by noting that the only certainty with antidepressants (ADs) is that nothing is ever certain. Everyone's experience with an AD is unique to them.

Paroxetine seems to be the SSRI most prone to causing weight gain, although the margin between them isn't that great. However, this does not mean that everyone who takes it will stack on the kilos/pounds. Some do, most remain at around the same weight and some lose a little.

B) Cause weight gain by lowering your metabolism?
There are several hypotheses to why ADs cause weight gain, but few definitive answers, however, affecting metabolism is certainly one of them, possibly mediated by, among other factors, how ADs affect the enteric nervous system (ENS), the mini brain which controls the gut and the influence they could have on the gut biome. The ENS is by far the most serotonergic organ of the body, making about 95% of the serotonin produced compared to less than 2% for the brain, so it can be more affected by serotonergic ADs than the brain is. It is known that the gut bacteria mix can affect weight and the mix of gut flora may change due the the impact of ADs. Another factor seems to be that people simply enjoy eating more when they are no longer anxious and/or depressed.