[identity profile] symbola.livejournal.com posting in [community profile] multiplicity_archives

Warning...talk about weight and eating issues

 *** So..we have always had a problem with obessing over our weight and weight loss...to a point where it got dangerous. Now our doctor had prescribed us a mediation that is for our bloodpressure..and definitely something we have to take..or chance heartatack...that is a dieuretic and will make us loose our appitite. Our internal conversations are not great right now..and I'm scared that someone will try to take advantage of this. How can we prevent this?

Date: 2004-02-02 02:18 pm (UTC)
From: [identity profile] elenbarathi.livejournal.com
Ummm, some clarification here, please? When you say "to a point where it got dangerous", what specifically do you mean - anorexia? bulimia? If so, your doctor needs to know about this.

When you say you're scared someone will try to take advantage, what do you fear may happen? It is hard to advise or reassure you without knowing what you're really worried about.

Date: 2004-02-02 03:07 pm (UTC)
From: [identity profile] ashwoof.livejournal.com
Well, you mentioned that your doctor knows about your history with eating disorders, does he/she know about you being multiple? Maybe you could tell your doctor that you're not sure if you/other people in your system (if he/she knows about the multiplicity) are comfortable with the medication and that you're worried about abusing it or going down the wrong road again? Maybe if you mention it, you and your doctor could work something out - maybe there's another medication out there for the same thing but without the same side effects (loss of appetite)?

Another thing you could do is work out some rules in your system, something like that if anyone abuses the medication or does anything else that would be harmful to all of you (going back to eating disorder habits, etc) that there will be consequences - not allowed out, lockdown, etc.

Best thing would be to talk to your doctor about your concerns and make the system rules.

Good luck, I know how difficult things like this can be x.o

~Ash
of the ShadowEchoes

Date: 2004-02-02 03:33 pm (UTC)
From: [identity profile] pengke.livejournal.com
First of all, as many people as possible should read the information that comes with the prescription. The people do not read it themselves should be informed exactly what the drug does and does not do along with complications that would arise from an overdose. Increasing the dosage will probably not increase your lack of appetite. It would be dangerous, as dangerous as not taking the medication at all. Make sure everyone in your system is aware of this. People aren't likely to try abusing the drug when there is little to gain from it but a lot to lose.

Secondly, mention your concern to the doctor. She will be able to keep any eye out for rapid weight loss. You might also want to ask her about seeing a nutritionist/dietician. In the event of loss of appetite, the nutritionist can help you plan meals so that you can maintain a healthy weight and have a nutritionally balanced diet even if your serving sizes are decreasing. Getting in the pattern of eating at specific times a day and eating set quantities, will help balance out the lack of appetite.

Date: 2004-02-02 03:49 pm (UTC)
From: [identity profile] elenbarathi.livejournal.com
[livejournal.com profile] ashwoof's suggestions sound sensible to me. I would also think a monitoring-system would be helpful - there'll be a certain number of pills per prescription-refill, which are to be taken at specific times and last a certain number of days. Making a checklist-page of some sort would enable you to know exactly when the pills are being taken, and by whom, and how many are supposed to be left on any given day. If on some day a discrepancy turns up, you'll be able to catch it right away.

If this is potentially a major problem, you could ask your doctor to keep the medication for you, and only take home a week's worth at a time. This puts a lot more accountability into the matter, because if the pills that were supposed to last till Monday are all gone by Friday, you're going to have to let your doctor know about it, and then it's for your doctor to decide what to do. The prospect of this might tend to make the irresponsible ones in your system think twice, especially if you explain clearly what the consequences of irresponsible behavior will be.

*hugs* Good luck!

I'm curious....

Date: 2004-02-02 04:21 pm (UTC)
From: [identity profile] ksol1460.livejournal.com
What medication is it? Have you tried Calan?

Date: 2004-02-03 07:01 am (UTC)
From: [identity profile] weare.livejournal.com
Everyone above posted great suggestions. I thought of a few things to add...

If you don't want to tell your doctor about being multiple and your fears of one of your alters coming out then perhaps you can just tell her that you are afraid you'll relapse and take too many of the pills...to try to lose weight. Your doctor may be able to prescribe a different medication or perhaps do like what some of the other people here suggested. Hold onto your pills and just give you a weeks worth at a time.

Let those in your system know just how dangerous overdosing can be. Perhaps if they know that taking too many of these pills at once can cause some serious and perhaps deadly problems then they'll think twice about taking the pills. Also, let them know that just because the medication can act as an appetite suppressant doesn't mean that it'll do that more or better because you take more of them. So, they won't reach the desired goal by taking more of the pills, they'll only be putting all of you in danger.

Do you have a close friend or loved one who can help you with the pills? Perhaps someone you trust who can hold onto them for you and help you to make sure that you take the correct dosage everyday. This would be easier to do with someone who lived with you or you saw every day obviously. I don't know if you live with anyone or not.

Also, don't forget that you don't have to try to control everyone in your system. Is there anyone in there you trust? Anyone that you know won't abuse the medication? Try to see if it's possible for those trusted ones to help you monitor the other ones to make sure you don't get hurt. This way the pressure isn't always on you and you get to relax a bit (which will also help your bloodpressure)

~Mel

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