Our expert says:
Though not everyone experiences such annoying side-effects on any one antidepressant, at least some people do experience this when on many ofnthem ( some rarely or never do this, and this is worth discussion with your doctor, such as the newer Agomelatine ). But even if one wants to stick to older antidepressants which have cheaper but equivalent generic versions, none of them do this with everyone who takes them, just as none of them is ideal for treating the depression of any specific one ofm us - we differ significantly in our chemical nature. So a different AD than Lorien may be as good or better for your depression, and may not have this unfortunate side-effect in you.
I have not come across the issue of acne though I suppose it is possible, and loss of muscle mass I also have not seen. In fact if anything, people complain of weight gain rather than weight loss.
I'm wondering about your present state. It could indeed be a depression, which might respond usefully to an antidepressant. But sometimes one is Sad and even miserable, due to understandable circumstances, without necessarily being depressed. And counselling, especially of the Cognitive-Behaviour Thwerapy / CBT format, can make a major difference, without any side-effects.
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