Our expert says:
If you are not yet under the supervision of a Dermatologist, then please arrange to see one immediately. If you are being treated by a Dermatologist then please return to the doctor and discuss the joint pain and your sudden weight gain with him/her. In general Roaccutane does not cause weight gain and rather tends to be associated with weightloss. Ask the dr to test you for hormone imbalances (female hormones, thyroid and insulin). If you do suffer from polycystic ovarian syndrome (PCOS) and/or insulin resistance (IR) which can be the cause of your rapid weight gain, then it is essential for you to consult a clinical dietitian, because the correct diet is one of the most important factors in treatment. Visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area. The dietitian will take your IR, medications and other conditions such as overweight, into account when working out a diet for you, which will be based on low-fat foods with a low glycaemic index (GI). Click on 'Diet' and 'Weight loss' and 'The Glycaemic Index' and read the articles on the GI. Also click on ‘Food as Medicine' on the Diet Site and then on ‘Type 2 diabetes’. As you noticed, regular daily aerobic exercise for at least 30 min per day can also help with weightloss, so you need to ask the dr to help you with the joint pain so that you can get back to doing some form of exercise (swimming may be a good idea as it does not put strain on the joints). The exercise will also improve your insulin and glucose levels if you do suffer from IR.
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