<s>[INST] Hi, I just found out that I am pregnant. My first appointment is Monday. I am already overweight and within the past month and a half I have noticed that I've gained around 18 pounds and that is not normal for me. I'm not sure what I should do and I know that the doctor is already going to not be happy that I'm overweight to begin with. I'm so stressed out, I just don't understand why I have gained so much in such little time.. [/INST] Hello dear,I understand your concern.In my opinion the excess weight gain needs to rule out the diabetes.Changing the diet pattern is important like take low carbohydrate diet.Avoid all oily and high calorie food.Take healthy nutritional diet like fruits,veggies etc.Practice antenatal yoga or pregnancy work outs daily.Walking for an 30-40 minutes daily also is helpful.And diabetes and any hypothyroidism should be definitely ruled out.Don't worry.Avoid stress.Due to change in lifestyle the overweight is a common problem these days.And with good care leads to happy pregnancy and delivery.So relax.Hope this helps.Best regards... </s>