I am 50 yrs old have been taking zoloft and estrogen replacement.  I have gained 30 pounds and am a small person.   My stomach is so bloated I look pregnant.  I do not eat junk food or soda.  I eat chicken, fish, vegs and salads...I am at my wits end.  I suffer from panic attacks so going off the meds is not an option.  I am also extremely tired all of the time and have no energy to excersice.  Any advice what be welcomed
Hi. Thanks for your query. The reasons of your symptoms of bloating, tiredness and no energy to exercise can be due to the following factors:-Estrogen replacement can be the first reason itself as it alters the bodies physiology.-Also has direct effect on Psychology and so on. It is possible that you may need to get altered dosage after talking to your Doctor.-Zoloft- Sertraline also has side effects of weight gain as this is amitriptyline group, and you seriously need to talk to your treating Doctors.-Local causes can be intestinal disturbed flora which can be easily corrected by taking pre and probiotics. -Or if possible you should take another / second opinion of a doctor to have detailed sessions of psychotherapy and change of medicines. -Get some tests :Hormonal levels, thyroid functions, blood sugar, Electrolytes.