Tamoxifen and weight

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I'm 42, just got my exchange to implants and want to lose weight before my oophorectomy later this year. I took up running..about 15-20 miles per week. I've also counted calories (which has worked for me in the past), but I cannot lose a single pound! I've been on tamoxifen for  5 months. Does this drug impair your ability to lose weight?

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  • mdg
    mdg Member Posts: 3,571
    edited January 2014

    I feel your pain sister.  I have been gaining. I workout all the time.  I have NEVER had belly fat in my life!!!! I have worn a bikini until this past summer.....  My weight gain got worse after my oophorectomy. I hope you have better luck than me.  Now I am doing more weight training to change body composition that way and less cardio than I was doing. 

  • Tinanicu
    Tinanicu Member Posts: 103
    edited January 2014

    that is not encouraging! Lol

  • Annette47
    Annette47 Member Posts: 957
    edited January 2014

    According to the handout my onc gave me, weight LOSS, not gain was found to be a side effect in a controlled study of Tamoxifen users.   Personally, it hasn't changed my weight at all in either direction.    Just as hard to lose those last 10 lbs as it was before starting the Tamoxifen.   I think getting older (I'm now 46) has hurt my metabolism more than Tami has!

  • edwards750
    edwards750 Member Posts: 3,761
    edited January 2014

    That's total BS Annette. I don't know of a single person on tamoxifen who has lost weight. My ONC gave me the same song and dance that one of her patients lost 40 lbs but that is definitely not the norm. Several people I know exercise a lot and eat all the right things and still gain weight. I stepped up my exercise too and I have never had belly fat either but do now. Unfortunately, I think weight gain is a SE of Tamoxifen. It is frustrating but Oncologists will tell you the benefit definitely outweighs(no pun intended) the negatives. diane

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited January 2014

    I so agree with the upper body weight gain. I've gained 20 lbs in the last year. EEk. I recently started using MyFitnessPal. It is a free program and even if you're not wanting to lose it tracks nutrition, exercise and such. In fact I am just now typing this on the treadmill.SillyHeart

  • edwards750
    edwards750 Member Posts: 3,761
    edited January 2014

    Good for you farmerlucy...I use the treadmill too. Its so cold here I don't feel like walking but when the weather warms up my friend and I are walking the track at the Community Center. Another friend goes to jazzercise which I really like so I am going to do that as well as soon as the flooring is replaced. The pipes burst at the facility and now all the flooring has to be replaced. They are exercising on concrete. Not doing that. Even with doing all that I know it may not make a difference in weight gain but I will feel better. I also have hot flashes with Tamoxifen although not too bad. Thing is I was on Arimidex and didn't have the problem with weight gain or hot flashes but with the drug robbing you of calcium couldn't afford to keep taking that since I have osteoporosis. Just cant win sometimes. Diane

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited January 2014

    Thanks Diane. Good for you too. I may be heading into the land of AI's soon. Crossing my fingers. I'm not researching any side effects this time. Just trusting my onco.

  • Tinanicu
    Tinanicu Member Posts: 103
    edited January 2014

    thanks for the replies ladies. I don't know if it is my age, metabolism, or tamoxifen. Maybe all three? In any event, it is very frustrating!

  • Jennie93
    Jennie93 Member Posts: 1,018
    edited January 2014

    I think you will find many rants about tamoxifen causing weight gain on here if you look just a little bit!   I too am a victim. Grrr.  My weight stayed exactly the same all through surgery, chemo, rads without any effort on my part.  Then started tamox and it's been creeping up ever since.  20 lbs in 8 mos!!   And nothing else has changed.  I eat healthy and have an active life, and never had weight issues before, so it's pretty upsetting.

  • Tinanicu
    Tinanicu Member Posts: 103
    edited January 2014

    do the AIs have the same effect?

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2014

    Smiling - after 5 years on Arimidex - YES, the AI's are much worse for weight gain.  They prevent the PRODUCTION of estrogen by inhibiting the enzyme aromatase.  Tamox just prevents any estrogen present from being "used" by any possible/cancer - in other words, the cancer can not utilize the estrogen it needs to "grow" - but there is STILL estrogen in your system.  That's why AI's aren't given to premenopausal women.  Too much estrogen in the body for them to be effective.

    After menopause, we still have estrogen created ( if aromatase is present) by adrenal glands, and of course, body fat, with or without ovaries.

  • Tinanicu
    Tinanicu Member Posts: 103
    edited January 2014

    I'm not sure if I'll be switched to AI after my oopherectomy. Guess I'll ask at my next appt. This sucks. Is it easy to lose weight after coming off the meds?

  • bluewillowskys
    bluewillowskys Member Posts: 365
    edited January 2014

    ive gained about 50 lbs during the year i was on tamoxifen. I went off of it due to really bad joint pain and fatigue and the weight gain. My metabolism is all screwed up now. Had to start thryoid medications. Although i have gained wt. as i have gotten older ...this is the biggest wt gain i have had aside from pregnancy.

  • TessaW
    TessaW Member Posts: 231
    edited January 2014

    I'd heard SO MANY women say they gained weight on Tamoxifen that I requested Femera instead. 

    Guess what?  I've gained 3 freakin pounds in the last week!   I swear I'm going to just drink protein shakes.

  • ziggypop
    ziggypop Member Posts: 1,071
    edited January 2014

    I've been on Tamoxifen for about 8 month now & my weight is pretty constant - but I eat a lot more than I used to, it doesn't seem to matter how much I eat or what, I don't gain weight. 

  • liefie
    liefie Member Posts: 2,440
    edited January 2014

    I started Tamoxifen in August 2012. From that time until August 2013 I had an epic struggle to lose weight. Did not really gain weight, ate healthy, restricted calories, exercised every day of the week - yoga, strength training, interval training, walking lots. I was extremely frustrated, because the weight just would not move no matter what I did. Then in August 2013 I decided to simply cut  out ALL carbs (bread, pasta, potatoes etc.), ALL sugar, and started drinking lots of water. No eating after 6 in the evening. My exercise stayed the same. From August till November I lost 14 pounds, so more or less a pound per week. I'm not saying this will work for somebody else, but it worked for me, and I don't feel like a helpless Tamoxifen victim any more. At 59 I am also way past menopause, which in itself is notorious for gaining weight. So I'm thinking it is that combined effect of Tamo and menopause that makes it so hard to lose weight. Only my opinion though, and I'm just grateful I found something that worked for me.

  • vlnrph
    vlnrph Member Posts: 1,632
    edited January 2014

    With strength training, muscle is created which weighs more than fat so the scale may not move too much but measurements should go down as things tone up and clothes fit better, etc. (if that's any consolation) 

    I have been stable using a routine similar to liefie above except I love my carbs too much to cut them out. We'll see what happens when I transition to an AI later this year...

  • susanwmcg
    susanwmcg Member Posts: 76
    edited January 2014

    My MO told me I could eat paper while on Tamoxifen and gain weight. Either it effects you this way or it doesn't. I did Weight Watchers all Fall and was able to lose some. Stopped logging food and started gaining. I walk on treadmill and lift weights. Very frustrating but would rather be heavy than not taking Tamoxifen - tumor was very est/prog +. 

  • wenweb
    wenweb Member Posts: 1,107
    edited January 2014

    I lost weight while on Tamoxifen.

  • rozem
    rozem Member Posts: 1,375
    edited January 2014

    wren and ziggy, hate you guys hahaha  - I wish I was losing!

    I CANNOT LOSE WEIGHT I have been doing myfitnesspal for a almost 2 wks and haven't lost a pound.  How can this be?  1200/cal day plus 3-4 workouts a week and NOTHING

    I feel the frustration, I know this drug is key and I would never go off of it because of weight gain but it is very hard when you are doing all the right things and still no movement on the scale plus I know being highly est positive keeping weight down is key (less fat, less estrogen)

    my MO said its not the tamox but being thrown into menopause that is making it difficult (42 at diagnosis) she basically said "you need to eat like a bird" - yippee

    any suggestions ladies?  ( I have tried the low/no carb thing)

  • wyo
    wyo Member Posts: 541
    edited January 2014

    this is a frustrating and interesting topic (if it was happening to anyone else but us!) Women who have hysterectomy with removal of tubes/ovaries report significant issues with weight gain post-op. Menopause is also associated with weight gain with no change in diet or activity. 

    I signed up for my fitness pal and it started to make me obsess about it so I am not entering data right now. I read somewhere that you need 10 calories/lb if you are maintaining weight just for BMR (basal metabolic rate) so I thought about that in the reverse and if you take your "ideal" and multiply times 10 that would be the calories required to maintain at that weight. 

  • Tinanicu
    Tinanicu Member Posts: 103
    edited January 2014

    wyo, I think that calculation is too general. Activity and age play a big factor. 5 years ago, I easily lost weight eating 1500 calories. Then, a year ago, I couldn't do it at 1500, so I reduced to 1200 (based on my fitness pal suggestion) and lost a little but couldn't break a certain barrier. Now, I can't lose at all (only difference is tamoxifen). 

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited January 2014

    rozem - In the past it seems like there has been a three week or so delay in weight loss from the time I start eating better, so perhaps a big change is acomin' for you!  Hang in there! 1200 is not much at all. I do love the days I work at the farm all day and get a bunch of extra calories, though I don't use them.

  • rozem
    rozem Member Posts: 1,375
    edited January 2014

    thanks farmerlucy! gives me hope.  I have made a promise to myself not to step on the scale for a few weeks because it is just discouraging to eat this way and not lose a pound.  1200 isn't much but my goal weight is about 120-122lbs so every single calculator tells me to eat 1200 cal/day.  In the past I would do this and lose 1 lb a week which is healthy.  I need to lose about 5pds  I know this doesn't seem like a lot but for my small 5'2" frame my clothes are all tight ugh :( 

  • pajim
    pajim Member Posts: 2,785
    edited January 2014

    I lost weight on tamoxifen.  25 pounds with no problem.  I did get to the point where I couldn't lose any more no matter how hard I tried (the last 10 never came off).

    Femara, not so much.  I lost my waistline immediately and gained seven pounds. 

    Guess everyone is different.

  • crazyride43
    crazyride43 Member Posts: 154
    edited January 2014

    I have both lost and gained weight since starting T in Sept 2012.  During the first six months, I lost over 20 lbs exercising 4 - 5 x per week and following a low-ish carb, high-ish protein diet at around 1200-1500 cals per day.  I was pretty strict on both the exercise and the eating and tracking everything.  I did need to lose 40 lbs after chemo, surgery, radiation, and 9 months of inactivity and comfort eating, so that might be why the weight came off quickly.

    Enter daily Effexor 12.5mg in April 2013, which my MO prescribed due to extreme irritability and wild mood swings on T.  Immediately I started feeling better but also gaining weight.  I continued to exercise I admit I wasn't as strict with my diet.  I have now gained back 10 lbs and find it almost impossible to motivate myself to be as strict as I was before.  The Effexor has changed my mental state for the better, but I also wonder if it has increased my appetite and decreased my "care factor" about losing weight LOL.

    So my question for all of us is...in addition to heading for menopause, cancer treatments messing with our metabolisms and the T itself, how do any other meds we are taking play into the weight gain/inability to lose equation?  I am convinced that the Effexor is my nemesis for weight loss, not the T.

    At the end of the day, happy to pop my anti-cancer pills each day and feel hopeful that I will remain cancer free.  I just make a little more room in my closet for multiple sizes of jeans 

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited January 2014

    Interesting thought crazyride - I'm on Effexor 75mg (wow, your dose is really low!). Ok ok I'll blame it on the Effexor, and not on the fact that I've been eating like a horse!

    I like this little guy too!SillyHeart

  • Tinanicu
    Tinanicu Member Posts: 103
    edited January 2014

    well, after 3 weeks of daily exercise, I finally lost a pound. Lol

  • crazyride43
    crazyride43 Member Posts: 154
    edited January 2014

    farmerlucy, I am not sure why I wrote 12.5mg...my dose is actually 37.5mg, which I think is still the lowest dose of Effexor.  I will blame my error on the short term memory loss that has also come along as a fun side effect over the past year or two, along with rapidly deteriorating vision, muscle cramps and the inability to stay awake past 9:30pm.  But hey, I am alive to experience all these fun side effects, so that's a huge positive!

    Here's to making more good choices than bad!

  • VMC83
    VMC83 Member Posts: 9
    edited January 2014

    Thank to all for your posts.  I just started tamoxifen 3 weeks ago .  My onc said most women gain weight on it.  At 53 I had trouble losing weight before the breast cancer dx, surgery and tamoxifen.  Pre diagnosis I used an app - LOSE IT which calculates out how many calories you can eat based on age, height , current weight and how much you want to lose per week.  Not having a lot of energy these days - surgery was 6 weeks ago.  I started some walking on an indoor track .  I guess I will see how it goes with the weight. Already up 5 pounds from early December.

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